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Feeling drained, sluggish, and lacking energy

Studies comparing PRP to corticosteroids found: A randomized trial of 192 patients with knee OA found that PRP provided superior long-term pain relief compared to corticosteroids , with no evidence of cartilage degradation (PMID: 33239706)

Despite the presence of some growth factors, platelet-derived preparations were removed from the Prohibited List as studies do not demonstrate any performance enhancement beyond a potential therapeutic effect

The same applies if your elevated B12 is accompanied by abnormal results on other labs (liver enzymes, kidney markers, CBC), or by symptoms like unexplained weight loss, persistent fatigue, abdominal pain, or easy bruising