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After years of suffering and trying every possible cure I have only found 1 that works:
Go for a fissurectomy. Its a painless 1 day in hospital procedure and has a 90+% success rate.
I went for it in the morning, I was home the same day. There was a bit of bleeding for a week or so, but never had pain again.
The one thing that you need to do after the op is make sure your stools are soft always and forever.
So eat healthy, ditch the processed food, eat lots of fibrous fruit and veg and drink lots of water.
Forget about all this BS that is circulating the net. The op is the quickest and most effecting cure.
You won't regret it.
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