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In fact, psychiatric biomarkers such as brain-derived neurotrophic factor (BDNF) and corticotropin-releasing hormone (CRH) have been found to be down and upregulated respectively in vitiligo patients

[DOI] [PMC free article] [PubMed] [Google Scholar] 155.Yuen KCJ, Johannsson G, Ho KKY, Miller BS, Bergada I, and Rogol AD

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While these steps may help reduce the risk of spinal stenosis, its important to note that some cases of spinal stenosis are caused by genetic factors or other underlying health conditions that may be beyond a persons control