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Chronicity of TN-Please specify since how long do you have TN?
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Frequency of attacks of TN:
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Severity of pain: How severe is your pain?
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Your Age - Please specify your current age
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Your General Health - Your health in general. If you suffer from other ailment like asthma, thyroid disorder, diabetes, etc., it may indicate average health. Hard to treat, grave disease indicate poor health
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What kind of medicines have you taken? How much it is controlled?
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Family History of TN - Please state if one or more of your blood relations have/had TN
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