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Description
The mechanism of action isnt well understood, but its believed it doesnt affect the tendon tissue cells directly, but rather that either works by activating other repair cells that can help tendons or ligaments or making the human growth factor receptor on the repair cells more sensitive (3)

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doi: 10.1517/17425247.5.1.45

The other is broader

Point 1 in above link is about being under treated for B12 deficiency with neuro symptoms present
