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Theoretical and stack-level concerns Both compounds promote angiogenesis, which is the intended mechanism for repair but is also a relevant pathway in tumor growth

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Dehydration concentrates creatinine and BUN in the blood, potentially making them appear elevated even if kidney function is fundamentally normal

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Weakness, bleeding, increased pain Postprocedure Follow-Up Expect relief of symptoms shortly after injection with local anesthetic Expect relief of symptoms in 2 to 3 days with botox Keep log of symptoms post procedure Keep area clean and dry Potential Complications and Pitfalls Horner sign Brachial plexus block Dysphonia Dysphagia Sensory blockade and weakness of the upper extremity Intravascular placement Spinal accessory nerve (CN XI) injury Clinical Pearls Thorough history and physical examination to ensure accurate diagnosis