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It could be sugar water. Bonello says shes hearing from more and more patients who are turning to the gray market

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Graphical abstract Similar content being viewed by others Introduction Alcohol misuse and alcohol use disorder (AUD) pose a significant global health challenge, characterized by impaired control over alcohol use, compulsive consumption, and negative affect during withdrawal, which contribute to relapse [1]

Therefore, the method of using bixin topically may be a potential new way to treat pigmentation disorders