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Swapping it to <RequiredItem identifier="antibloodloss1" /> should resolve the lag issue.
This is what base Neurotrauma does:
-- fix people not having a blood pressure
if not HF.HasAffliction(c.character,i) then HF.SetAffliction(c.character,i,100) end
I added that and tested it, and it seems to have been fixed.
There should be a recipe that takes O type plasma and O- type red blood cells to make O- blood packs.
If you or someone else finds a fix, I'll gladly add it to this mod, but I really have no interest in NT eyes.