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10.1093/jn/134.11.3199S 54

In general, ephelides are lighter in color than simple lentigines, are confined to sun-exposed skin, and are responsive to solar exposure

Notably, a substantial reduction in HbA1c exceeding 4% points within a 3-month timeframe is associated with a significantly elevated (80%) absolute risk of developing TIND [5]

Many patients report anxiety resolving within days to weeks once adjustment occurs