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Poor blood supply is the primary reason joint injuries heal slowly

Instead, they test for serum B12, which can show high levels of Vitamin B12 in the blood while the cells themselves are deficient

USA 113 , 44464451 (2016)

One significant positive in this study is that they also used laser Doppler scanning (recovery of blood flow in the ischemic muscle) to indicate the promotion of angiogenesis alongside Western blot and real-time PCR for the expression of VEGFR2
