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For example, small haemorrhoids may be treated with oral medications followed by a change of lifestyle that includes sufficient dietary fibre and fluids

Hepatology (2016) 63:76475

Standard dosing guidelines generally include: One dose per 24-hour period No more than eight doses per month Use only as needed, not on a daily schedule Food intake does not significantly affect its effectiveness

This is not to say that any effort to lose weight is cowardly or misguided, and its also not to say that fat people owe it to their community to stay fat