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Repetitive computer work, manual labor, cooking, gardening, and countless other activities can trigger the same degenerative process in these tendons

"Mitochondrial hyperpolarization and ATP depletion in patients with systemic lupus erythematosus"

doi:10.1146/annurev.nutr.24.012003.132418

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When your energy feels low or your focus is fading, your body may be signaling a Vitamin B12 deficiency