Experts interviewed by the LA Times said the coverage change would harm their Medi-Cal patients because most people regain weight once they stop using GLP-1 drugs.
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Irritation and sensitivity Retinol alone can cause: Redness Peeling Dryness Burning sensation Increased sensitivity Adding peptides usually helps: Most peptides are soothing Support skin barrier repair Reduce inflammation When irritation occurs despite peptides: Reduce retinol frequency (every other night instead of nightly) Use lower retinol concentration (0.25% or 0.5% instead of 1%) Apply peptides in morning, retinol at night (not together) Add more moisturizer Take retinol break for few days pH incompatibility concerns The pH issue: Retinol works best at pH 5.5-6 Some peptides work best at different pH ranges Mixing products with very different pH can reduce effectiveness In practice: Modern formulations account for this Short contact time between layers minimizes pH issues Many successful products combine peptides + retinol in same formulation Solution: Don't worry excessively about pH
When your progress is fast, you'll want to remember every milestone
Martin Makary, is a doctor, just like me, who has sworn to prioritize the well-being of patients and first, do no harm. I urge him to pause enforcement action to look at all the solid evidence and clinical and public health implications of the decisions that preceded him, as we, as physicians, are trained to do