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Equipment Needed Syringe: 2 ml Needle: Blue, 23 gauge / 1.25 inches (30 mm) Kenalog 40: 20 mg Lidocaine: 1.5 ml, 2% Total volume: 2 ml Achilles Tendon Injection Technique Patient lies prone, with foot held in dorsiflexion over end of the bed

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Choline deficiency causes hepatic steatosis (fatty liver disease) and leads to loss of muscle membrane integrity

One before surgery, one after

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This is a very common reason for colour changes and is harmless