How long does it take for Bell's palsy to recover with methylcobalamin?

Patient's question:

How long does it take to treat facial paralysis with cobalamin? Is there a need to combine it with other treatments? Can traditional Chinese medicine acupuncture be used?

Doctor's answer:

Mecobalamin (Vitamin B12) is an endogenous vitamin that exists in the blood, cerebrospinal fluid, and is particularly effective in stabilizing nerve conduction. It can enhance the metabolism of nucleic acids, proteins, and fats through methylation, and acts as a cofactor for methionine synthase, converting homocysteine into methionine. Patients with facial paralysis can take a lot of mecobalamin. Generally, it takes about half a month to a month for facial paralysis to be relieved or even completely recovered. If only mecobalamin is taken, the effect may not be very good. If there is still facial paralysis, traditional Chinese medicine acupuncture and moxibustion should be implemented, which can enhance the complete recovery of facial paralysis.

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