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The same 2021 case report suggests that Botox injections into the mental foramen may provide long-term trigeminal neuralgia pain alleviation

These packages may also include complementary therapies such as lipotropic injections, intravenous vitamin therapy, or weight loss programs

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Key information was extracted from each publication (whenever relevant) on the study question, characteristics of the participants, form of intervention, biomarkers used to diagnose B12 deficiency, clinical tests, outcomes, and key findings

And it is definitely not a reason to abandon a protocol that may be working