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Compared to peptide injections, PRP has been extensively studied in clinical settings and has demonstrated efficacy in various musculoskeletal conditions: Tendinopathy: A meta-analysis of RCTs concluded that PRP injections significantly improve pain and function in patients with chronic tendinopathies, particularly lateral epicondylitis (tennis elbow) and patellar tendinopathy (PMID: 21200169)

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Why it was included in the FDA ban There have been no human trials on KPV to date

However, since this is ineffective red blood cells the person continues to have anemia and develops bone thinning and facial abnormalities

There are also food sources that are fortified with the vitamin

Vitamin B12 Alternatives As mentioned, Vitamin B12 is found in animal foods and some fortified foods that have added B12