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When you are deficient in B12 your body becomes tired, and weak, which can lead to anemia

Einschlielich Arbeitsphysiologie 25:339351

doi: 10.1023/a:1018955126402

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Avoid activities that reproduce sharp pain Reduce gripping intensity and duration by 50% or more Use tools with padded grips or larger handles Take frequent breaks during repetitive tasks Ice after activities that cause mild discomfort Gradually increase gripping activities as pain allows Introduce light resistance exercises for forearm muscles Continue using protective equipment and ergonomic modifications Monitor for any return of sharp pain as a warning sign Progressive return toward normal activities Increase resistance and duration incrementally Maintain stretching and strengthening exercises Address any technique or equipment factors that contributed to original injury Work-related considerations deserve attention for those whose occupations involve repetitive hand use

Avila A, Do MT, Acua AJ, Samuel LT, Kamath AF