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Between attacks, there is no pain, and the neurological examination is normal this is one of the key diagnostic features of typical trigeminal neuralgia
Pathophysiology of trigeminal neuralgia: the ignition hypothesis
If a patient without a diagnosed vitamin B12 deficiency is receiving the vitamin through regular injections to experience the multitude of benefits, the frequency of these injections can vary quite a bit depending on the reason they are getting the injections (weight loss treatments will likely have a higher frequency of vitamin injections than other treatments) and this timeline will be established by the patient and the specialist providing the injections to ensure that the treatment is both as safe and as effective as possible
The development of needle less injections has been a response to the demand for more patient-friendly treatment options
Certain conditions may blunt or impede therapeutic response to methylcobalamin therapy
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