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As a result, patients might use higher doses or more potent steroids, setting a vicious cycle

In this context, hepatic immune cells play a role in Wilson disease, as evidenced by the presence of cytokines and other inflammatory mediators in the plasma of affected patients [61,64,67]

J Hered 1974

For Indian skin (Fitzpatrick IVVI) Niacinamide demonstrates particular relevance for Fitzpatrick IV-VI skin types, where post-inflammatory hyperpigmentation (PIH) and melasma represent significant clinical concerns, especially in Indian populations with genetic predisposition to melanin dysregulation

You should seek specialist advice before using any product

Diamond et al