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Triggers: Triggers include stress, a physical trauma (such as a motor vehicle accident), infection, hormone fluctuations in pregnancy and menopause (and sometimes puberty), certain medications, toxic environments, chronic mold exposure, and pituitary gland dysfunction

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PubMed , Neuromuscular Disorders: NMD , vol

Herpes simplex virus may also irritate trigeminal pathways in selected patients, especially when symptoms follow recurrent oral or facial outbreaks

They may recommend you receive shots more frequently or that you increase your dosage

I came with sciatica pain and had laser treatment as my doctor suggested and felt much better