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However, their effects on testosterone levels hadnt yet been studied

Available online at: (Accessed January 22, 2026)

Niacinamide Niacinamide is another ingredient widely used as part of a combination therapy for hyperpigmentation due to its skin-brightening and anti-inflammatory properties which lead to a lighter and more even skin tone 6

Patients on methotrexate and acitretin should be advised to avoid alcohol and maintain a healthy weight, as NAFLD is a common comorbidity in psoriasis patients, exacerbating liver dysfunction (Balak et al