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For many people, the diagnosis comes with a frustrating reality: stubborn weight gain , fatigue, insulin resistance, and metabolic slowdown that does not respond well to diet and exercise alone

A study showed a higher expression of IFN- mRNA in non-lesional and perilesional skin, especially in active vitiligo (72), which is associated with disease activity (73)

During this time, you can expect injections to be frequent

Hirosumi J, Tuncman G, Chang L, Gorgun CZ, Uysal TK, Maeda K, et al

They are in a position to offer ongoing guidance, support, and dietary counseling, managing concerns such as dehydration, decreased fiber intake, and low protein consumption