alch bloat lol
we already irply have many forms of anastesia and common surgical methods snd symptoms to assess internal bleeding and perform complex surgeries. (you can get dieathly ether, use booze, drugs, and many other forms of drugs/pre-existing herbs such as Javens, Ponderlot, NORMAL Diddyfunkle, and Nightsap)
even if this was to be passed, i see little reason to have these designated as rare and ST signed. hmmm something tells me that this is similar to another alch lorepiece? cough cough, adunic alch, cough cough