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Tesamorelin is narrowly indicated for HIV-associated lipodystrophy under specialist supervision, while retatrutide cannot be recommended outside clinical trials

This is where concentration differences become genuinely dangerous if you are not paying attention

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It is not routine anymore, but may be done in certain situations: Fetal distress (baby needs to be delivered quickly) Instrumental delivery (forceps or vacuum) Shoulder dystocia Large baby (macrosomia) Rigid perineum not stretching Preterm baby (to reduce pressure on fragile head) Types of Episiotomy 1