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They are usually firm or hard in consistency

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I note that dermatologists offer chemical peels, laser therapy, and prescription retinoids

doi: 10.1038/nrm2952 90 NakahiraKHaspelJARathinamVALeeSJDolinayTLamHCet al

Many of these compounds exert pleiotropic biological effects that are directly relevant to FM, including indirect antioxidant activity, modulation of inflammatory and immune pathways, effects on mitochondrial function and cellular stress responses, interactions with SIRT1 signalling and bidirectional crosstalk with the gut microbiota [37,38,39,40,41,42]