INS and Muscle spasm: Relevant past medical history included six patients with a history of type 1 or type 2 diabetes mellitus (16.67%), three with a history of insulin use (8.33%), 19 with hypertension (52.78%) of which 15 had pressure between 110-135/70-85 (78.94%), eight with history of subjective hearing loss (22.22%), three with use of hearing loss devices (8.33%), 10 reported history of headaches (28.57%), 11 with history of hair loss (31.43%), and eight reported a history of muscle spasms (22.86%).