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Regular alcohol consumption, chronic stress, and smoking can all deplete B12 stores more rapidly

Maintaining adequate B12 levels is essential for lowering homocysteine levels

63, 220224 10.1093/ajcn/63.2.220 [DOI] [PubMed] [Google Scholar] 34.van der Gaag M.S., Ubbink J.B., Sillanaukee P., Nikkari S

The mechanism of action isnt well understood, but its believed it doesnt affect the tendon tissue cells directly, but rather that either works by activating other repair cells that can help tendons or ligaments or making the human growth factor receptor on the repair cells more sensitive (3)

Treat the underlying gut disease supplementation alone is not enough