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Be patient and realistic about the expected results, and communicate regularly with your healthcare provider about your progress

They have a high affinity for inactive B12 analogues, although it is believed that this may also play a role in their elimination, as well as other functions that are still being studied and are largely unknown (including the transport of stored B12)

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