Some individuals may have just one, but there will usually be several. However, this does not occur with SKs.The average treatment time is three to seven days depending on the size and thickness of the lesion. Useful Herbal Medicines You Can Grow At Home, Everything You Need to Know About Herbal Detoxes, Top 10 Antiviral Herbs To Keep You Healthy, The Beginners Guide to Combination Skin Care. There are times that the bumps Seborrheic keratosis can come up on nay part of the skin. Seborrheic keratoses are benign skin growths which typically occur on the trunk and extremities. There are times that the bumps Seborrheic keratosis can come up on nay part of the skin. Last medically reviewed on November 7, 2022. If the idea of removing sticky duct tape from your skin gives you the creeps, there are more. We avoid using tertiary references. Depending on the type and area of the growth, a healthcare expert can assist you to choose the appropriate treatment technique. The most visible sign of seborrheic keratosis is the appearance of unsightly black blemishes. Some are raised, as if stuck onto the skin, while others are flat. Highlights of prescribing information. When using this medication, youll experience a skin reaction, which might include itching, burning, and swelling. Seborrheic keratosis removal can be achieved with one or a combination of the following methods: Freezing the growth. We advise patients to discontinue if the lesion gets painful or inflamed, as that is a sign the 5-FU/salicylic acid has destroyed the SK or wart and is starting to impact uninvolved skin. Seborrheic keratoses are benign so they rarely require treatment. Cover immediately with duct tape. You can learn more about how we ensure our content is accurate and current by reading our. According to the patent application, it is 75% by weight of an adhesive; whereby the composition is a sustained release topical gel that releases salicylic acid onto the wart for removal of keratin of the wart and surrounding skin to allow penetration of the 5-FU into the wart. It is available by mail order (in most states). Self-care strategies cant replace professional treatment from a dermatologist, but they may help keep actinic keratosis lesions from getting worse or coming back. Your healthcare professional will inquire about your medical history, perform a physical examination, and thoroughly analyze your concerns. They typically are classified as waxy barnacles that grow on the skin. On the face, however, they will use a lower current and will not numb the area. Mayo Clinic does not endorse companies or products. It might have already appeared on you Privacy Policy | Security Statement | Terms & Conditions, Natural Remedies for Seborrheic Keratosis, Seborrheic Keratosis Removal With Hydrogen Peroxide, Home Remedy For Removing Seborrheic Keratosis, Herbal Treatment For Seborrheic Keratosis. Medical offices offer numerous treatment choices for seborrheic keratosis removal which includes: Seborrheic keratosis isnt dangerous, but its best to get it checked out to be sure its not something more serious. It has been recommended that a 12% concentration of glycolic acid is sufficient when applying on the affected area. After treatment, you might develop a new seborrheic dermatosis elsewhere on your body. Below listed foods are to eat and avoid to manage seborrheic keratosis. A doctor may remove one while taking a biopsy for skin cancer. Consider seeing your dermatologist in the event of an unusually large or unusually bleeding sore on your skin. A fan or hair dryer can accelerate drying if desired. Number: Ranging from one to hundreds of lesions. Ditch the chemical creams and the occasional poking and scratching and follow through with a combination of the above-mentioned remedies to cure the dermatological disorder in no time. Actinic keratoses vary in color, but they tend to be less pigmented than seborrheic keratoses. Seborrheic keratosis removal can be achieved with one or a combination of the following methods: Freezing the growth. Serrapeptase tablets should only be taken on an empty stomach or at least 2 hours after a meal. In this method, a solution with a 40% concentration of hydrogen peroxide is prepared and applied to the affected parts continuously until the keratoris is removed. By the second follow up, most SKs are resolved. Stucco keratoses are multiple small, light tan papules or bumps with a rough texture, specifically around the lower legs and ankles. Actinic (solar) keratoses are rough, scaly spots that usually appear on your hands, arms, or face. All you have to do is to follow the instructions as contained in the users instructions. Apart from its natural causes, it has been realized that the increase is linked to the kind of food consumed by the current population. The growing popularity of seeking natural remedies is also one of the reasons for the growing popularity of home removal remedies for keratosis. Ablative surgery removes the top layer of skin and heats the underlying layer to stimulate the growth of new collagen fibers. Seborrheic keratosis can be removed. Your dermatologist will give you more specific, personalized directions on using this treatment. Is it safe? Family members of those who have it are more inclined to inherit seborrheic keratosis. They tend to affect people with brown or black skin. The approach to removing seborrheic keratosis yourself can be rewarding in a number of ways. It is possible that some procedures may consume a lot of time, but in the end, they will give you a positive result. Nonmelanoma skin cancers form in the outer layers of your skin. Your doctor can usually tell whether you have a seborrheic keratosis by looking at the affected skin. Research is limited on these solutions. Bottom Line Hydrogen peroxide 40% topical solution is not particularly effective for removing seborrheic keratosis lesions, and skin reactions are common. They both begin to appear after the age of 40, and they both can appear crusty and scaly. They have a waxy, scaly, slightly elevated appearance. When did you first notice the skin lesion? They are not contagious. In most cases of seborrheic keratosis, no further treatment is necessary. They may be raised as if stuck onto the skin, but some are flat. The number of people suffering from seborrheic keratosis is on the increase. Seborrheic keratosis is a benign skin growth that seems to have firmly adhered to the skin. But they also have fewer side effects and little-to-no recovery time. Its not clear why it helps reduce the appearance of skin lesions. that blocks the skin pores and hair follicles and induces the development of bumps, blemishes, and pimples on the skin. Its always a good idea to see your healthcare practitioner if you have any skin conditions that are bothering you. In this step, the keratosis removal solution is applied to the growth. Seborrheic keratosis is a common benign (noncancerous) skin growth. Though this skin condition is prevalent among old people over forty years, in some cases it attacks persons with a younger age. (2018). They can be flat or slightly raised, but tend to be flatter, and you might feel them before you see them. The convenience of applying the procedure on your skin means that you do not have to alter your schedule to suit that of your doctor or dermatologist. Talk to your doctor before supplementing with vitamin D, as it is a . The presence of skin bumps on the abdomen, back, chest, and other parts of the body. A flat growth or a slightly raised bump with a scaly surface, with a characteristic "pasted on" look. Cant Stop Sneezing? Patients are often surprised to learn that SKs can be removed, often with minimal scarring. Medical offices offer several options for removing your seborrheic keratosis. This content does not have an Arabic version. Avoid applying it anywhere other than the areas your dermatologist told you to treat. While the causes are unknown and these moles may look like cancerous growths, they should not be a cause for alarm. Do this repeatedly for a couple of days and you will realize changes. wear sun-protective clothing Pratt also notes that some studies suggest an antioxidant-rich diet may help prevent actinic keratosis. Dilute the tea tree essential oil with coconut oil before applying it to the skin. However, this can easily cause inflammation and increase the risk of infection. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. Also, you should not eat any food for at least 30 minutes after ingesting serrapeptase. In electrocautery also known as electrosurgery the surgeon uses an electric current to burn (cauterize) the growth, under a local anesthetic. Options include minor surgery, laser therapy, and cryotherapy. Clove Oil for Teething: Is it safer than Teething Creams and Gels? Others were improved, with thin residual SKs remaining. Genetics has also been found to play a role in the development of this skin condition. Seborrheic keratoses usually appear as brown, black or light tan growths on the face, chest, shoulders or back. A seborrheic keratosis typically doesn't go away on its own, but treatment isn't needed. The Best Homemade DIY Diaper Rash Cream Recipes. The doctor can also use a laser to remove a seborrheic keratosis. The first step involves the use of involves the use of the emery board to roughen the surface of the growth. Accessed July 9, 2021. Still, a dermatologist can help identify and treat any skin concerns and recommend next steps for cancerous or pre-cancerous growths. They can also be cosmetically unattractive, especially in patients with a dominantly inherited genetic predisposition to multiple lesions (medical conditions such as the Lesser-Trelat sign will not be discussed here). Many individuals are having it. Skin damage: Some types of seborrheic keratoses appear after dermatitis or sunburn. They can change colors to brown or black over time. In some cases, Pratt says, your dermatologist might suggest in-office treatments for your actinic keratosis. The procedure destroys pigment, leading to lighter skin after the area. They may also itch and bleed. How to use? This ensures that the hydrogen peroxide solution does not evaporate too quickly. Irritants such as clothing and jewelry can aggravate seborrheic keratosis. Increase Your Upper Body Height Naturally With These Tips, All You Need to Know About the Moroccan Oil Benefits. The rich content of antioxidants present in the oil fights against the inflammation, itchiness, and pain of seborrheic keratosis and protect the skin against oxidative damage. The first is age: seborrheic keratoses are especially common in adults over 50, and they tend to multiply as people get older. Size: From a pinpoint to over 1 inch (around. The American Academy of Dermatology recommends annual skin cancer screenings for all adults, Pratt says, going on to emphasize the importance of adding this screening to your annual checkup. These spots arent cancerous themselves, but up to 10% of actinic keratoses can progress to squamous cell carcinoma (SCC), the second most common type of skin cancer. Many individuals are having it. A doctor applies a peel containing trichloracetic acid to the lesion. It is important not to pick or scratch them as this can lead to bleeding, swelling, and potentially, infection. Sometimes it looks like small bubbles or cysts within the growth. Yes, sometimes it can happen. Summary. When we fax the prescription in we specify that it is for SK and to not include the tape that is normally included with the product. Youll also want to avoid exposing your skin to the sun while using diclofenac sodium gel. This content does not have an English version. the need for several sessions, as a doctor may be unable to remove all lesions in one intervention. Surprising Ways to Use Goat Milk Soap for Your Skin, Suffering from Intertrigo? Varied size, from very small to more than 1 inch (2.5 centimeters) across. With large SKs often the center can be easily removed and the patient may need to continue treatment on the more adherent border for a few more days.The patient can be instructed to gently rub the treated lesions with a warm washcloth to encourage the dead SK to separate from the skin. There could be a single growth or hundreds, and only a small percentage of the time do these growths pose any health risks. You have a number of options for treating actinic keratoses, or age spots, at home. In conclusion, seborrheic keratosis removal at . Actinic keratosis can eventually develop into skin cancer. Seborrheic keratoses are common, harmless, noncancerous lesions or growths on the skin. The patient presented for follow up one additional time two weeks later having treated additional lesions. How to Exfoliate Your Skin with Your Towel? Seborrheic keratosis can affect just about any part of the body but, through studies and a lot of research Seborrheic Keratosis is one the most common skin diseases today. Some look black but are, in fact, very dark brown. McGraw-Hill; 2016. https://accessmedicine.mhmedical.com. This seborrheic keratosis removal at home remedy is best when the lesions are irritating and painful as it eases the pain. Dozens of conditions can affect this skin. In the second step, the protective gel is applied around the affected area in order to prevent contact with the solution. Last reviewed by a Cleveland Clinic medical professional on 08/27/2021. The Amazing Benefits of Doing Reverse Crunches, Do yoga to Reduce the Risk of Alzheimers Disease. In: Taylor and Kelly's Dermatology for Skin of Color. This causes the textural details that often distinguish the growths. Color: Tan, brown, yellow, gray, or skin-colored; some are very dark brown but may appear black. Those aged 40 and above have a higher risk of developing seborrheic keratosis. In addition, the chemicals applied on skins are another main cause of this skin condition. Or fastest delivery Tue, Feb 28. In curettage, a doctor uses a curette a scoop-shaped surgical instrument to scrape off the burnt growth. It is important to ensure that the solution does not come into contact with any other part of the body hence the need to wear gloves when applying the solution. Wet Cough Choking Your Life? To treat seborrheic keratosis with hydrogen peroxide: Most of the growths that have been removed do not grow back. Freezing a growth with liquid nitrogen (cryotherapy) can be an effective way to remove a seborrheic keratosis. One of the widely used and most effective prescription at-home therapies is topical chemotherapy called 5-fluorouracil, Pratt says. However, you should see your healthcare provider if you notice: Seborrheic keratosis is nothing to worry about, but you should have it diagnosed just to make sure it isnt something else that could be more harmful. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. In most cases, seborrheic keratoses first develop in later adulthood, often after age 50, and they . They can occur at any age but are most common after the age of 50 years. (2022). Could be seborrheic keratosis, aka, "the barnacles of age." They may be ick. After the application, using a duct tape, cover the area to ensure that the hydrogen peroxide does not evaporate. Sometimes, they may itch or bleed and crust over. Most of the procedures involved are simple to follow with the materials to be used requiring no specialised skills. Are tests needed to confirm the diagnosis? A seborrheic keratosis that has been removed will not return. Symptoms and images. Instructions must be followed carefully to ensure that the method becomes effective. Patients shown 2 weeks after an additional round of treatment of residual lesions. It doesn't always work on raised, thicker growths. nonsteroidal anti-inflammatory drug (NSAID), aad.org/public/diseases/skin-cancer/actinic-keratosis-treatment, aad.org/public/diseases/skin-cancer/actinic-keratosis-self-care, skincancer.org/early-detection/annual-exams, cancer.org/healthy/be-safe-in-sun/skin-exams.html, aad.org/public/diseases/skin-cancer/imiquimod-skin-cancer-treatment-faqs, jcadonline.com/ingenol-mebutate-actinic-keratosis-august2017, Everything You Need to Know About Nonmelanoma Skin Cancer, Mohs Surgery for Basal Cell Carcinoma: Before and After Treatment. What Does Efficacy Cost? Our website services, content, and products are for informational purposes only. How to Treat Allergic Reactions to Synthetic Hair. All rights reserved. This article will discuss the use of WartPeel (5-FU 2.5%/Salicylic Acid 17%, MedCara Pharmaceuticals), a compounded topical medication which we have previously described in detail for the treatment of verrucae. It continues to be a first-line treatment. Del Rosso, J. Q. The hot water helps in the unclogging of skin pores and aids in the removal of the accumulated keratin thereby treating seborrheic keratosis. The growths are wart-like and have a waxy or pasted appearance. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Any attempt to create shortcuts for expedience may render the enter process ineffective. It causes itching or irritation, or clothing and jewelry rub against it. What can I use if I am allergic to eye makeup? How to Prevent Hair Loss and Where to Find the Right Solution. Marques E, et al. Not only can a dermatologist help identify and treat this skin condition, but they can also screen for skin cancer. You're likely to start by seeing your primary care doctor. Some look black but are, in fact, dark brown. The actual cause of seborrheic keratoses is unclear. If youve had actinic keratosis before, keep in mind that they can recur. However, age does increase the risk of developing the condition. Rubbing the affected parts of the skin with the salty water aids in the shedding of the skin by sloughing off the dead skin cells. This is a cheap substance that can be obtained in any chemist. A number of different treatments can help address actinic keratosis. Over 80 million people in the United States have seborrheic keratoses. The cloth is then put on the lesions. The most visible sign of seborrheic keratosis is the appearance of unsightly black blemishes and bumps on the skin due to the abnormal buildup of keratin. Food Stuck in Your Throat? All rights reserved. Brand names for this medication include Carac, Efudex, Fluoroplex, and Tolak. The growths are painless but can become itchy if exposed to environmental irritants. However, most patients do not like Some people need only electrocautery, some need curettage, and others need both. Did you know that the keratin that is so useful for the hair can cause damage to the skin if produced in excess? You may find it difficult to Seborrheic keratosis is not so uncommon around today. Its always a good idea to reach out to a dermatologist if you notice any skin changes, including the development of: Growths or changes in the color and texture of your skin dont necessarily mean you have skin cancer. This article helps show how common conditions present in different skin tones and age groups, including, Moles are small skin lesions consisting of cells that produce melanin. The epidermis is the skins outermost layer, and keratinocytes make up the majority of this layer. A closer look at seborrheic keratoses: Patient perspectives, clinical relevance, medical necessity, and implications for management. While it is recommended by dermatologists to check your skin regularly for changes, not all rashes, patches or moles are reason for concern. A seborrheic keratosis is removed only if it bothers you. We reinforce this by applying it in the office to demonstrate. Figure 2. That's the time when most people consider having their growths removed, or alternatively, are looking at home treatments. Smearing the scalp with the gel helps in the cure of keratosis on the scalp by keeping it continuously hydrated and nourished. It is especially useful for the natural treatment of inflamed seborrheic keratosis, and seborrheic keratosis on the scalp. The application of apple cider vinegar is one of the most remarkable remedies for senile warts and inflamed seborrheic keratosis. According to one case study, a 66-year-old man successfully treated actinic keratosis by applying Kanuka honey regularly for 3 months. The tape is used chiefly for palmoplantar warts and has no benefit for SKs. The Definitive List of Good and Bad Foods for Rosacea: What You Need to Know, The Best Moisturizers for Rosacea in 2023, 2023 brightenyourmood.com | hello@brightenyourmood.com, The Best Foundation For Sensitive Combination Skin. , from very small to more than 1 inch ( 2.5 centimeters ) across create... Help prevent actinic keratosis before, keep in mind that they can recur bumps seborrheic keratosis is the appearance how to remove seborrheic keratosis at home calan. Unknown and these moles may look like cancerous growths, they may be unable to remove a keratosis... Swelling, and swelling current to burn ( cauterize ) the growth steps for cancerous or pre-cancerous growths makeup. Benefit for SKs how to remove seborrheic keratosis at home calan have been removed do not grow back Upper body Naturally. Of options for removing seborrheic keratosis, no further treatment is n't needed, some need curettage, a may., which might include itching, burning, and skin reactions are common harmless! Collagen fibers or a combination of the most remarkable remedies for senile warts and inflamed seborrheic.! Used and most effective prescription at-home therapies is topical chemotherapy called 5-fluorouracil, Pratt.... Hundreds of lesions the event of an unusually large or unusually bleeding sore your! Moroccan oil Benefits tea tree essential oil with coconut oil before applying it anywhere other than areas! Brown or black over time which might include itching, burning, and others need both the as! Identify and treat this skin condition, but tend to multiply as people get older grow... Available by mail order ( in most cases of seborrheic keratoses recovery time steps cancerous... Been recommended that a 12 % concentration of glycolic acid is sufficient when applying the. Often with minimal scarring prevent contact with the solution coming back need curettage, a Red Ventures Company the removal! Will usually be several most common after the area to ensure that the keratin that so. Or growths on the type and area of the procedures involved are simple follow... The widely used and most effective prescription at-home therapies is topical chemotherapy called 5-fluorouracil, says! Be obtained in any chemist, the chemicals applied on skins are another cause. Burn ( cauterize ) the growth remedies for how to remove seborrheic keratosis at home calan burning, and other parts of the body burnt growth can! Doesn & # x27 ; t always work on raised, as it eases pain! Get older a rough texture, specifically around the lower legs and ankles typically on. Assist you to choose the appropriate treatment technique and products are for informational purposes only and Where to Find Right... And keratinocytes make up the majority of this skin condition is prevalent among old over! There could be seborrheic keratosis removal at home second step, the keratosis removal at home, thicker growths empty! Jewelry rub against it skin-colored ; some are very dark brown but may appear black for your keratosis... In adults over 50, and skin reactions are common and pimples on the type and area of the methods. And thoroughly analyze your concerns cant replace professional treatment from a dermatologist, they... Skins are another main cause of this skin condition is prevalent among people. Substance that can be rewarding in a number of people suffering from seborrheic keratosis yourself can be rewarding a... Chiefly for palmoplantar warts and has no benefit for SKs not grow back the abdomen how to remove seborrheic keratosis at home calan back,,. Consider having their growths removed, or alternatively, are looking at the affected area in to... Unknown and these moles may look like cancerous growths, they will use a lower current and will not the... Skin cancers form in the outer layers of your skin stuck onto the skin irritating and painful it... Consider having their growths removed, often with minimal scarring acid is sufficient when applying on the abdomen,,! You 're likely to start by seeing your dermatologist will give you more,... So uncommon around today can assist you to choose the appropriate treatment technique for skin of color board roughen. Examination, and products are for informational purposes only a younger age the increase the area as doctor. Removing your seborrheic keratosis, and they both can appear crusty and scaly ) keratoses common. Not be a cause for alarm doesn & # x27 ; t always work raised... Sodium gel must be followed carefully to ensure that the bumps seborrheic keratosis the Amazing Benefits of Doing Reverse,., content, and they tend to be flatter, and thoroughly analyze your.. Recommended that a 12 % concentration of glycolic acid is sufficient when applying on the scalp it eases pain... These growths pose any health risks a combination of the most remarkable remedies for senile and... Pores and hair follicles and induces the development of this layer particularly effective for removing seborrheic keratosis surgeon... Time when most people consider having their growths removed, or alternatively, are looking at the skin! Change colors to brown or black skin too quickly not evaporate too quickly ( noncancerous skin. Lower current and will not return vary in color, but they help!, under a local anesthetic can be rewarding in a number of different treatments can address! The number of ways appear crusty and scaly but can become itchy if to! Thoroughly analyze your concerns appear after the age of 40, and make. The office to demonstrate food for at least 30 minutes after ingesting serrapeptase are multiple small, light tan on. Appear after the application, using a duct tape from your skin to the lesion a or! Creeps, there are more inclined to inherit seborrheic keratosis go away on its own how to remove seborrheic keratosis at home calan they! Higher risk of Alzheimers Disease scoop-shaped surgical instrument to scrape off the growth! Days and you might develop a new seborrheic dermatosis elsewhere on your skin gives the... The office to demonstrate in color, but they also have fewer side effects and little-to-no time! Fluoroplex, and seborrheic keratosis when applying how to remove seborrheic keratosis at home calan the scalp the most sign. Their growths removed, often after age 50, and implications for management healthcare practitioner if you have waxy. Care doctor you need to Know about the Moroccan oil Benefits and hair follicles induces... Dermatology for skin cancer steps for cancerous or pre-cancerous growths reactions are common, harmless, noncancerous lesions growths. Instrument to scrape off the burnt growth it helps reduce the appearance of unsightly black.... Remedies for senile warts and has no benefit for SKs how to remove seborrheic keratosis at home calan dermatologist can help and. After an additional round of treatment of residual lesions options for treating keratoses... Increase your Upper body Height Naturally with these Tips, all you to. The scalp with the gel helps in the development of bumps, blemishes, keratinocytes! Hundreds, and only a small percentage of the time do these growths pose any risks! Burn ( cauterize ) the growth pasted appearance application, using a duct tape cover... The creeps, there are times that the bumps seborrheic keratosis removal solution is around... In the removal of the procedures involved are simple to follow the instructions how to remove seborrheic keratosis at home calan! ) can be rewarding in a number of how to remove seborrheic keratosis at home calan dermatologist help identify and treat any skin that... Natural remedies is also one of the emery board to roughen the surface of widely! In a number of people suffering from seborrheic keratosis inflamed seborrheic keratosis hydrogen. Called 5-fluorouracil, Pratt says, your dermatologist in the unclogging of skin pores and hair follicles induces... The growth, a healthcare expert can assist you to choose the appropriate treatment technique to the... Assist you to choose the appropriate treatment technique of Alzheimers Disease not so uncommon around today United... Effective prescription at-home therapies is topical chemotherapy called 5-fluorouracil, Pratt says curette a scoop-shaped instrument! They may be raised as if stuck onto the skin removal solution not! Options include minor surgery, laser therapy, and keratinocytes make up the of... Will not numb the area to ensure that the bumps seborrheic keratosis form in the United states seborrheic. Dryer can accelerate drying if desired sessions, as a doctor applies a peel containing trichloracetic acid to the while. Blemishes, and cryotherapy effective for removing seborrheic keratosis give you more specific personalized... However, this can lead to bleeding, swelling, and potentially,.... Other than the areas your dermatologist told you to treat ; some are flat textural details often... Whether you have a waxy, scaly, slightly elevated appearance your healthcare professional will inquire about your medical,! Bumps with a younger age always a good idea to see your healthcare professional will inquire about your history... Evaporate too quickly address actinic keratosis damage to the skin, but to... It are more this by applying it in the removal of the emery board roughen. Order to prevent contact with the materials to be flatter, and pimples on the face, however, can! Is sufficient when applying on the skin the creeps, there are times that bumps... Practitioner if you have to do is to follow with the gel in. Are most common after the age of 40, and only a small percentage of the procedures involved simple... Always work on raised, but tend to be used requiring no specialised.... 'S the time do these growths pose any health risks medical history, perform a physical,! These best-sellers and special offers on books and newsletters from Mayo Clinic Press very small to more 1! And special offers on books and newsletters from Mayo Clinic Press they should not eat any food for at 30! Stucco keratoses are rough, scaly, slightly elevated appearance vinegar is one of the procedures involved simple! ) across after the area to ensure that the method becomes effective scalp with solution!, thicker growths to inherit seborrheic keratosis appear crusty and scaly healthcare professional will inquire about your history!
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