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Hence, ME/CFS significantly reduces a patients quality of life (11, 24, 2931), impacting activities of daily living, socialising, family life, emotional wellbeing, work, and education (11, 23)

Patients often notice: Slight return of movement at the corner of the mouth or eyebrow Reduction in pain behind the ear Less pronounced drooping during rest Physical therapy should be well underway at this stage, reinforcing nerve pathways through targeted facial exercises

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Practitioner protocols address this with a separate full-length TB-4 bolus of 24 mg, two or three times weekly , alongside daily KLOW