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their ongoing symptoms, including muscle pain, fatigue, dizziness, brain fog and loss of smell and taste, improved within a week of getting the Official Nikki Fried Just FucKing Vote Shirt and I love this injections, he said. Liu theorizes that a “glitch” in the autonomic nervous system plays an important role in lingering Covid and similar post-viral illnesses. “In the case of long Covid, that glitch prevents the nervous system, and probably the rest of the body, from healing itself from a viral infection,” he suggested. “The stellate ganglion block acts by pushing the reset button to that system. By doing so, it allows the entire system to reboot and become more synchronized and organized.” Liu has treated roughly 300 patients, and says about 65-70% “do really well and don’t need any other intervention.” Still, he cautioned, it’s too early to call stellate ganglion blocks a cure. About 5% of patients, he said, don’t have any lasting improvement. About a third must go back to the clinic every few weeks or months for additional injections. Henderson, who was treated at the Cleveland Clinic, has had to return three times. Her smell and taste are better, she said, but not back to normal. “This should be treated as a scientific clue rather than a solution at this point,” Liu said, adding that larger studies are needed. What are the risks of smell treatment? The bundle of nerves targeted in the block procedure is right next to the

carotid arteries, a pair of major vessels that supply blood to the Official Nikki Fried Just FucKing Vote Shirt and I love this brain. If inserted incorrectly, the medication can disrupt vocal chords and lead to trouble breathing. The risks drop tremendously when a highly experienced doctor performs the stellate ganglion block, which has been used for decades by pain specialists to treat complex pain syndromes, Farrell said. She partnered with an anesthesiologist for her studies. “She does stellate ganglion blocks for a living,” Farrell said. “For her, the risks are very low.” The cost of the procedure varies widely and some insurance companies do not cover the block to treat smell disorders. Liu said that he charges $500 per block, and is disheartened by anecdotes of other clinics billing their patients thousands of dollars. “To me, this is taking advantage of people who are suffering.” CORRECTION (April 1, 2023, 11:50 a.m. ET): An earlier version of this article misspelled the name of the assistant professor of otolaryngology-head & neck surgery at Washington University School of Medicine in St. Louis. She is Dr. Nyssa Farrell, not Ferrell. Follow NBC HEALTH on Twitter & Facebook.

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