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Deng et al

This means they can't absorb B12 from food, though they can from a supplement

Individuals with Gut Absorption Issues : Conditions like Crohn's disease, celiac disease, or pernicious anemia (an autoimmune condition where the body can't produce intrinsic factor, a protein needed for B12 absorption) can significantly impair B12 uptake

If low-molecular weight HA is produced in excessive amounts or cannot be cleared promptly an uncontrolled inflammatory response develops, which aggravates tissue damage

While these interventions can reduce inflammation and promote healing over time, they do little to stimulate true regenerative repair of damaged ligaments