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Each patient, before treatment and upon completion of the study was scored with the HouseBrackmann scale, as well as a Facial Disability Index score (Table 1)

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Stress and Anxiety: Emotional stress can cause muscles to tense up involuntarily, increasing the likelihood of spasms, especially in the neck, shoulders, and back

Thats why B12 deficiency can have serious consequences and why injections are such a game-changer when levels are low