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Metabolism: B12 is involved in the metabolism of fats and proteins, helping to convert food into energy

Hormonal fluctuations throughout the menstrual cycle can affect how side effects manifest, with some women reporting that nausea is more pronounced during certain phases of their cycle

However, in some cases patellar tendonitis is difficult to diagnose, because tendons can be painful with a normal ultrasound,24 just like tendons that show pathological changes on ultrasound can still be pain-free.25 Treatments A variety of treatments for patellar tendonitis are available, but not all are equally effective

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