While serious side effects are uncommon, patients should immediately report any concerning symptoms to their healthcare provider
If medication becomes less effective, causes side effects, or pain appears between attacks, this does not always mean that surgery is immediately required
Gamma Knife radiosurgery may cause delayed facial numbness, tingling, dysesthesia, corneal sensory loss, bothersome numbness, or, rarely, anesthesia dolorosa
This makes B12 injections an excellent option for those who struggle with brain fog or mood swings due to a deficiency
A Vitamin B Complex Shot can be administered more easily but, again, should still be done under medical supervision and only after a blood test has established your level of deficiency.
In the face of vitamin B 12 deficiency, conversion of methylmalonyl-CoA to succinyl-CoA cannot take place, which results in accumulation of methylmalonyl-CoA and aberrant fatty acid synthesis