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38 , 41 Beyond vitiligo, autoimmune conditions such as hypothyroidism also play a role in PHG

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Key Insight: With no energy improvements by week 4, bloodwork can help assess whether NNMT is being effectively inhibited

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Ethics declarations Ethics approval and consent to participate All participants provided written informed consent, and the study was approved by the institutional Review Board of the PLAGH-S2017-061-01