Local anaesthetic.
And there have been some follow up studies on the arm implant that show it may not be as safe/side effect free as it claims, especially for those with PMOS (PCOS), and, as in your case,side effects tend to get more common the longer you have one.













The devs covered that, they were not aware of any dogwhistles with the symbols they used during development, and once they were made aware of said dogwhistles, they spent the time to remove them from the game as thoroughly as possible