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You walk between 6 and 8 hours daily, with altitudes ranging from 1,500 to 3,085 meters (4,921 to 10,121 ft)

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Repeated needlesticks can break up scar tissue and cause bleeding in a tendon, prompting the inflammatory cascade and helping the bodys own cells to begin rebuilding the tendon. Note the references in this quote to causing bleeding and prompting the inflammatory cascade in the tendon