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Patients often ask me, Why did my glow disappear? Heres why: Sun exposure without SPF Hormonal fluctuations Poor skincare maintenance Smoking Inconsistent follow-up sessions Your skin naturally produces melanin

Ngcobo, Bongani B

Treating low appetite in advanced cirrhosis should focus on addressing risk factors (such as active alcohol use, uncontrolled diabetes, and hypothyroidism), triggers (including hepatic encephalopathy, infections, electrolyte imbalances, and excessive medication burden), and related issues (such as removing symptomatic ascites, providing clear dietary recommendations, avoiding overly restrictive diets, and addressing mental health concerns) (Figure 3) ( Figure 3 4 Cirrhosis-related non-cholestatic pruritus 4.1 Prevalence and mechanisms Pruritus linked to liver ailments is particularly pronounced in chronic cholestatic liver conditions like primary biliary cholangitis and primary sclerosing cholangitis

Mindfulness, cognitive behavioural approaches, and training load management can meaningfully support recovery