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However, OCA has several drawbacks, such as elevated LDL levels, itching, and high cost [65]

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Individuals with Riehl melanosis have been observed to have certain genetic changes, including a higher activity of an enzyme called guanine deaminase

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Hydration and electrolyte replacement are essential

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Compounded versions cost less but are now restricted by FDA enforcement actions following the 2024 resolution of the official shortage

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The obesity epidemic and changes in self-report biases in BMI

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