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The absence of cardiovascular effects, blood sugar impacts, or hormonal disruption means many concerns relevant to older adults are not applicable here
Inhibition of 5-alpha-reductase activity in human skin by zinc and azelaic acid
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Patients should not attempt to adjust their dose without medical guidance
However, persistent symptoms should be evaluated if they include: numbness that lasts more than a few days weakness in the arm or hand worsening pain or tingling symptoms traveling down the arm A healthcare provider may perform a physical examination and, if needed, recommend imaging such as an MRI to evaluate the cervical discs and nerves
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