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Sean Hashmi, MD, is the regional medical director of Lifestyle & Obesity Medicine for the Southern California Permanente Medical Group, and national chair of the interregional clinical practice group for Lifestyle & Obesity Medicine, The Permanente Federation.

Reconstituted solution: Refrigerate at 28 C (35.646.4 F) immediately after mixing

This multicenter prospective study is the first clinical investigation to assess the therapeutic efficacy of a topically applied liquid NAC oral rinse in patients with BMS using a standardized 8-week protocol at multiple tertiary care institutions

It can also fade brown spots and pigmentation and boost any UV protection when applied before any sunscreen

Of note, MS is of lower prevalence but worse severity in males versus females