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Delaying treatment can make the hernia bigger, more painful, and risk serious complications such as obstruction or strangulation, which can be life-threatening

A multicenter prospective cohort study that followed 319 patients with SCAs (15 years) found no difference in the rate of disease progression over two years between those taking supplemental coenzyme Q 10 (median dose, 600 mg/day) and nonusers (81)