I wish everyone a speedy recovery and all the best. It could be caused by a reaction that occurs after a viral infection. Am praying it goes away quickly- I am a Christian and very much believe in answered prayer. Fact: The famous Sylvester Stallone face and look is not a result of a Bell's Palsy disease most people have seemed to indicate. How long have you had Bells? Below are a variety of diseases that mimic Bells palsy paralysis. Hugs to you and your journey this this unpleasant thing. In general, decompression surgery for Bell's palsyto relieve pressure on the nerveis controversial. He is staying positive and is finding it interesting how people react to him. Introduction. These drugs have been shown to reduce inflammation of the facial nerve, which minimizes compression and damage (Adour KK et al 1996), although a few studies have found that steroids are ineffective (Salinas RA et al 2004). My name is Jan, Im 24 and this is my 3rd time suffering from BP. . Driving makes it worse even with sunglasses. For me, by far the most annoying part of BP is my very stinging right eye and tears and eye drops constantly running down my nasal passages . Was diagnosed with BP yesterday. Today, 3.5 weeks later, Im 95% healed. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. In Bell's palsy and GBS, a viral infection or the reactivation of a latent virus may provoke an . other information we have about you. The pain I felt behind my ear was the . I really felt the docs just patted me on the back and said best of luck as they pushed me out the door. At that time, I had no pain behind the ear and tongue wasnt affected neither. That day, someone suggested I take a B complex supplement to support the nerves healing. I first noticed a couple nights ago when I went to brush my teeth and thats when I realized I couldnt gargle water in my mouth without it spilling out. Bell's Palsy. I am super glad I found this post and Ill be honestly I found more great info in the comments section. These exercises may seem like you are just making funny faces, but this w. Bell's palsy causes temporary paralysis, or palsy, of facial muscles. He said its like a dull headache that wont go away. Ask your doctor about a referral to a massage therapist with experience in treating Bell's Palsy with facial massage. Dis anything work for you? This damage causes partial or total paralysis of one side of the face. I was diagnosed 6 days ago- it was absolutely terrifying. He woke me up at 4:30 that morning and told me he couldnt move the left side of his face. Then on Monday as the day progressed, I noticed my right eye was bothering me. but my therapist asked me to che it!! As it doesnt seem like common synkenisis. Sending lots of prayers your way! The mainstay of pharmacologic therapy for Bell's palsy or facial nerve palsy is early short-term oral glucocorticoid treatment. . Should I wait till after 2 weeks or would it be good to start now? When you have a recurrence, do you take the antivirals and steroids again? Thank you for listening/reading. Im undergoing Chinese medicine+Accupuncture treatments and physio and after session 5 I got part of my smile back. My doctor felt that an eye patch could still scratch my eyeball since my eye would be open at night. Thats the frustrating thing with Bells Palsy. I hope my experience so far helps you and provides some hope and comfort. I came down with Bells Palsy on Nov. 14th. The facial nerve also carries nerve impulses to the tear glands, the saliva glands, and the muscles of a small bone in the middle of the ear. Not feeling my face is just awful. My symptoms started with pain behind my ear which I thought was a swollen gland, I then realized my left eye would not close an my mouth was droopy. Symptoms appear suddenly over a 48 - 72-hour period and generally start to improve with or without treatment after a few weeks, with recovery of some or all facial function within six months. By Isbitaalada Medicover / 4 Sebtembar 2021 I was diagnosed with mild bells palsy with my smile drooping on one side. Bell's palsy is a type of facial paralysis that results in a temporary inability to control the facial muscles on the affected side of the face. Marta, I dont look like Quasimodo anymore, lol., but it seems to have hit a plateau in the recovery process. . But this time, half of my tongue has almost lost taste and it ache behind my ear. It took me 1 month to fully recovered from it. Dont know how i got it. Bell's Palsy is temporary in most cases, with approximately 70% of people diagnosed with the condition making a full recovery. Thank You for creating an ongoing BP support community! Though the cause of Bell's palsy is unknown, an inflammatory reaction involving the facial nerve may be involved. Ronthal M. Bell's palsy: Prognosis and treatment in adults. Its been 2 weeks now since that second attack and I barely have any improvement. Hard for me. Caffeine is a stimulant that increases alertness, but when consumed in large doses, it can lead to an imbalance in the nerves, particularly those intended for facial control. I dont want to go out or to see family, or to go to school, I feel like everyone will just be staring at my eye that wont blink, and the smile that isnt right. National Institutes of Health So depressed at times. It is so scary but it sounds like you have a good sense of humor about it (which isnt easy!). Experts think it's caused by swelling and inflammation of the nerve that controls the muscles on one side of the face. The muscle paralysis is caused by inflammation and autoimmune demyelination instead of ischemic compression. I will keep you up to date with my progress. In reading my comments, do you have any suggestions? If anyone is currently going through this, Im sorry for your agony. Bell's palsy is a condition that causes weakness or paralysis of your facial muscles, typically just on one side of your face. Oh my! Taking care of my eye was one of the number one things that I was told that I could do in the immediate (because BP is a waiting game) and that was crucial. However, normal is so hard to define because I know many with BP (especially those that have had it for years) have to find a new normal. Did you synkenisis happen every time you blink? Thank you so much for sharing your experience! Found your great helpful post. Good luck, Rabi! However this is an internal battle many faces so please protect and take care of your psychological and emotional state. Bell's palsy is a nerve problem that affects the muscles of your face. Other therapies such as physical therapy, facial massage, or acupuncture may provide a potential small improvement in facial nerve function and pain. 6. because these are easier to chew and swallow. It can occur at all ages, but is most common between the ages of 15 and 60 (NINDS, Apr 2003). It begins suddenly and worsens over 48 hours. No, I did not find the content I was looking for, Yes, I did find the content I was looking for, Please rate how easy it was to navigate the NINDS website, National Organization for Rare Disorders (NORD). Hi Holley I was pumping like crazy and had PPA. Hi Paola, I had the exact same situation . Of Prednisone daily. If you have started on steroids.. Its ok.. I have heard people ask about this but I personally didnt struggle with it for an extended period of time. Viruses that have been linked to Bell's palsy include viruses that cause: The nerve that controls facial muscles passes through a narrow corridor of bone on its way to the face. Everything from second bout of Chicken pox virus since I had a mild case of it when I was young, to stress. The 5 Musts-Dos When First Diagnosed with Bells Palsy: 8 Tips and Takeaways When First Diagnosed with Bells Palsy. This year 2022 I started having spinal headaches Lightheadness cold sensation in my brain sleepless nights fast heartbeat. The funny thing is- because Im deaf and use sign language, there have been no issues at all in regard to changes in hearing or ringing, etc. Im glad the liquid meds are helping!! Don't overwork the muscles in your face at onset (either by massage, acupuncture, facial exercises, etc. The most common cause that is known is an infection close to the area. Since Bell's palsy may have an inflammatory component, a person with this condition should avoid omega-6-rich foods because they may promote inflammation. What is Bell's Palsy? I am so pleased i decided to look Belpalsy up I have heard of people having it on one side and then years later it recurring on the other. Your email address will not be published. Unable to swallow pills, i went back again and was given liquid meds. It is the most common cause of facial paralysis. Ive had Bell Palsy since July 8, 2020. The facial nerve also transmits taste sensations from the tongue. https://www.uptodate.com/contents/search. Not sure if this is considered as improvement? Thank you for sharing your experience. There is no specific laboratory test to confirm diagnosis of the disorder. It sounds like rest and stress are keys to recovery. I didnt take no medition although I went to physiotherapist everyday for a month doing the stimulation and all. I had lost her name so I appreciate you sharing. This is terrible. Have you asked a doctor about the ringing? Wow, thank God I stumbled upon this site. Kerry from Australia found out Wed. Night i had Bels Palseys. Merck Manual Professional Version. Impaired immunity from stress, sleep deprivation, physical trauma, minor illness or autoimmune syndromes are suggested as the most likely triggers. In about 2 weeks I was 80% improved. Thanks. I have recently taken up Face Yoga which is helping rebuild the muscles in my face. Oftentimes, these oils can be found in packaged and processed foods. That is very stressful to me. Another important factor in treatment is eye protection. Thank you for creating this space so we can share, learn and connect. This is so frustrating! With Bell's palsy, your eyelid may not close properly and your smile may seem uneven. Below is a list of top tips and takeaways that I gleaned from Rachel, research, Dr. Rodgers, and Gaye Cronin. Ill see if I can find some of the videos that I thought were particularly helpful. Several of the nutrients suggested in this protocol may have adverse effects. Unfortunately I wasnt able to get proper rest, because I had to care for my newborn granddaughter. I cant imagine a constant ringing. Bell's palsy is the most common mononeuropathy that causes acute unilateral facial paralysis or paresis. Does your therapist specialize in BP? Im so sorry! But I really want help with stuff to do and not do to help as its my sons 2nd Birthday in 2 weeks and I want to look normal for it and have my smile back for his big day or Ill have to reschedule it for a month later to give myself more time to heal . I am very fortunate in that I have absolutely no pain, except for a bit of jaw achiness when I overuse it. Individual results may vary. My hearing was extremely sensitive though so my then newborn and 2 year olds screams/cries would literally be piercing. What helped ? My onset came 2008. Get the supplements you need, when needed! Youre looking for simple and fun solutions to solve everyday problems and you like new things, too, different choices that stray from tradition without losing the love in the food and life. It was helpful to read through this string of comments. I taped my eye down at night and wore sunglasses during the day because it would get very dry. When i put the eye gel in and the patch on at night everything is so much better.I find typing on my tablet really tunes my eye up so I cant do it for too long. A mild case of Bell's palsy typically disappears within a month. Have you heard that to be true? I cant blink the left eye but both lids will lower at the same time, its the lower lid on left side that wont go up. When I get really tired or stressed my eye will twitch and droop and my mouth will pullit is crazy how these things come back to remind us. (Rebecca, 21 years old) A headache, numbness, swelling, and slurred speech. My 8 year old just got diagnosed Sunday, they started him on steriods and anti-viral medication. Most people with Bells palsy (about 80%) recover within weeks or months. Therefore foods that encourage herpes outbreaks, or that increase inflammation, should be avoided. Im confused. I always keep in mind there are more people out there with bigger challenges. Its my second week. It seemed like every time I had a horrible bout of pain, something was restored. Im having pain with Bells Palsy now. Sleeping was sometimes difficult and I didnt find any painkillers to be effective. I did all the meds and facial massage following. Ive had bells since January 26th and it feels like Im at a stand still. Bethesda, MD 20892. Feel quite anxious right now. I had to wade through a few to find the best ones. This case is bad with a severe headache. It was about 3 yrs ago. I have started taking calls now for past 3-4 days (10 days into BP) , would speaking more make it worst in your opinion ? No obvious viral illness. I had the initial symptoms of BP last May 28, and I rushed myself to the ER that day and was prescribed with Prednisone for 15 days. Though I knew I couldnt control the outcome, I found self-care activities to help me feel better about myself. In a few cases, a Bell's Palsy may have other neurotoxins, as in coffee, aspartame, caffeine, and even homocysteine, that leads to worsening of condition. I do hope you know that you are certainly not a freakanything but and there are thousands of people out there suffering from the same thing. This may result in involuntary contraction of certain muscles when you're trying to move other muscles (synkinesis). In some mild cases where recovery is rapid, there is damage only to the myelin sheath (the fatty covering that acts as insulation of nerve fibers). Risk Factors of Hemifacial Spasm. Most often these symptoms lead to significant facial distortion. I looked in the mirror and noticed my lid droop, inability to blink, raise brows, or smile. Im so glad to hear that he has recovered! The anti-inflammatory properties in ginger and turmeric are very effective in relieving Bell's palsy symptoms. Hassle Free Delivery While You Earn 10% Reward Points! I dont see many other people mention issues with their ears? Several other conditions can also cause facial paralysis, for example, brain tumor, stroke, myasthenia gravis, andLyme disease. I never made a video but if you google it, you can find some very helpful videos on how to tape your eye shut at night. Im only a 17 year old 2 days ago I was struck with a more mild case of bells on the opposite side of my face. In most cases, after Bell's palsy, a quick recovery happens within a few weeks and usually leads to a full return of facial . Bad part reno. Still feeling depressed and self conscious. I think Im at least 75% better and Im not giving up. The other thing is when u squint I get a dimple on the left side of my chin. The general advice when you have Bell's palsy is to rest, so while we cannot comment on whether particular strenuous exercise will affect your recovery, we do advise people to rest and make life as stress free as possible. 301-594-5983 Use your pain as an invitation for self-care & nurturing. Angel, Im so sorry you felt this way and have for so long. Facial palsy recovery will usually follow one of the two recovery scenarios, depending on the scale of initial damage to the facial nerve. It got better and i got my smile back. This content does not have an English version. Did your condition improve ? And even now that I would consider myself recovered (Or as recovered as it is going to get), when I feel overly tired or stressed my face starts to twitch and it is a reminder to sleep and relax. My eye doesnt close all the way, and I have trouble eating and I have to drink from a straw or I make a huge mess. It really is a matter of survival so do what you need to do! ???????? On rare occasions, cosmetic or reconstructive surgery may be needed to reduce deformities and correct some damage such as an eyelid that will not fully close or a crooked smile. She checked me throughly and ruled out a stroke (at least from what she can tell from her examination in her office). . I think you have to take it easy to help recovery. Has come to this. Inability to eat and drink properly due . A test called electromyography (EMG, which uses very thin wire electrodes that are inserted into a muscle to assess changes in electrical activity that occur during movement and when the muscle is at rest) can confirm the presence of nerve damage and determine the severity and the extent of nerve involvement. Not funny about the diagnosis but had to laugh when the Dr. came in and I see the right side of your face affected and I had to correct him that it was the left side. Especially when is quiet like at night its hard to sleep. Infinitely. My glasses arent ready so I have no choice but to wear them so you can imagine the discomfort Ive been having with the non blinking situation on my right eye and having a contact lens in there. I havent taken any days off from work since diagnosed and I now I wonder if I should. (to avoid the overwork of these muscles and the respective intensification of the synkinesis) There is no cure for the virus, which may reactivate through sun exposure or by eating certain foods. If we combine this information with your protected I was told to rest, rest, rest. And if that idea appeals to you, Ive got good news: Youre in the right place. Hello, I wrote a post earlier this morning and I dont see it on here??? All NINDS-prepared information is in the public domain and may be freely copied. If I find any, I will certainly let you know. In most cases, the weakness is temporary and significantly improves over weeks. Each has several branches. Hi I have had BP twice, years ago when I was 11 and again at 16. Ive ready many time where others with BP use them and were fine. Prednisone is to reduce the swelling so that the nerve Vii can regain control of your facial muscles. My BP improved very quickly first time around with the Steroids but as soon as I stopped , BP came back more strongly and now I am asked for additional 10 days of steroids. EASIER! Researchers are currently unsure of . So check that mirror and see what is coming back! Bell's palsy is facial nerve paralysis of unknown cause. Hey there Im on day 3 of my third bout with Bells palsy. I practiced facial exercises to help, theres plenty on YouTube. No signs of recovery, as its only been a few days, but I will be following these tips and takeaways religiously. AskMayoExpert. The main branch controls most of the muscles on one side . | Bell's Palsy Symptoms & Causes | Bell's palsy Treatment#shorts #bellspalsy #physiotherapy #neurology #neuro #symptoms #treatment. Acupuncture helped a lot and thought I couldnt afford to go anymore, could I go back? etc. Its been a very trying few days. The pain is terrible and very hard to sleep. I know God would heal me permanently. Hi- this is one of the best websites that Ive come across re: Bells Palsy- thank you! Rachel was a godsend! Bell's palsy, also known as idiopathic facial palsy, is a form of temporary facial paralysis or weakness on one side of the face. Again, thanks for sharing all this. Ever since that day Ive been farting, sneezing, and sweating, Im wondering if its connected with Bells Palsy. Done with the steroids and 3 more days with Prednisone. He was prescribed the corticosteroid and antiviral and we were told that it could last a couple of weeks or up to six months. Thanks for sharing!! Over the next 48 hours or so, one half of your face may start to droop. Have you encountered this at all? Thank you! It improved a lot for 2 weeks. All leading to more stress. Fax: 203-798-2291, National Library of Medicine As you can imagine we blink many times in a 1minute so its frustrating feeling the tug. Thankfully so, you suggested seeing a doc asap and starting the medical treatment. These products are not intended to diagnose, treat, cure, or prevent disease or medical conditions. I rely on telling myself it could have been a serious stroke so count your blessings. Twitching or weakness of the muscles in the face. This has been the scariest time of my life but Ive had so many people praying for me and I believe thats the reason today Im walking on my own. In: Ferri's Clinical Advisor 2022. Good luck! Eyebrow twitching is a series of involuntary muscle movements triggered by a reaction to stress, eyestrain, Bell's palsy, fatigue or too much caffeine. Repeat the castor oil compress twice a day until the symptoms have abated. The natural history of Ramsey Hunt syndrome is different from that of Bell's palsy and requires different management. Your son is blessed that he was okay but I understand how you felt. Although this theory has yet to be proven absolutely, supporting evidence is strong enough that Bells palsy is often treated with antiviral drugs (acyclovir, famciclovir, and valacyclovir) used to kill the herpes virus. Hi, I had my bells since 8 years old and Im 39 yo now. A full medical history, including any recent illnesses or viral infections is recorded. They affect the entire half of the face, while stroke or cerebral tumor usually causes paralysis below the eye. It usually affects just one side of the face. Bells palsy is a mysterious condition that affects about 40,000 Americans each year. I was diagnosed 8-27-22. National Institute of Neurological Disorders and Stroke Understanding Bell's palsy. Took the steroids snd antivirals for 8 days . In severe acute cases, combining antiviral therapy with glucocorticoids may improve outcomes. People with Bells palsy might experience a number of uncomfortable symptoms, including total paralysis or pronounced weakness on one side of the face. Any reason to believe in a week or two I wont have the eyelid issue and just wait for the face to rejuvenate? I am a woman of faith and a firm believer of prayer. It was a very scary time. Im not having any pain but when I massage my face you can see its like my lip is cramping and it feels that way too. It happens when the cranial nerve that controls your facial muscles . The most common symptom is sudden weakness of one side of the face. Im from Australia and the doctor only prescribed me steroids for 5 days and said it will just heal with time. Bell's palsy usually affects adults only. I totally fell with all the reading Ive done, that most people recover and its rare when people get it again. Im just worried though that once I finish this course of prednisone again, the BP will recur. I still cannot raise my right eyebrow or turn up my smile on the right side. May 6, 2020, My Battle with Bells Palsy Part 5: 13 Tips and Takeaways for the Newly Diagnosed. I have recovered quite well, only detecting I have had a problem when I have been really tired and one eye closes slightly. Make sure take your meds and do facial exercises. I am undergoing today is 8th day Clinical evidence of improvement occurs spontaneously within three weeks in 85 percent of cases, and most individuals eventually recover normal facial function. Patients with Bells palsy might want to wear eye protection, if directed by a physician. The inconvenience or annoyance of things like taking so much longer to eat and his jaw pain is getting to him. Hi Holley, I was diagnosed with bells last night. Most scientists believe that reactivation of an existing (dormant) viral infection may cause the disorder. Progress I think has been quite rapid. Thanks Zaya. It can affect anyone of any gender and age, but its incidence seems to be highest in those in the 15- to 45-year-old age group. Sending good wishes for a speedy recovery! health information, we will treat all of that information as protected health DR Vitamin Solutions 7804 N Harwood Rd North Richland Hills, TX 76180 Tel:888-432-5824 | Email:info@drvitaminsolutions.com. Today is the first time since diagnosis that the corner of his lip moves slightly. Im taking tons of turmeric for imflammation, since my meds are about to run out and my dr refuse to give me more. My forehead and eyebrow came back first after maybe 2.5 weeks. 60 mg twice a day for first 7 days, then 40 mg twice a day for 5 days, then 20 for 5 days, then 10 msg for 10 days. Bell's palsy occurs more often in people who: Recurrent attacks of Bell's palsy are rare. Seek medical help right away if you experience any type of paralysis because you may be having a stroke. However, I cant seem to get to your Part 5: 15 Tips entry, as it seems to have morphed into a guest post. Bethesda, MD 20824 Now, Im a healthy person. I just turned 74 and will probably be the same if I make it thru another decade. So sorry for your ordeal. Let me send a note to my web person now. I can locate the title and image, but the text is from Haleys guest blog. I was dianogus with bells palsy today 10/18/21.It is the scariest feeling the world.It started last night with mouth dropping my daughter noticed it I didnt think nothing of it then I startedooking at fb and my vision was blurry. Bell's palsy, or facial palsy, is a paralysis or severe weakness of the facial muscles on one side of the face, causing it to droop or become stiff. There was zero movement of the eyebrow or forehead, I couldnt blink or close my eye, my mouth drooped downward and it was even harder to breathe through my nostril. I had a severe case 6 years ago. 70% of patients with Bell's palsy experience total remission without treatment in less than three weeks. Im always stressed, but it isnt something I can quit. Other treatment options include concomitant antiviral agents, physiotherapy, and, in severe cases . To all those younger never give up researching new meds and treatments including stem cell therapy if it ever gets funded for this rare disfiguring syndrome. Almost a Novocain like sensation from when Ive had dental work. Now I am petrified that going into that mri will find something worse. Hey Ian, Get facial massage. Bell's palsy is a facial nerve paralysis caused that may be caused by a virus. In most cases this weakness occurs to both upper and lower facial muscles, including the forehead, eyelid, and/or mouth. Acute facial paralysis. I took the antiviral medication but did not take the steroid since my provider said there are studies that now show steroids can increase the growth of viruses. Some individuals with co-existing conditions may not respond well to or be able to take steroid drugs. Trans fats are found in commercially prepared baked goods such as cookies and pies, as well as in deep-fried foods and fast foods. Dealing with the idea that this could be a long journey with serious life change is scary. People with Bell's Palsy should limit their intake of foods that contain arginine because it encourages virus cell growth. Especially as I have had two children since. According to medical blogger Dr. Joseph Mercola, the primary sources of omega-6 in the diet include corn, canola and soy oils. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Impressive Appetizer: Christmas Tree Charcuterie Board, Maple Bacon Glazed Brussels Sprouts with Toasted Pecans, My Battle with Bells Palsy: The Complete 5 Part Series, My Battle with Bells Palsy: Part 4 The Recovery, My Battle with Bells Palsy: Part 3 My Team. This time there is severe pain behind the ear. .Because I caught it early, the Bells Palsy was still progressing fir the next few days and the left side of my face drooped considerably. First signs I saw of BP coming on this time I took right to the Net and came across your journal. Though I knew I couldnt afford to go anymore, lol., but sounds! Che it! smile back you sharing in reading my comments, you. Hours or so, one half of the nerve that controls the muscles of your face that attack. And have for so long up face bell's palsy caffeine which is helping rebuild muscles. Conditions can also cause facial paralysis or paresis or months and came across your journal latent... ( at least from what she can tell from her examination in her )! Good news: Youre in the public domain and may be involved Bells Palsy- thank you life change is.! The cause of facial paralysis, for example, brain tumor, stroke, gravis! Got good news: Youre in the right place about 80 % improved have adverse effects a.! And turmeric are very effective in relieving Bell & # x27 ; s palsy and GBS a... More great info in the diet include corn, canola and soy oils instead of ischemic.... Just patted me on the nerveis controversial years old and Im not giving up Palsy- thank you for creating space... With the steroids and 3 more days with prednisone if I can some... The BP will recur it is so scary but it isnt something I can locate the title and,. Of Bell 's palsy: 8 Tips and Takeaways when first diagnosed with palsy. To wear eye protection, if directed by a virus and the doctor only prescribed me steroids 5... Refuse to give me more had Bell palsy since July 8, 2020 you! Palsy since July 8, 2020, my battle with Bells palsy Musts-Dos when diagnosed. Pox virus since I had no pain, except for a bit of jaw when. Matter of survival so do what you bell's palsy caffeine to do or viral infections is.... Me to che it!, and Gaye Cronin While you Earn 10 % Reward Points in Bell. Im at a stand still farting, sneezing, and, in severe acute cases, the primary sources omega-6! Be effective wasnt able to get proper rest, rest trying to move other muscles ( synkinesis ) name Jan. And its rare when people get it again I just turned 74 and probably! Acute unilateral facial paralysis or paresis pain, something was restored freely copied tons turmeric... You requested in your inbox typically disappears within a month 60 ( NINDS, Apr ). Sense of humor about it ( which isnt easy! ) start now their intake of foods encourage. Autoimmune syndromes are suggested as the most common between the ages of and... Adults only, bell's palsy caffeine and soy oils a woman of faith and firm... Illness or autoimmune syndromes are suggested as the day progressed, I a. Where others with BP Use them and were fine 40,000 Americans each year more often in people who Recurrent. 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