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Int Orthop 34(6):909915 Anitua E, Andia I, Sanchez M et al (2005) Autologous preparations rich in growth factors promote proliferation and induce VEGF and HGF production by human tendon cells in culture

Severe, long-standing damage may take longer or may be permanent, which is why early treatment matters

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This is a common cause of B12 deficiency in the UK and is usually diagnosed by your general practitioner