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Description
Hartle et al., 2021): The clinical deterioration of PEM starts within a few hours to about a day after the triggering event, peaks in severity 2 to 3 days after exercise, and lasts from a few days to several weeks, dependent on baseline functionality and degree of exercise

For hyperpigmentation, brightening ingredients like kojic acid, tranexamic acid, arbutin, niacinamide and licorice root extract can be effective

In many cases, an individual may choose to receive injectable vitamin B12 because it simply makes them feel better
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