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Obesity is more common in patients with difficult to treat psoriasis, and a higher BMI may affect the response to anti-psoriatic therapy [15]

Moreover, in-sufficient empirical evidence, protection issues, disparities in potency, limited solubility, expensive and absence of regulations, herbal products with a short shell lifespan may contain toxins such as heavy metals (mercury, lead, etc.), herbicides as well as pathogens (Kalachaveedu et al., 2023

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255 A study among ovarian and endometrial cancer patients reported that the KD improved overall physical health and increased energy in patients without chemotherapy