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Generally, patients require 3-4 treatment sessions that are spaced one month apart in order to give the skin time to fully rejuvenate and rebuild its foundational matrix, restoring the skins texture and strength

For patients with disease limited to the skin, our preference is to start with low doses of steroids or hydroxychloroquine sulfate and to avoid immunosuppressants until weakness develops

137,155 As an immunotolerant organ, the liver is continuously exposed to gut-derived bacterial products via the portal vein

To support these pathways, a diet rich in high-quality protein, essential amino acids (especially leucine), and adequate caloric intake is important, along with nutrients that support anabolic and recovery processes such as creatine, vitamin D, zinc, and magnesium