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Unlike an acute rotator cuff tear, tendinopathy typically develops over time due to repetitive use, poor posture, age-related changes, or shoulder impingement

Her medical history included class 1 obesity (body mass index [BMI] = 33.9 kg/m), antiphospholipid syndrome, homozygous MTHFR C677T and heterozygous prothrombin G20210A mutations, prior transient ischemic attack and episode of pulmonary embolism, and chronic migraine with aura