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Key Points Anal fissures present with intense pain post-defecation, as well as potential bleeding or itching Risk factors include constipation and IBD Most cases can be managed conservatively with medical management Consider investigating for underlying causes for those with anterior fissures or recurrent disease
Another patient turns around and says, Im having side effects. But is it the traditional side effects we expect to hear, or does it have to do with the quality and purity of the compound thats being put? Compounding concerns Drug compounding the practice of creating customized medications tailored to individual patients has drawn increased scrutiny nationally as compounded versions of popular weight-loss drugs have proliferated
Reference values differ between laboratories
Weight loss during this phase averages 3-6 lbs, though much of this represents water and glycogen depletion rather than fat loss
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