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DHEA (dehydroepiandrosterone) is an androgen precursor that's generated significant interest, particularly if you've been told you have diminished ovarian reserve or have responded poorly to IVF in the past

Still, if that's what you're getting, then I would suspect that as potentially the problem

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Melanin pigmentation of the oral cavity is sufficiently common among members of all dark-skinned races, regardless of nationality, to be considered physiologic

But besides fat, patients also lose muscle mass, which can be an unwelcome side effect