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The appearance is consistent across patient ages, though older patients tend to experience it more dramatically because they have less collagen reserve and less skin elasticity to compensate for the structural changes
If you're experiencing persistent low mood, talk to a mental health professional it's worth exploring whether it's adjustment or something that needs treatment

Patient-initiated appeals carry stronger legal protections than provider-initiated appeals

This persistent immune activation isn't just a symptom

10.1016/j.molmet.2023.101807 91 MuellerN

Others wait until the patient reports either reduced efficacy or increased side effects