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Clinical manifestations of IIM include muscle weakness, myalgia, characteristic skin rashes, elevated serum creatine kinase (CK) levels, muscle fiber degeneration and regeneration, chronic mononuclear cell infiltration, and perifascicular atrophy in muscle biopsies [220]

Staying upright for 4 hours, avoiding exercise for 24 hours, and skipping alcohol prevent most problems that could diminish your results

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Once you feel confident in your decision, you can start exploring stopping or shortening your period with your doctor