In the nail bed, hyperpigmentation may also be present.43 These habits predispose to complications such as paronychia, transmission of viral warts, and dental alterations including malposition and fractures, as well as oral infections.43 The differential diagnosis includes onychomycosis, psoriasis, lichen planus, chronic paronychia, and nail-patella syndrome, among others.44 Treatment of OCD can be challenging and should include a multidisciplinary approach
Theres no need for a prescription to purchase the supplemental pill form of B12
Tirzepatide (Mounjaro / Zepbound) Tirzepatide is a peptide that activates two receptors GLP-1 and GIP and is now widely prescribed for type 2 diabetes and weight management
For metabolic health and insulin resistance, the evidence supports a moderate dose approach in the 5 mg range, dosed five times per week, combined with a structured exercise program
Peripheral Matters
8 Nevoid Melanoma Nevoid melanoma (NeM) is deemed to be one of the most difficult melanomas to diagnose as it mimics a benign nevus but behaves like an invasive melanoma, with local recurrences and metastases [1]