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It is well-documented that the oral pigmentation can be influenced by physical, chemical, and hormonal factors [10], as appears to be the case here

doi: 10.1016/j.celrep.2018.08.001 116 GuoX.YangZ.GuoZ.LaiH.MengH.MengM.et al

The widespread presence of retail pharmacies, including both large chains and smaller independent stores, makes them the most accessible point of contact for patients

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In addition, studies have shown that GLP-1RAs decrease oxidative stress and improve endothelial function contributing to a reduction of inflammation in obesity (29)