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If improvement is minimal, add bismuth subsalicylate (Pepto-Bismol) after meals and consider discussing slower dose titration with your provider

Agents called keratolytic, such as lactic acid, salicylic acid, benzoyl peroxide, ammonium lactate, and urea at concentrations less than 40%, do not have any direct effect on keratin instead they hydrate the stratum corneum, allowing proteases to resume normal function and desquamation to proceed more normally than in dry conditions

High Dietary Advanced Glycation End Products Impair Mitochondrial and Cognitive Function

Most digestive side effects, including heartburn, typically improve with continued treatment or dose adjustment

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