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Conclusion In conclusion, compared with MMH, RPH + sMMH may more effective in treating patients with stage III/IV hemorrhoids, RPH + sMMH may indicated lower rate of recurrence after 1 year's follow-up, lower postoperative complications, less postoperative pain, and shorter recovery and return to normal social and working life

Patients should be aware that tirzepatide may affect the absorption of oral medications, including oral contraceptives

Apply a good size to washed hair, gently massage the hair only, not the scalp