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Conceivably, a patient with all of the classical clinical features of DM, elevation of the SCK, and typical neurophysiological changes does not need a confirmatory muscle biopsy, but overall few cases of suspected myositis should escape biopsy

That said, given that it works by drawing fluid into your intestines to promote bowel activity, it should only be used as directed ( Despite its potential side effects, sorbitol has been reviewed and recognized as safe to consume by many global health authorities, including the FDA, Sorbitol for laxative use can be found both as a rectal enema or liquid solution to be taken orally