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Seizure medications such as phenytoin and phenobarbital, as well as diabetes medications like metformin, can lower B12 levels over time
It also interacts with the nitric-oxide pathway, which contributes to its effects on blood flow and tissue protection
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Secondary (Symptomatic) Trigeminal Neuralgia Secondary Trigeminal Neuralgia arises from an identifiable underlying condition that directly affects the trigeminal nerve
B12 issues tend to be from inability to absorb rather than actual deficiency
They can appear as fleeting shadows, flashes of light, or fully formed images
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