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1,7 The underlying cause of Bells palsy is not known in most cases, but inflammation and reactivation of a dormant viral infection affecting the facial nerve, also called the cranial nerve VII, appear to be important contributing factors

Doctors use B12 shots as a last resort, such as if a supplement isn't working or a B12 deficiency causing severe symptoms
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B12 injections can be mildly painful for some however most patients can tolerate the discomfort well
