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Additional causes of melasma can be related to pregnancy, oral contraceptives, sunlight, heat, stress, and tanning beds
Polypodium can also be used topically in a sunscreen
One study involved collegiate soccer players who received high amounts of creatine supplementation over the course of a 13-week offseason (Larson-Meyer et al
doi: 10.1007/s11427-023-2336-1 22
This side effect is usually mild and can be managed by monitoring sodium intake and maintaining adequate hydration
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