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AKLC * YDPDF and LC * YDPDFEK, and ERNQVFEPSC * L and NQVFEPSC * LDAFPNLK, respectively

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Patients can present with the following signs & symptoms: CNS (areflexia, asthenia, ataxia, blurred vision, disorientation, dizziness, drowsiness, hyporeflexia, slurred speedh, somnolence, staggering, tiredness, coma) Cardiovascular (initial hypertension, followed by long-lasting hypotension , bradycardia , premature ventricular beats) the peripheral actions of xylazine cause an initial increase in blood pressure, followed by central effects that result in a long-lasting hypotensive effect, accompanied by bradycardia and reduced cardiac output (Hoffman et al, 2001)

Dr Angel Caban is Fellowship Trained in Advanced Laparoscopy and Bariatric Surgery

was supported by the HBIGS MD fellowship programme