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While some studies suggest that melatonin does not significantly change skin color1 3, others indicate that it might contribute to tanning through its interaction with melanocortin receptors2

It is one tool within a broader clinical approach that includes nutrition counseling, continuous glucose monitoring when appropriate, and regular clinician check-ins

When I emailed a cancellation request during off-hours, it was processed first thing the next business morning without questions

It is possible that common food or water sources might explain local clusters, though none have been identified as of yet