If mana recovered slowly enough, and mages could pass it on freely between them, the ephemeral force would become a valuable trading commodity on its own.
What if a mage passes his powers on to his firstborn son, and a female mage to her first daughter, leaving the parent POWERLESS? A plain mortal, a sorcerer no longer, all wizardly might gone?
Or: what if a female wizard recieves the power of a mage who sires a child with her? Could lead to promiscuous witches and overly careful mages.
What if cancer is not an ailment if one has a will powerful enough, and knows what do do. What if one using the right techniques could control it and use it to become immortal, or to grow into something else?
Pick up a pathology/microbiology book, and add the diseases/syndroms to your game. Your players will freak out.
Coughed at? Diphteria. or tuberculosis?
Drunk from a muddy stream? Or just walked through? Well, let us introduce you to schistosomiasis...
Hit by a stream of energy? Too moch mana is ust like too much radioactivity - perhaps all mages could develop cancer early if too powerful...
The size and number of knots in hair, tied around neck, or hanging from belt could signify family, importance, worship, guild affiliations. Being able to translate the meaning of the size and placement of knots can give you a a large understanding of who somebody is.
May be used in a more barbaric society. Where in cities peoples clothes and crests show who they are, barbarians have no need for this so use knots.