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Supplementing with CoQ10 can help restore optimal levels and promote better health outcomes

Moreover, CXCL12 and CCL5 play an important role in immune cell recruitment in affected skin, and serum CXCL12 levels are associated with disease activity.23 Additionally, oxidative stress induces the secretion of chemokines like CXCL16.24 Other cytokines elevated in vitiligo include IL-1, IL-2, IL-17, IL-22, IL-23, and IL-33

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The practical point is that this behaves like other chronic conditions: stop treating diabetes, hypertension, or high cholesterol, and they return too

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