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Investigation includes liver function tests, renal function, full blood count, and imaging if malignancy or liver disease suspected

If swelling in the bursa is causing a slow recovery, a needle may be inserted to drain the blood and speed up the process

If anemia is due to B12 deficiency, injections can help

Her doctor recommended regular B12 injections to manage her condition

Both paracellular hyperpermeability [demonstrated by abnormal TJ expression and upregulation of myosin light chain kinase (MLCK) activity (86, 322324)] and transcellular hyperpermeability [represented by bacterial internalization to epithelia (325)] were documented in mucosal biopsies of patients with Crohn's disease and UC