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This complex is then degraded in lysosomes and the released vitamin B12 is bound to a nonglycosylated carrier protein—transcobalamin (TC)

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Risk factors Risk factors that may trigger the development of facial palsy include: Being pregnant Having preeclampsia Being diabetic Having high blood pressure Being obese Having a history of Bell’s palsy (you’ve had it before) Having a chronic middle ear infection (Otitis media) Having had inner ear or mastoid surgery Several preexisting conditions raise a person’s likelihood of facial paralysis, such as: Lyme disease Multiple sclerosis Guillain-Barré syndrome Myasthenia gravis Diagnosis There are no specific tests to diagnose Bell’s palsy