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Genetic factors, certain medications, or the aforementioned B9 and B6 deficiencies (very rare in vegetarians unless there is a malabsorption syndrome)

These medications interact with the hypothalamic-pituitary-gonadal axis, which regulates menstrual cycles

In essence, anyone with a diagnosed muscle knot that hasn't responded to other treatments may find relief with trigger point injections

For comparison within the groups before and after treatment, we used the paired t test