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Side Effects by Walter Jon Williams 1 TolinalR_Prescribing information for this product which appears on pages 788 and 789 of the PDR hasbeen revised as follows. Write quotSee Supplement Bquot alongside the product heading. Delete thefirst paragraph of the WARNINGS section and replace with the following:_ _Warnings:_ Hypomagnesemia hypocalcemia hypokalemia and hypophosphatemia have been reportedto occur in patients treated with Tolinal and are probably related to renal tubular damage.Tetany has occasionally been reported in those patients with hypocalcemia and hypomagnesemia.Generally normal serum electrolyte levels are restored by administering supplementalelectrolytes and discontinuing Tolinal. -------2 Angel Hernandez was in his fifties his hands were callused and massive corded musclesenveloped his neck evidence of a life of manual labor. Old blue tattoos on his forearms wereonly partially hidden by the rolled-up sleeves. There was a softness around his middle thatsuggested a fairly steady consumption of beer but the rest of him was hard. To come and speak to the doctor he had worn a tie. His wife Filomena was in her fifties. What had probably once been a voluptuous form hadbecome heavy and shapeless but her ankles were still delicate above the open-toed high heelsandals shed worn even through the freezing East Coast spring. Her broad face wasexpressionless her white hair was tied back. There were dark smudges beneath her eyes and inspite of the plumpness of her face heavy jowls were forming at the corners of her rosebudmouth. She sat in the chair looking down at her polished toenails. Her husband did all thetalking. According to her records she had carried seven living children in ten years. Incredible Dr.Winkelstein thought. How can people
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