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Environmental and emotional triggers: Sunburn, physical trauma to the skin, prolonged stress, and exposure to certain chemicals can all trigger or accelerate the spread of vitiligo in susceptible individuals

The peptide binds GHRH receptors on anterior pituitary somatotroph cells, activates adenylyl cyclase to increase intracellular cAMP, enhances transcription of the GH gene, and stimulates exocytosis of stored GH from secretory granules

Increasing both levels of ROS and reactive nitrogen species (RNS) through the destruction of cellular structures, such as DNA, proteins, and lipids, can increase the risk of migraine

They're subtle lapses that compound over weeks and silently undermine treatment outcomes before anyone realizes what happened

Dutasteride (Avodart, Duodart) for BPH: typically a 6-month deferral