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Colon Some patients with a DD may have normal results on balloon expulsion test, so defecography should be performed when clinically indicated Colonic transit is delayed in the majority of patients who have functional DDs Anorectal function tests False-positive and false-negative results may occur, so results must be interpreted in the context of the clinical features In up to 20% of healthy persons, the anal sphincter paradoxi cally contracts instead of relaxes during evacuation constipation may strain excessively during defecation and cause stretch injury to the pudendal nerve, soft tissue laxity, and excessive perineal descent
Include imaging reports (MRI, CT, X-ray), lab results, surgical reports, and any functional capacity evaluations
I did just get a new script, and will likely now alternate old/new, injecting once a week
Intravenous vitamin therapy is safest when provided by highly trained medical professionals such as those available at our clinic in beautiful Scottsdale, AZ.