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Your doctor will assess pain and tenderness around the elbow, check for limited range of motion, and may order an X-ray or MRI to rule out other conditions and confirm the diagnosis

A 2025 systematic review published in the HSS Journal examined 36 studies spanning from 1993 to 2024

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Common causes of B12 deficiency can include: Limited dietary intake (common in strict vegan or vegetarian diets) Pernicious anemia, an autoimmune condition that prevents proper B12 absorption in the stomach Gastrointestinal surgeries that remove part of the stomach or small intestine Age-related declines in stomach acid production Long-term use of certain medications, such as metformin or proton pump inhibitors, which can reduce the bodys ability to properly absorb vitamin B12