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Keep a drench gun handy because clinical cases will require treating with large volumes of energy supplements, usually propylene glycol or dextrose

For procedures in which complications are catastrophic, including TJA, counseling should prioritize discontinuation of nonessential injectable biologics before surgery, explicit documentation of exposure, and heightened vigilance for early wound complications

doi:10.3390/ijms23095144 Note: Originally published in February 2015, this article has been revised and updated for accuracy and thoroughness.