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Cause and self-care Sometimes hemorrhoids develop for no apparent reason, but often they are associated with chronic constipation or diarrhea, straining during bowel movements, and prolonged sitting on the toilet

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A member has an intake visit, receives a prescription, checks in occasionally, and continues treatment indefinitely or stops once a weight goal is reached, often without support to sustain progress

The study published March 18 in BMJ Medicine reviewed medical records from more than 333,000 people with type 2 diabetes treated through the Veterans Health Administration