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Pre-block The clinician should be knowledgeable of the signs, symptoms, and treatment of local anesthetic systemic toxicity (LAST) and have 20 percent lipid emulsion therapy readily available for this rare but potentially serious complication

Patients must be 21 years of age or older

It's Usually Not The High Levels It's How You Process The B12 What's actually driving the side effects most of the time is something intrinsic to how that particular person is processing the vitamin B12

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