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Although rare in developed countries, pellagra remains endemic in poorer regions, with risk factors including low socioeconomic status, alcoholism, anorexia nervosa, cancer, and malabsorptive disorders, such as Crohns disease, as well as the use of some specific medications such as immunosuppressive and anti-tuberculosis drugs (54)
Paluch AE, Boyer WR, Franklin BA, Laddu D, Lobelo F, Lee DC, et al
GHK-Cu cream applied twice daily improves aged skin appearance, increases thickness, reduces wrinkles and strongly stimulates dermal keratinocyte proliferation
Month 6: Full laboratory panel (IGF-1, IGFBP-3, fasting glucose, TSH), standing height measurement, weight, and repeat PHQ-A
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