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With all the talk of dizziness and vertigo I encourage you all to take your blood pressure

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Additionally, cocaine induces apoptosis in cerebral vascular smooth muscle cells, contributing to vasoconstriction and ischemia, resulting in significant neurological damage ( 3.2 Neurological damage and psychiatric symptoms The neurological effects of cocaine include diffuse leukoencephalopathy, which is characterized by vasospasms, cerebral ischemia, and posterior reversible leukoencephalopathy (Rowbotham and Lowenstein, 1990

Half the conversation is happening outside the exam room, and a lot of patients show up already down a rabbit hole of protocols and stories