For whom the Bell tolls Q: I was recently diagnosed with Bell's palsy. My doctor seems unconcerned and says it doesn't last, but I would be very grateful for any suggestions for minimizing the effects of this disease. JVW: Bell's palsy is a weakening or paralysis of the muscles of the face and is due to trauma to the facial nerve. Because it usually affects only one side of the face and involves the muscles around the eye and mouth, drooling and tearing are embarrassing and inconvenient symptoms of this disease. The symptoms usually comes on very quickly and can occur to any one at any age, but older people, diabetics, pregnant women, and those with compromised immune systems are more at risk. Studies suggest that the herpes simplex virus may play a part in the development of Bell's palsy. The good news is that it's not permanent and will likely resolve itself in six to 12 months. In the meantime, some people find that methylcobalamin -- a form of B12 -- can have a positive effect on Bell's palsy symptoms. Methylcobalamin is essential to the function and maintenance of nerve cells and their protective covering, the myelin sheath. I usually recommend 1,000 to 2,000 micrograms (1-2 ccs) daily until any beneficial effects have "plateaued" for several days. Stop after seven to 10 days if you find it is not helpful. Taking a B-complex is also a good idea (especially one that contains B12, B1, and B6) but these don't usually contain methylcobalamin -- you'll have to work with a skilled natural medicine physician to find a separate source for that. | 
