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Sensory changes, deafness or other ear problems, difficulty achieving pain control, poor response to carbamazepine, history of any skin lesions or oral lesions that could lead to perineural spread, ophthalmic division only or bilateral as suggestive of benign or malignant lesions or multiple sclerosis, age of onset under 40 years, optic neuritis, family history of multiple sclerosis

This is a condition where your body struggles to produce enough red blood cells, causing the count to stay low