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Symptoms may include: intense shoulder pain joint pain decreased arm mobility, including range of motion in the shoulder rotator cuff tendonitis bursitis arthralgia frozen shoulder weakness or altered sensation in the arm shoulder stiffness SIRVA can result in chronic or sometimes permanent injury to the arm and shoulder

Common forms include cyanocobalamin and methylcobalamin

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Including these outcomes in pivotal studies adds important patient-centered context to the clinical evidence

That said, peptide protocols should not replace proper diagnosis, physical therapy, imaging, rehab, or medical care when needed