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Topical products can help calm itching, irritation, or short-term swelling, but they often do not remove the source of repeated bleeding

The mechanisms operate in entirely separate biological pathways

Regular B12 supplementation can help prevent or manage anemia in older adults

Spironolactone at 100-200 mg/day, given long enough (12+ months is the realistic timeframe), modestly slows progression and produces visible regrowth in a subset of women but its not the dramatic facial-hair-and-acne win

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Its vitamin C content promotes collagen production and boosts complexion, while the vitamin E hydrates skin effectively and protects against free-medical damage (even in notoriously dry winter)