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The risks of colonoscopy include bleeding perforation of the colon a reaction to the sedative, including breathing or heart problems severe pain in your abdomen Bleeding and perforation are the most common complications from colonoscopy

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Another method aimed to address limitations in conventional experimental designs and seeking to understand better the ways in which programs achieve their effects in a particular context is the realist approach (Tones & Tilford 2001, p.176)

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