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Using a broad-spectrum sunscreen with at least SPF 30 daily is crucial, as UV exposure can exacerbate melasma

Immune sensitization can sustain symptoms Persistent immune reactivity likely contributed to ongoing neuropsychiatric symptoms

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Or simply go without

The troche is a square-shaped solid dosage form that is designed to dissolve slowly in the mouth, allowing for the medication to be absorbed through the oral mucosa for targeted local or systemic effects