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OnabotulinumtoxinA for Trigeminal Neuralgia Treatment OnabotulinumtoxinA, a Food and Drug Administration (FDA)approved treatment for chronic migraine, has been used off-label by neurologists as a safe alternative for the management of TN

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The underlying literatures remain separate and each is preclinical for musculoskeletal endpoints

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J Fam Community Med

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Other studies reported lactic acidosis and increased alanine levels, it is highly recognized that high concentrations of lactate can inhibit mitochondrial respiration and disbalance the redox equilibrium (Oliveira et al., 2005)

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