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In patients with high-grade, symptomatic hemorrhoids, surgical hemorrhoidectomy is the most effective modality with the lowest recurrence rates, although it causes more pain than conservative methods
[DOI] [PubMed] [Google Scholar] 333.Hangaard S, Laursen SH, Andersen JD et al (2021) The effectiveness of telemedicine solutions for the management of type 2 diabetes: a systematic review, meta-analysis, and meta-regression
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Most reports of this symptom surface during the first month of treatment

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Clinical reports consistently describe a reduction in food preoccupation that dietary interventions alone rarely achieve
