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Smoking is the single most significant modifiable risk factor in abdominoplasty it impairs circulation in the abdominal skin flap and significantly increases the risk of wound breakdown, delayed healing and infection

A also triggers inflammatory responses, oxidative stress, and mitochondrial dysfunction

But this isn't inevitable

Design-Around Strategies and Sham Customization As the shortage exemption closes, compounders will likely pivot to design-around strategiesadding ingredients (e.g., B12) to claim the product is a customized medication, not a copy