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Bile pigment is a common finding when there is cholestasis secondary to obstruction of bile flow or when there is perturbation in bile metabolism

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These patients should either: Use a shorter needle (1/2 inch) at 45 degrees, or Use a 5/8-inch needle at a shallower angle (30 degrees) For patients with subcutaneous fat thickness over 1 inch (common in the abdomen for patients with BMI over 28), a 90-degree angle is appropriate