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Lancet, Elsevier BV 398, 21602172 4 Frias, J
A few people have reported no improvement or even temporary flaresespecially with rapid weight loss, which can cause hormonal shifts and skin changes that worsen HS short-term
A psychiatrist offering integrated mental health + weight management could differentiate well
Testing may be considered for diabetes, thyroid concerns, kidney or liver disease, pregnancy risk, anemia, nutrition, or another issue suggested by the history
doi: 10.1158/1535-7163.MCT-06-0661 61
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