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There is only 1 previous report of the appearance of large erythematous edematous plaques in the areas of injection of lipolytic substances, similar to those observed in our patient.10 The injection of excessive quantities of substances with a lipolytic effect, poor circulation, previous scarring in the area treated, or a poor injection technique that leaves the bolus too superficial, are possible causes of the appearance of this complication

Our medical advisory board reports that some PWH have fewer problems with sleep paralysis and hallucinations if they avoid falling asleep supine (flat on their backs)