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Fortino is board-certified in Internal Medicine and specializes in advanced Obesity Medicine

Exposure to air pollution, heavy metals, pesticides, and certain chemicals can rapidly use up glutathione as the body attempts to detoxify these substance

Compounded topicals provide: Higher concentration actives than OTC Combination therapies in a single application Formulations designed for patient tolerability Cost-effective options, with fast nationwide delivery through eNavvi eNavvis Compounded Formula for Keratosis Pilaris Diclofenac Sodium / Tacrolimus / Tretinoin / Ammonium Lactate 2% / 0.05% / 0.025% / 12% Cream 30 GMS $45.00 / 30 Days 2-Day Shipping Nationwide When to Use This Formula Inflammatory KP with erythema and chronicity Refractory KP unresponsive to OTC urea/lactic acid Sensitive or atopic skin (tacrolimus offers a steroid-sparing option) Hyperkeratotic and pigmented lesions needing keratolytic + retinoid synergy Mechanism Breakdown: Ammonium Lactate: Lactic acid derivative with keratolytic action

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By making specific, intentional changes to how you eat and live, you can encourage your digestive system to produce more of this beneficial hormone

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