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Once Trigger Points become active, treatment is important to get them resolved

Mansoor, N., Vinknes, K

Dr Kirkham always recommends regular follow-up visits to ensure that your progress is monitored and to allow for adjustments to your treatment plan if necessary

Importantly, perianal fistulas serve as the initial symptom complex of CD in approximately 10% of patients, often leading to substantial delays in definitive diagnosis 8,9

Thus, three indirect mechanisms have been proposed by Slominski et al

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