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With regards to subacromial impingement the pathology involves a rotator cuff dysfunction resulting in a mechanical impingement and compression of the subacromial bursa between the rotator cuff and the acromion and coracocromial ligament

Its worth noting that this difficulty in absorbing Vitamin B12 is different from Vitamin B12 Deficiency, a much more serious issue, in which your bodyoften because of diet or anemiasimply cant get the B12 it needs to continue functioning in a healthy way

A major problem caused because of Vitamin b12 deficiency is anemia, which leads to a substantial decrease in red blood cells in the body

doi: 10.1097/EDE.0b013e31823a44d3