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Description
& Worman, H

25 Although they are not diagnosed through blood tests, it is also important to rule out or identify conditions such as sleep disorders, psychiatric disorders, and autonomic nervous system dysfunction, which are frequently present in patients being evaluated for fibromyalgia

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They highlight that inadvertent intravascular injection, high cumulative dosing, and patient factors (extremes of age, cardiac, hepatic, or renal disease, pregnancy) are major contributors, and that bupivacaine carries the greatest cardiotoxic risk
