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All participants signed the written informed consent before entering the study

The landmarks are outlined by a marking pen: Greater trochanter Posterior superior iliac spine Needle insertion site 4 cm distal to the midpoint between the two landmarks Technique The patient is in the lateral decubitus position with a slight forward tiltthis prevents the sag of the soft tissues in the gluteal area and significantly facilitates block placement

These may include: muscle relaxants, narcotics, pain medications (NSAIDs), antihypertensives, antiarrhythmics, diuretics, drugs that speed up gut motility, antibiotics, antidepressants, and others

The result is deeper collagen remodeling, faster post-procedure recovery, and more visible changes in texture and firmness

If folate deficiency is suspected, it is reasonable to give oral folic acid (0.4 1 mg/day) without doing laboratory investigation for deficiency at least until the hemoglobin and mean corpuscular volume normalizes (or longer if the underlying cause cannot be eliminated)