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Red flag #6: Before-and-after photos that all look the same If every before photo is a glum, downcast, harsh-lit shot and every after is a smiling, well-lit, professionally-edited image, you are looking at photography tricks, not clinical results

Populations to avoid: Pregnant and breastfeeding individuals, individuals with active neuroendocrine conditions, and those on ACTH-axis medications should not use DSIP without specialist guidance

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With the XML download function, all available columns of the identified studies were downloaded from the registry to create a data subset for further manual screening