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Skin lesions of vitiligo patients exhibit significantly elevated levels of hydrogen peroxide, reduced activity of antioxidant enzymes, and heightened levels of malondialdehyde, all serving as direct evidence of oxidative stress (174)

This can reduce side effects like nausea, vomiting or diarrhea, and also allow for monitoring, he adds

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doi: 10.1002/dta.2152

Instead, many factors, such as lack of sleep, stress, adverse life events, mental health and medications can lead to food noise