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These symptoms can reflect serious heart, neurologic, or metabolic problems and should not be managed with over-the-counter supplements

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Estrogen production peaks around 30 years of age in women, coinciding with the peak of skin collagen and elastin (Nikolakis et al., 2016

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If simple measures do not provide relief within two to three weeks, further medical review is appropriate to exclude other causes and consider alternative supplementation routes

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