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Environmental triggers : Exposure to sun, wind, extreme temperatures, and certain skincare products can provoke flare-ups

However, this should only be done under medical supervision

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As most metabolite pathway of phthalates has been reported, the first step is hydrolysis of the ester side-chain of the di-alkyl phthalate to generate mono-alkyl phthalate, and the other ester side-chain is broken to generate PA and alkyl alcohols available for further conversion