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That study measured photoprotection and quality of life in a clinical population, not cosmetic tanning, so it speaks to long-term tolerability rather than to how dark recreational users get
Maes M, Leonard BE, Myint AM, Kubera M, Verkerk R (2011) The new 5-HT hypothesis of depression: cell-mediated immune activation induces indoleamine 2,3-dioxygenase, which leads to lower plasma tryptophan and an increased synthesis of detrimental tryptophan catabolites (TRYCATs), both of which contribute to the onset of depression
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