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Description

Surgery may be necessary in extreme cases if the anal fissure occurs with symptoms of black tarry stool in adults

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Whatever the reason, the clinical development program ended

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The mechanisms are not fully understood but may involve GLP-1 receptor distribution in the central nervous system, gastrointestinal effects, dehydration, or vascular changes

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Emulsify with a small amount of water and rinse off thoroughly

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Some lose more (5 to 7 lb) if they had been eating substantially over their maintenance calories before starting

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