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It may be an isolated finding or part of syndromes such as RubinsteinTaybi syndrome, Larsen syndrome, or tricho-rhino-phalangeal syndrome.1 Double nail of the fifth toe This corresponds to a nail that is wider than usual and divided by a longitudinal groove, producing a smaller accessory nail (Fig

Patients who approach it as an adjunct to structured nutrition consistently report better satisfaction than those who expect it to drive weight loss independently

These concerns are commonly associated with increased melanin production the natural pigment responsible for skin colour as well as slower cellular turnover, which can lead to a dull appearance

For more persistent symptoms, a short-term prescription of Zofran (ondansetron) may provide relief as the body adjusts to GLP-1 therapy