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Four to eight weeks for early changes, three to six months for meaningful, visible improvements

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Use of EHR data also allowed for inclusion of weight changes during treatment and after discontinuation

These findings highlight the importance of effective supplementation and hydration strategies in enhancing endurance and reducing exertion in swimmers, contributing to sustainable water management practices for athletes in aquatic sports

5 Future therapeutic prospects As a future direction, new therapeutic approaches should be developed to reduce vitiligo progression