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The Real Answer: They Often Work Best Together For meaningful pigment, especially melasma, the most effective prescription approach is usually not one or the other but a supervised combination

Tingling and Carpal Tunnel-Like Symptoms GH-induced fluid retention can compress peripheral nerves, causing tingling or numbness in the hands, often noticed upon waking

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Stimulants like illegal drugs (amphetamines, cocaine, methamphetamine), caffeinated beverages (coffee, soda), cannabis and tobacco products, diet pills, and cough/cold medicines should be avoided if palpitations are noticeable with use

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