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Numerous RCTs have demonstrated the efficacy of oral TA in the treatment of melasma.27 Melasma has several features suggestive of a photoaging disorder, such as neovascularization, basement membrane damage, and solar elastosis.28 TA appears to indirectly decrease metalloproteinase 1 activation and reduce the expression of proinflammatory cytokines, such as interleukin 6 and tumor necrosis factor

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