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*Multiple fissures or anteriorly located fissures are more likely to be due to an underlying cause and require further investigations (if no known cause is apparent) Management Medical Management The medical management of an anal fissure involves treating any underlying precipitating factors and providing adequate analgesia

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All dosing decisions, including how close a patient may get to a Retatrutide 9mg dose, are made by a licensed provider on a case-by-case basis

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