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This is a dissociation between what happens in the dermis (good) and what happens in the epidermis (potentially concerning for already-thin post-menopausal skin)
After doing appropriate lab tests and ruling out other causes, I have used supplements in my practice to help address this issue
FPG = -14.6 mg/dL, 95% CI -21.6-
These side effects are usually temporary, and most patients find that they improve as their body acclimates to the medication
In some clinical studies, a lower dose of 37.5 mg twice daily was used to good effect
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