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Straining your tendons with repetitive movements such as racket sports, weight lifting, or certain jobs can cause those micro-tears in the tendon Smoking I probably dont have to convince you that smoking is bad for your health, but nicotine use has actually been shown to impact tendon strength and quality Overhead Lifting overhead movements can put more stress on the tendons, which may result in more micro-tearing and inflammation As you can see, some of these risk factors can be minimized or even avoided completely

Biomacromol 15:15431559 Han Y-Y, Liu H-Y, Han D-J, Zong X-C, Zhang S-Q, Chen Y-Q (2013) Role of glycosylation in the anticancer activity of antibacterial peptides against breast cancer cells

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B12 is water-soluble, and excess is excreted, so the priority is steady intake rather than occasional very high doses