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Clinical examination The dermatologist observes the patches: their color (characteristic milky white), their distribution (symmetrical or not), their borders (sharp or blurred), their size , and the possible presence of whitening of hair (leukotrichia) on affected areas

You may need to restart titration from a lower dose to avoid GI side effects when re-introducing the drug

Compounded medications are not FDA approved and carry risks related to inconsistent potency, sterility, and formulation quality

Why Ignoring Appetite Hormones Can Be Risky Uncontrolled appetite does not just affect weight

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doi: 10.3389/fphar.2026.1736380 Received 10 November 2025 Revised 20 January 2026 Accepted 21 January 2026 Published 10 February 2026 Volume 17 - 2026 Edited by Madhusudan Prasad Singh, All India Institute of Medical Sciences Raipur, India Reviewed by Hemasri Velmurugan, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), India Prachi Arunima, All India Institute of Medical Sciences Raipur, India Updates Copyright 2026 Wali, Rangraze, Khan, Mufti, El-Tanani and Rizzo