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Instead of "changing" the color, it is more often associated with protecting the color you already have

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These patients may display subtle metabolic abnormalities insulin resistance, dyslipidemia, or visceral adiposity despite appearing lean. Clinical markers such as waist circumference, hepatic imaging findings, and elevated liver enzymes (ALT/AST) should prompt further evaluation even when BMI is below 25 kg/m

Some patients may find these reactions bothersome or uncomfortable, potentially impacting their adherence to treatment

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