Melasma can affect all skin phototypes, however, it is more common in the middle (Fitzpatrick skin phototypes II, III, IV, and V) (Guarneri, 2014)
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Interestingly, a study that examined data from 577 female participants in the Great Lakes Fish Consumption Study found an estimated 20% increase in risk of fibroids for every 10 years of regular consumption of fish from the Great Lakes
Note: If you experience extreme cold accompanied by shakiness, sweating, or confusion, you should consult a healthcare provider immediately, as these can be signs of hypoglycemia (low blood sugar)