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Based on the RCM imaging, melasma can be classified to epidermal and mixed types which is more compatible with the histopathological results (Kang and Bahadoran, 2012)

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The ketogenic diet and semaglutide work through completely different mechanisms, but they share a common downstream goal: forcing your body to burn fat as its primary fuel

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Melanin does not block enough UV to make sun time safe. Using less SPF is one of the fastest ways to stack damage, even if you do not see a burn