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Further research has found that these rates may be even higher in the real world, especially for people with obesity taking semaglutide or other GLP-1s for weight loss

Melasma may be triggered by sun exposure, hormonal changes, cosmetic products that are irritating to the skin, stress, and thyroid disease

Exclusion criteria were inability to follow the study protocol and/or use of the following medications: digoxin, beta-receptor blockers, or calcium channel blockers

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While supplementation improved their health, it highlighted how B12 therapy must be monitoredespecially during the initial correction phase