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It may not be possible to correct for all the metabolic confounders because, for example, the effects of such confounders might be subtle and additive, even if not measurable because they are at initial stages of impairments

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If someone told me a decade ago that they had the answer to lasting bronzed skin in a simple inhalant, I would have given my left leg to avoid dealing with the constant exfoliation, staining, and lingering smell of self-tanners containing traditional DHA (dihydroxyacetone)

Acknowledgments We extend our gratitude to all our colleagues at Taipei Tzu Chi Hospital for their invaluable assistance in conducting this study