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P-glycoprotein (P-gp) transport is similarly uninvolved

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Cortisol (stress hormone) and insulin resistance can both hinder weight loss

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As a consequence of these observations, our results suggest that autophagy may be an adaptive response to continuous metabolic alterations and that its induction may result in a protective attempt to antagonize degenerative processes and to enhance survival in normal appearing vitiligo skin, where melanocytes and fibroblasts are already prone to premature senescence

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