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Step 3: Production of Eumelani, the dark, brown pigment associated with hyperpigmentation and tanning [4]

Patients receiving superpotent corticosteroids should not be treated for more than 2 weeks at a time and only small areas should be treated at any one time due to the increased risk of HPA axis suppression

American Diabetes Association (2021) 9

Lab testing may help: Identify underlying metabolic concerns Review thyroid, blood sugar, and cholesterol markers Assess organ function Support safe treatment planning Establish baseline health data Required labs include: CMP TSH Labs must be completed within the previous 90 days