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However, there are several other factors that can result in B12 deficiency

People often notice improvements in: Recovery speed: soreness resolves faster and training consistency improves Range of motion: tissue compliance improves without the same tightness rebound Stability: joints feel more dependable during load Resilience: flare cycles become less frequent and less intense Confidence: movement feels safer, which improves adherence to rehab and training The key is that the goal shifts from short-term symptom relief to long-term tissue resilience

However, methodological critics argue abstainer bias and residual confounding may partly or largely explain the apparent benefit, making causality uncertain

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