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35 As discussed earlier, trauma, coupled with an associated genotype, can damage keratinocytes, leading to the expression of IFN and TNF, activation of dendritic cells, and production of IL-23

These effects make it an interesting candidate for women seeking to optimize fertility when tissue health is a factor, such as after uterine surgery, like cesarean scar repair, or after pelvic injury that impacts implantation or uterine blood flow

Tranexamic is another emerging option against hyperpigmentation

Selected Essential and Toxic Chemical Elements in Hypothyroidism-A Literature Review (2001-2021)

Lauretti E, Dincer O, Pratic D

complexion looks brighter and more vibrant