The next step is to decide whether the pain really fits classical trigeminal neuralgia or whether another mechanism is more likely
You're in a caloric deficit, recovery is impaired
To combat the inaccuracy of the serum B12 test, doctors will sometimes use a test called methylmalonic acid, or MMA for short instead
Anyone can be affected, but some groups are more at risk: Vegetarians and vegans, since B12 mainly comes from animal products Older adults, as absorption gets harder with age People with digestive issues like Crohns or coeliac disease Those taking certain medications, such as long-term metformin or stomach acid reducers People with pernicious anaemia, an autoimmune condition that stops you from absorbing B12 If you fit into one of these categories and notice symptoms, its worth getting your levels checked
All patients with sulfa drug allergies are alerted to this rare possibility and told to watch for a mild skin reaction (which is typically the extent of the reaction)
