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Absolutely yes, I mean the procedure I’m doing, as I say, is almost entirely for patients with vocal cord paralysis and in that situation there is no issue whatsoever it’s an entirely medical procedure for giving patients their voices back. In the older patients as well, I mean I see it in a patient who’s in their 70s or 80s and has difficulty communicating with their spouse I see that as an entirely reasonable thing to do to give them their voice back and so that they’re able to communicate. There are lots of surgeons in the country who are doing these injections under general anaesthetic using a variety of different materials, there are relatively few who are doing lots of injections under local anaesthetic, I guess maybe 10 or so around the country who are doing it. I think there are very distinct advantages to doing it under local anaesthetic. There are several of my patients who have had conditions where they’re profoundly unwell, so for example they’ve got a lung tumour and they wouldn’t be well enough to survive a general anaesthetic but they are well enough for me to inject something into their larynx under local anaesthetic. And if they’ve got a large lung tumour maybe they only have a prognosis of a few weeks or months they might just want to be able to communicate with their family in Australia for those last few weeks or months of their lives and actually being able to do this for them under local anaesthetic, whereas previously we might not have been able to offer that, is very satisfying. 361 slim.com Creatine Creatine can improve muscle function, increase muscle growth and strength and reduce muscle damage and inflammation, according to a study published in the medical journal “Nutrition.” A recent study conducted at Bloomsburg University and cited in “Brazilian Journal of Biomotrocity” said taking a low dose of creatine for six weeks significantly reduced fatigue during repeated sessions of high intensity exercise. The suggested dose is 2 to 3 grams per day after a workout. Side effects of taking creatine can include weight gain, water retention, muscle strains and pulls, stomach upset, diarrhea, dizziness, high blood pressure, liver dysfunction and kidney damage..