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Indications: resulting either from organic heart disease or from cardiac surgical procedures inotropic support in the short-term treatment of patients with cardiac decompensation due to depressed contractility Contraindications: Patients with idiopathic hypertrophic subaortic stenosis (IHSS) and in patients who have shown previous manifestations of hypersensitivity to dobutamine Patients with IHSS have an asymmetric septal hypertrophy resulting in a dynamic left ventricular outflow obstruction (LVOT)

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Evidence quality is low to very low

While B12 is not a stimulant, weight-loss medication, or a cure for fatigue, patients who are low or borderline low in B12 may feel better once their levels are supported

it represents a whole new way of thinking about healing itself