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At higher exposures these findings were associated with moderate to marked adverse clinical signs (lethargy, abnormal respiration, ataxia, reduced activity, body tone and reflexes) and marked decreases in plasma and CSF glucose levels

And patients rarely divulge their binge eating behaviors due to feelings of guilt and shame

But thats not in line with the data

11 Procedural Technique and Safety Profile Endovascular infusion of lidocaine into the MMA is a minimally invasive, fluoroscopy-guided procedure routinely performed under local anesthesia and light conscious sedation