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Additionally, the pain must be associated with at least two of the following: (1) related to defecation, (2) linked to changes in stool frequency, or (3) connected to changes in stool form

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If youre overweight but have normal insulin sensitivity and no significant metabolic dysfunction, you may be Tier 2

(8) Excess body weight increases the mechanical load on weight-bearing joints, accelerating cartilage wear and joint degeneration, and contributing to a pro-inflammatory state that further exacerbates joint damage

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