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Topical or locally injected corticosteroids are first-line therapy when there is patchy hair loss or less than 50% of the scalp is involved

Mild headache upon waking (5 to 10%): Typically occurs during the first 2 to 3 nights and resolves spontaneously

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This is particularly noteworthy as effective glycemic control is crucial in preventing the long-term complications of diabetes, such as neuropathy, nephropathy, and retinopathy

Neuroscience 180 , 111121

The discomfort usually is at its strongest in the first 2 to 3 days where swelling and inflammation is at its peak