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Substitution of the target concentration (TC) for concentration (C) in equation (4) predicts the maintenance dosing rate: Thus, if the desired target concentration is known, the clearance in that patient will determine the dosing rate

The silymarin extracted from milk thistle is known to have antioxidant, antiviral and anti-inflammatory properties

A thorough history, including questions about whether your back pain is inflammatory or mechanical, and full musculoskeletal physical examination are important to help doctors differentiate between fibro and AxSpA

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Signs and symptoms Loose joints Joint pain Stretchy, velvety skin Fragile skin Abnormal scar formation Complications Aortic dissection Joint dislocations Scoliosis Chronic pain Early osteoarthritis Management Obstetrical anesthesia Difficult management, requires multidisciplinary effort High risk of preterm labor, uterine rupture, and hemorrhage Neuraxial anesthesia is relatively contraindicated, may need general anesthesia If vascular subtype recommendations are termination of pregnancy or Cesarean section before 32 weeks Keep in mind Avoid ambulatory surgery in EDS patients Be aware of typical EDS-related emergency-like situations such as difficult airway status, bleeding risks, and organ rupture in specific subtypes Suggested reading Malfait F, Francomano C, Byers P, et al