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George Kamal explains that as people lose weight, they also lose the underlying fat that helps plump and fill out the face, giving them a sunken look, and experience a decline in collagen and elastin

Initial assessment should include a comprehensive review of the patient's autoimmune diagnosis, current disease activity, medication regimen (particularly immunosuppressants and corticosteroids), and history of complications such as pancreatitis or gallbladder disease

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