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The smoking-vitiligo paradox is not really about whether smoking is good or bad for vitiligo

This can make it difficult for nicotine users to follow a structured quit plan or tobacco reduction plan, increasing the risk of relapse

Recognizing smoking as a biologic modifier of immune aging reframes it not only as a lifestyle risk factor, but also as a potentially actionable contributor to disease progression and treatment response ( Figure 3 )

The product does not stand out as well once compared directly against some European offerings, but its familiarity and dependability explain its success

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