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PDRN inhibits melanogenesis through downregulation of microphthalmia-associated transcription factor (MITF), and the 2024 Tsai split-face RCT demonstrated significant melasma severity reduction with combined microneedling radiofrequency and depigmenting agents in Fitzpatrick III and IV patients
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Commercial insurance still varies: coverage is common for type 2 diabetes, less consistent for weight loss alone
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