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While patch testing is frequently planned in parallel with treatment in ideal clinical settings, real-world barriersincluding the aforementioned issues of limited materials access, logistical issues, or result variabilitycan result in treatment deferral

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However, full-thickness tears where the tendon has completely detached from bone typically require surgical reattachment

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Nature Communications, 16, Article 3389.

They can put B12 directly into your muscle with a needle