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At 10 months, the patient continued to improve with a PASI of 2.6 and DLQI of 0

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[DOI] [PubMed] [Google Scholar] 25.Ernst H, Konturek PC, Hahn EG, Stosiek HP, Brzozowski T, Konturek SJ

However, as the current associations are descriptive and not based on correlation or causal inference, prospective randomized studies with formal correlation analyses, extended follow-up, and broader hormonal profiling are essential to validate these observations and guide individualized treatment approaches