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Even if carnitine deficiency is not the inciting cause of DCM, L-carnitine supplementation could be beneficial by improving myocardial energy production

In reviewing data from four previously published studies of treatment with lidocaine alone or with the steroid resulted in evidence that cervical epidural injections with lidocaine alone or in combination with the steroid betamethasone alleviated pain and improved functionality in patients with neck pain. In fact the outcomes were very similar calling into question the need for the steroid

However, patients with a history of pancreatitis or high alcohol intake should be monitored closely

Use a new, sterile syringe for each injection