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do not prolapse below the dentate line Grade II: prolapse out of the anal canal with defecation or straining but reduce spontaneously Grade III: prolapse out of the anal canal with defecation or straining and require manual reduction Grade IV: irreducible and may strangulate Internal hemorrhoids: Stool softeners, sitz baths Symptomatic treatment is usually all that is needed: stool softeners (e.g., docusate, psyllium), warm sitz baths (i.e., sitting in a tub of tolerably hot water for 10 min) after each bowel movement, and as needed, anesthetic ointments containing lidocaine, or witch hazel (Hamamelis) compresses
- Respiratory issues linked to high-dose IV Glutathione (rare but reported in some cases) Who Should Avoid It
B12 and Folic Acid Injections Common nutrient deficiencies of B12 and folic acid are often found in vegetarians and vegans who are not supplementing properly
