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A total of 39 children were recruited, and after exclusions, 33 were randomized into two treatment groups: Oral glutathione (n=13) Transdermal glutathione (n=13) A total of 26 children completed the study

Hormonal changes: Conditions like melasma are linked to hormonal changes and often occur during pregnancy or when using birth control pills

Testosterone and estrogen influence: Lean muscle mass Fat distribution Insulin sensitivity Metabolic rate When hormone levels are restored to physiologic ranges, patients often find it easier to maintain healthy body composition alongside healthy lifestyle efforts

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