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Nevertheless, it seems that topical tranexamic acid would be safer in comparison to azelaic acid for hyperpigmentation treatment (Sobhan et al., 2023)

For younger men particularly, peptides might serve as an excellent first-line approach before considering more aggressive interventions

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The condition makes it difficult for people to process vitamin B12 because the immune system impacts on the functioning of important parietal cells within the stomach

Higher levels of Catenibacterium, Collinsella , and Holdemanella also correlated with higher symptom severity (O'Hare et al., 2024)