I had an outbreak over the weekend and took some hydrogen peroxide on a cotton pad to cleanse the area. I used aloe gel, Olive Gold 03, and Thieves essential oil and applied all to a cotton pad and placed it on my anal area. After about 4-5 applications (24 hour period) of this, the pain went away and I was back in commission. I was also chelating with DMSA and ALA, and not sure if ALA assisted. I was also taking Ultraclear to detox my liver and used ozone vaginal insufflation.