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Typically, ischial bursitis is caused by prolonged sitting on a hard surface and is most common in individuals who have a sedentary lifestyle(1), but it can also be caused by trauma to the area such as a fall, or from injury to the hamstring muscle or tendon from activities like running or biking

The characteristic blue colour indicates proper copper complexation

IM Shots can be more effective than oral ingestion since shots bypass the first-pass metabolism, which can make oral supplements less effective

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Methylmalonic Acid (MMA) Test: Doesnt check B12 directly, but if MMA is high, it usually means your body isnt absorbing/using B12 properly, even if your B12 levels look normal

But research shows major problems: Temporary relief only - Pain returns in 3-6 months Tissue weakening - Steroids break down healthy tissue Risk of rupture - Weakened fascia can tear completely No actual healing - Just masks the problem Recent studies comparing PRP to corticosteroid injections show that PRP provides superior long-term outcomes and functional improvement