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8 Department of Internal Medicine, Seoul Metropolitan Government Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea

Harty PS, Zabriskie HA, Erickson JL, Molling PE, Kerksick CM, Jagim AR

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These findings highlight the importance of IGF-1 in promoting healthy aging and preventing age-related diseases (Kenyon, 2010)

Topical anesthetics for pain and warm tub baths (sitz baths) for 10-20 minutes several times a day (especially after bowel movements) are soothing and promote relaxation of the anal muscles, which may help the healing process.Other medications (such as nitroglycerin, nifedipine, or diltiazem) may be prescribed that allow relaxation of the anal sphincter muscles