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In performing the technique the bursa is slightly compressed between the rotator cuff and deltoid reducing the access, therefore good visualisation is essential to ensure one is adequately in the bursa

These scar tissue adhesions pull on your skin and fascia, creating that shelf-like appearance

The tendon may also become inflamed in response to other problems in the shoulder, such as rotator cuff tears, impingement, or instability (described below)

The wrong approach can accelerate muscle loss and reduce adherence

In that sense, B12 injections can support the conditions that make weight loss easier to maintain