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Some topical products like hydroquinone or azelaic acid can slow down melanin production, but not as effectively or profoundly as oral tranexamic acid. And oral is the key word here: Though tranexamic acid can be used topically to slow melanin synthesis, clinical studies show it works much more effectively when taken in pill-form

2023;102(9):e33109

And actually even endometriosis is people sometimes go on these medications for other reasons like weight loss, and suddenly all their pain is gone

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