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However, because Bells palsy also impairs control of the eyelids, tears may spill out of the affected eye giving the appearance of over-tearing
[16] Injectable hydroxocobalamin [edit] Injection of hydroxocobalamin is used to rectify the following causes of vitamin B 12 deficiency (list taken from the drug prescription label published by the U.S

This regulatory status means that quality control varies significantly between suppliers, reinforcing the importance of sourcing through a licensed medical provider rather than unregulated online sources

10.1007/s00701-012-1335-z Acta Neurochir

While this approach can sometimes reveal toxin burden that may not appear in baseline testing, it also introduces clinical considerations around patient sensitivity, interpretation of results, and overall testing strategy
