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Additionally, hormonal changes may affect nail growth, she adds

Side note: We prefer that all clients try their very best to not be exposed to any sunlight during their skin lightening journey, sunlight can affect your skin lightening journey greatly so we suggest complete avoidance of sun exposure

[16] [17] According to NICE guidance (CG184), PPIs should be used at the lowest effective dose with periodic review and step-down attempts for long-term therapy

However, individuals experiencing persistent symptoms should discontinue use and seek medical advice

Morning injections often help control appetite and blood sugar during the day, while evening doses may improve fasting glucose and reduce daytime side effects