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But, side effects like skin rash, diarrhea, and anxiety can happen

South Florida patients, particularly those in the Fitzpatrick III through VI range who have higher baseline melanin activity and different wound healing patterns, sometimes see post-inflammatory hyperpigmentation respond more slowly than texture or firmness

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We then discuss a case involving semi-synthetic mitragynine derivatives, including 7-hydroxymitragynine and mitragynine pseudoindoxyl, highlighting the clinical features including dose escalation, and challenges associated with withdrawal