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Coupled with the growth of service industries, these factors have profoundly changed the food environment and reduced physical activity ( Food environment: a key driver of obesity prevalence Studies of dietary habits of communities stratified by socioeconomic status have shown that poorer neighborhoods have greater access to corner and convenience stores (232) and fast-food restaurants, with residents consuming more fried foods, oil, and less-healthy snacks, and not meeting recommended daily intakes of fruit and vegetables (233)

Journal of Endocrinology and Metabolism, 58(4), 345-356

This results in increased concentrations of the melanogenic enzymes within the melanocyte

Look for those providing personalized dietary counseling, exercise recommendations, and ongoing support