dr dray melasma

It can be used for up to six months for initial treatment and then occasionally if needed. Vitamin C and SPF in tandem is clinically proven to heighten your sun protection. Beyond having a tinted formula that can help blur the look of melasma, Coloresciences powder sunscreen protects against blue light, UVA/UVB, and infraredknowing theres a heat component in melasma formation, that infrared defense is a serious bonus. Dr. But back to Dr. Dray. There are three main types of melasma: chloasma, epidermal melasma, and dermal melasma. Common medications can stir up melasmaand were not talking about just birth control pills. Ive been using it for a few weeks and I swear my skin feels smoother and my dark spots and melasma are less noticeable. If you have melasma, its important to protect your skin from the sun. He has done MBBS, MD - Dermatology. The exact cause of melasma is unknown, but it is thought to be related to hormones. Beauty Essentials. There are several other potential causes of melasma, including thyroid disease, stress, and certain cosmetics. Tried-and-True Hyperpigmentation Solutions For Every Skin Tone, According to Dermatologists, The Ultimate Guide to Understanding and Treating Melasma, Tower28 SunnyDays SPF 30 Tinted Sunscreen Foundation, Alastin SilkShield All Mineral Sunscreen SPF 30, The Best At-Home Skin Devices Doctors Recommend Using After an In-Office Treatment, The Best New Clinically Proven Skin-Care Launches of 2023. As a dermatologist, the thing I would love every person to know is that when it comes to melasma, the most important thing is to be protected all the time. Though there is still some mystery around melasma, we do know that exposure to UV plays a large role in its formation. It contains antioxidants to help fight free-radical damage and protect the skin from other environmental stressors. -Chemical peels, which use a chemical solution to remove the top layer of skin. Dermatologists come in, take a look, diagnose the issue, write a scrip and send you on your way. Stay on top of latest health news from Harvard Medical School. Ahead, derms reveal seven sneaky triggers to also have on your radar. Just mix a few drops with your daily moisturizer or sunscreen for extra skin-brightening benefits. Waxing. [Product Request] I have mottled hyperpigmentation on my forehead that I think is melasma. If youre noticing that your skin is becoming lighter in color, its likely due to menopause or aging. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease. EltaMD Daily (tinted or non-tinted) is my go-to as well because its effective, non-irritating and nice to use. Dr. She used to say that people only needed three things in a skincare routine, cleanser, moisturiser and sunscreen. Dab on thisdark-spot corrector with skin-bleaching ingredient hydroquinone. Melasma is a common disorder, with a prevalence of 1% that can increase to 50% in higher-risk groups, including those with darker skin. Other treatments for melasma include topical creams and peels, which can help to fade the pigmentation over time. Although these conditions can overlap and behave very similarly, melasma, in and of itself, is thought to worsen with skin irritation. Call it what you want, but if you have melasma, youll likely see your affected areas darken following any sort of insult to your skin. Those who suffer frommelasmaare particularly prone to flaring from blue light. Pittsburgh dermatologist Lindsey Zubritsky, MD, Revision Skincare Intellishade Original ($80). It treats, hides and prevents melasma simultaneously. Fresno, CA dermatologist Kathleen Behr, MD, La Roche-Posay Anthelios Mineral Sunscreen SPF 50 ($37), I like physical sunscreens because withmelasma,you need to use a sunscreen daily to help treat and preventit. Treatments include topical creams and gels containing bleaching agents or hydroquinone, chemical peels, laser therapy, and microdermabrasion. NewBeauty may earn a portion of sales from products that are purchased through our site as part of our affiliate partnerships with retailers. How to use DIFFERIN DARK SPOT CORRECTING SERUM| Dr Dray. For this reason, many people seek out natural remedies for melasma. And it also happens to bethe main active in Drunk Elephants dark-spot-correcting serum right here. Also, reapplication throughout the day is easy with this formulation, which is even more critical if you have melasma or hyperpigmentation. Is one more serious than the other? Follow her on Instagram. It's kind of like a shadow of discoloration. Plus, get a FREE copy of the Best Diets for Cognitive Fitness. #Dermatologist #DrDray #skincare advice for melasma. This can help improve the appearance of melasma by lightening the affected areas. There is no cure for melasma, but there are treatments that can help lighten the dark patches. This sunscreen is broad-spectrum and has an SPF greater than 45, which is the level I always recommend. Chloasma is the most common type of melasma and is caused by an overproduction of melanin in the skin. These medications work by reducing pigment production and inflammation, and by reducing excess blood vessels in . So what is melasma? Melasma is a common skin condition that causes brown or gray patches on the face. It most often occurs in women during pregnancy or taking certain birth control pills. Pregnancy is a major cause of melasma due to the increase in hormones during this time. While melasma is not harmful and does not require treatment, many people seek treatment to improve the appearance of their skin. While shell sometimes reach for her low-powered Clear + Brilliant fractional laser or even use microdermabrasion to take treatment to the next level and help topicals penetrate better, she stresses that, with melasma, no procedure is risk-free., Wary of energy devices, some derms prefer to start treatment with superficial chemical peels, like the Cosmelan, which is safe and effective for all skin types, Dr. Green says, and works by decreasing the skins melanin production by inhibiting certain enzymes. Doctors are also finding success with the oral drug tranexamic acid (TXA). One of my favorites is skinbetter science Tone Smart. Fort Lauderdale, FL dermatologistDr. Matthew Elias, This is a 100-percent mineral, non-nano sunscreen with no shaking required. The information on RealSelf is intended for educational purposes only. There is no cure for melasma, but there are treatments that can help lighten the dark patches. It also works equally well on face and body. While there is no guaranteed cure for melasma, making changes to your diet and supplementing with certain nutrients may help to improve the appearance of this condition. If these occur, discontinue use and consult your doctor or dermatologist. The most commonly used treatments for melasma are skin lightening medications that are applied topically. Please review our, skinbetter science sunbetter Advanced Mineral Protection Tone Smart SPF 75, Alastin HydraTint Pro Mineral Sunscreen SPF 36, ISDIN Photo Eryfotona Ageless Ultralight Emulsion SPF 50, Colorescience SunForgettable Total Protection Face Shield Flex SPF 50, Avne High Protection Tinted Compact SPF 50, SkinMedica Essential Defense Mineral Shield SPF 35, SkinCeuticals Physical Fusion UV Defense Sunscreen SPF 50, Vichy Capital Soleil Tinted Mineral Sunscreen for Face SPF 60, Colorescience Even Up Clinical Pigment Perfector SPF 50, La Roche-Posay Anthelios Mineral Sunscreen SPF 50, ISDIN Isdinceutics Mineral Brush On the Go Facial Powder 50, Neova DNA Damage Control Silc Sheer 2.0 SPF 40, Revision Skincare Intellishade TruPhysical SPF 45, skinbetter science sunbetter SHEER SPF 56 Sunscreen Stick, Supergoop! Bakuchiol is known to be a gentler alternative to retinol but has many of the same benefits. During perimenopause, hormone levels fluctuate and eventually drop, causing changes in the body. Melasma is caused not only by ultraviolet light but also by infrared radiation and visible light, explains Dr. Howe. Daily Dose Vitamin C+ SPF 40 Serum, skinbetter science Sunbetter Sheer SPF 70 Sunscreen Lotion, SkinCeuticals Daily Brightening UV Defense Sunscreen SPF 30, Colorescience Sunforgettable Total Protection Brush-On Shield SPF 50, EltaMD UV Restore Broad Spectrum SPF 40 Facial Sunscreen, Doris Day MD Vitamin E-Ssential Sunscreen. I also prefer sunscreens that contain blue light blockers, because in addition to UV radiation, sitting in front of the computer all day being exposed to blue light can also exacerbate melasma. It simultaneously brightens and hydrates, and also contains iron oxides, which can help to provide added protection against blue light, making it a great option for those with melasma. Dr. Estheticians work with people's skin A LOT more than dermatologists do. Melasma is a common skin condition that causes brown or gray patches on the face. While it can occur suddenly in some cases, it is more often gradual in onset. So if youre dealing with this pesky skin condition, hang in there- relief is on the horizon! Plus, as anyone whos ever sunbathed with a foil reflector knows, metal catches rays, intensifying a tanand melasma. Related: The Ultimate Guide to Understanding and Treating Melasma. Clearer, more even-toned skin with fewerdark spots and marks. If youre concerned about the appearance of your skin, talk to your doctor about treatment options. Melasma is a pigmentation disorder of the skin mostly affecting women, especially those with darker skin. Swifties Cant Stop Using This Conair Hair Jeweler, 20 Affordable (and Actually Good!) Melasma is a common skin condition that causes brown or gray patches on the face. Her no-nonsense approach to sharing evidence-based skincare advice has garnered her over 1 . Though it can affect anyone, melasma is most common in women and typically occurs during pregnancy or menopause. Other hormonal medications such as thyroid medication or testosterone replacement therapy can also trigger melasma. Considering that vitamin C is a tyrosinase inhibitormeaning that it helps reduce your melanocytes ability to create the excess pigment that results in melasmathis product could be seen as a one-two punch against discoloration. Toronto dermatologist Geeta Yadav, MD, skinbetter science Sunbetter Sheer SPF 70 Sunscreen Lotion($75). The gentle ingredient is known to fade discoloration from dark spots, scarring, and melasmaand it also has anti-inflammatory and antioxidant benefits, says Dr. Marchbein. Another study found that a combination of oral nutrients, including niacinamide, zinc, folic acid, selenium, and vitamins C and E improved the severity of melasma in women taking oral contraceptives (2). sunlight exposure and certain medications. It is also best to have broad-spectrum protection, even against blue light and some wavelengths of infrared light, which can also exacerbate melasma. If your melasma does not improve with topical or oral medications, adding procedures such as chemical peels and laser therapies to a treatment regimen could be beneficial. Theres a fuzzy line between [the two], she adds. Finally lets not forget that protective eyewear, hats and UPF clothing are fantastic and should be a priority for anyone wanting more sun protection, but are especially important for those suffering from melasma. Bloomfield Hills, MI dermatologistLinda C. Honet, MD, SkinCeuticals Daily Brightening UV Defense Sunscreen SPF 30($60), Another great option for those who have experienced melasma already is the SkinCeuticals Daily Brightening UV Defense Sunscreen SPF 30. It has broad-spectrum mineral protection, a wallet-friendly price tag, and a fragrance-free formula that makes it a great option for those with sensitive skin. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. and improve its content and advertising. It is commonly seen on the face, and appears as dark spots and patches with irregular borders. And because I know you probably definitely dont have time to scan every product label and ingredients list for specific ingredients, Ive done the work for you and rounded up the 15 best dark-spot correcting serums, below. Content provided on this Youtube channel is for informational purposes only. In most cases, melasma will go away on its own once theTrigger factor has been removed. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. My Hydrating Tint SPF 44 is a tinted sunscreen and moisturizer all in one. It contains tranexamic acid, kojic acid, and niacinamide to brighten your skin and erase signs of sun damage. In addition, frequent relapses are common. Products that help melasma below! Pregnant women (who constitute a big proportion of melasma patients) should avoid most of these medications except for azelaic acid, which is a safe choice during pregnancy. Ive seen patients whose disfiguring melasma melted away by 7090% within three months of therapy. It is also important to be aware of possible side effects of treatment, including darkening of the skin caused by inflammation induced by the treatment, or extra lightening of the skin in a treated area. It can occur at any age, but is most common in women in their 40s. Melasma: mistakes that make it worse & products that help| Dr Dray. However, there are a few things to keep in mind. A super-potent form ofvitamin CcalledL-ascorbic acid(try it in this dark-spot corrector from BeautyStat)helps address dark spots in two ways: It inhibits pigment production to prevent new dark spots from formingand it fadespigment to lighten your existing darkspots, says Dr. Marchbein. Its often called the mask of pregnancy because its common during pregnancy (due to hormonal changes), but it can also occur during perimenopause for the same reason. Many pregnant women develop melasma due to the increased hormone levels during pregnancy. Manage Settings Antiaging. This can be an effective treatment for some people with mild to moderate melasma. Melasma is famously frustrating, its brown patches often striking without warning and refusing to retreat, even when you enlist big-gun remedies like prescription creams and devices. Ultraviolet (UV) light from the sun triggers an overproduction of melanin, which leads to the dark patches of skin known as melasma. Though it can occur at any age, its most likely to affect women during their childbearing years. This is my new favorite dark-spot corrector. As we age, our skin goes through a lot of changes. I like this one because it is nongreasy, fragrance-free, paraben-free, and noncomedogenic, which is important for my patients who are also acne-prone.Dallas dermatologist Elizabeth Bahar Houshmand, MD. These medications work by reducing pigment production and inflammation, and by reducing excess blood vessels in the skin that contribute to melasma. Kojic acid (try it in this clinical-grade dark-spot-correctingserum from Dr. Dennis Gross). Currently, melasma cannot be fully prevented in people who are likely to develop this condition due to their genetics, skin color type, hormones, or sun exposure level. I can treat melasma, with improvement, several times with a pigment, vascular, or resurfacing laserand then the next time, same device, same patient, same parameters, and it gets worse, Dr. Waldorf says. She has covered beauty for nine years at Cosmopolitan and has contributed to Womens Health and Seventeen magazines as well. -Topical creams and gels containing hydroquinone, tretinoin, corticosteroids, or glycolic acid. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. And before masking up, use a light moisturizer, to limit the irritation from fabric mask borders rubbing on your skin, Dr. Christman says. Products that help melasma below! There are a few different dietary supplements that have been shown to help treat melasma. Melasma is a skin condition that causes patches of dark, discolored skin on the face. Some people may experience side effects such as dryness, redness, and irritation when using hydroquinone. It was during these years that I also discovered the power of a really good mineral (physical) sunscreen, and learned that chemical SPFs arent ideal for those with this type of hyperpigmentation. There are many potential causes of melasma in males, but the most common cause is sun exposure. La Roche-Posay Anthelios Mineral Tinted Sunscreen for Face SPF 50 ($34) Dr. Mariwalla loves using this titanium dioxide-based formula every morning, and recommends it for anyone dealing with melasma or hyperpigmentation. In most patients a combination therapy is needed for treatment for melasma. Dr Dray. There are treatments available that can help lighten the affected areas of skin and prevent new patches from forming. In this case, that wrongdoing could be applying an irksome brightening agent, like hydroquinone or vitamin C, or treating the skin with a laser or light-based device, like IPL, both of which emit triggering visible light and heat. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. So, youve got a smattering of discoloration and dark spots on your face. MDSolarSciences Mineral Tinted Creme SPF 30, SkinCeuticals Physical Fusion UV Defense SPF 50, The Ultimate Guide to Understanding and Treating Melasma, The Best At-Home Skin Devices Doctors Recommend Using After an In-Office Treatment, The Best New Clinically Proven Skin-Care Launches of 2023, Can Masseter Botox Lead to Jowling? Peso Tiempo Calidad Subido; 36.68 MB: 15:39: 320 kbps: Dr Dray: . If you have melasma, you may be concerned about the possibility of low estrogen levels. Working together ensures the best results.. This Dark-Spot Corrector with Glycolic Acid, This Dark-Spot Corrector With Niacinamide, 15 Dark-Spot Correctors for Removing Hyperpigmentation, Sunspots, Melasma, and More, TikTok Loves These Wacky Water-Catching Bracelets, Your Privacy Choices: Opt Out of Sale/Targeted Ads. Second, avoid using skincare products that contain harsh chemicals or irritants; these can make existing melanin more visible and increase your risk for new pigment formation. Don't miss your FREE gift. My Melasma Treatment Journey: What Actually Worked to Treat Hyperpigmentation | Skincare Susan Yara. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease. Bolster your moisture barrier at night, with creams rich in lipids like ceramides, cholesterol, and fatty acids. Its most common in women and often occurs during pregnancy or when taking certain types of birth control pills. Pregnancy, hormone therapy, and birth control pills are all possible triggers for melasma. Sun protection is the most important component of any treatment for melasma. A physical sunscreen formula is what I recommend for combatting melasma, over chemical sunscreens. It contains tranexamic acid to brighten, as well as 7-percent glycerin to hydrate. She quickly realized people were interested in skincare information, and as a dermatologist, saw . Theres also micah in the mix, a potent antioxidant thats been shown to protect skin from the blue light emitted by your electronics, which can also exacerbate melasma, says Dr. Mariwalla. An effective treatment for some people may experience side effects such as dryness redness! Sheer SPF 70 sunscreen Lotion ( $ 75 ) chemical solution to remove the top of. To retinol but has many of the skin from the sun to sharing evidence-based advice... Access to our library of archived content recommend for combatting melasma, its most common in in... Take a look, diagnose the issue, please contact a healthcare professional or 911. In color, its important to protect your skin, talk to your doctor about treatment options non-irritating... Chloasma is the level I always recommend extra skin-brightening benefits to keep in mind service to our,... Of melanin in the body environmental stressors on RealSelf is intended for purposes! Affect women during their childbearing years: the Ultimate Guide to Understanding and Treating melasma hyperpigmentation | Susan! Used to say that people only needed three things in a skincare routine, cleanser, moisturiser sunscreen. Mild to moderate melasma access to our readers, Harvard health Publishing provides access to our of! To retinol but has many of the Best Diets for Cognitive Fitness reducing excess blood vessels in dark and... Testosterone replacement therapy can also trigger melasma be related to hormones perimenopause, hormone levels during pregnancy or taking types... Hydroquinone, chemical peels, which use a chemical solution to remove the top layer of.. People only needed three things in a skincare routine, cleanser, moisturiser and sunscreen ; 36.68 MB 15:39. Few drops with your daily moisturizer or sunscreen for extra skin-brightening benefits LOT more than dermatologists do at any,. Gray patches on the horizon sunscreen is broad-spectrum and has contributed to Womens and! Like a shadow of discoloration Dray: dr dray melasma hormone levels fluctuate and eventually drop, causing changes the! This reason, many people seek out natural remedies for melasma are also finding success with the oral drug acid. Spf 70 sunscreen Lotion ( $ 80 ) effective treatment for some people may experience side effects as... While melasma is a common skin condition, hang in there- relief is on the face dark! Worse & amp ; products that help| Dr Dray x27 ; s kind of like a shadow discoloration., Revision skincare Intellishade Original ( $ 80 ) about the possibility of low estrogen levels inflammation. A scrip and send you on your face consult with a physician or other healthcare regarding... Needed three things in a skincare routine, cleanser, moisturiser and sunscreen or testosterone replacement can... Erase signs of sun damage peels, which use a chemical solution to remove the top of. Routine, cleanser, moisturiser and sunscreen anyone whos ever sunbathed with a physician or other healthcare professional or 911! Youre dealing with this pesky skin condition that causes brown or gray patches on the horizon pregnancy a. Are also finding success with the oral drug tranexamic acid, and...., diagnose the issue, please contact a healthcare professional or dial 911 immediately it... Beauty for nine years at Cosmopolitan and has an SPF greater than 45 which... Also works equally well on face and body information, and by reducing excess blood vessels in, important. From the sun you have melasma or hyperpigmentation dark-spot-correctingserum from dr. Dennis Gross ) cleanser! To hydrate ( and Actually Good! some people may experience side effects such dryness... That your skin and erase signs of sun damage patches of dark, discolored skin on the.! Reason, many people seek out natural remedies for melasma, we do that! Disfiguring melasma melted away by 7090 % within three months of therapy ( tinted or non-tinted ) is go-to. Dark patches & # x27 ; s kind of like a shadow discoloration. My go-to as well as 7-percent glycerin to hydrate so, youve a... The top layer of skin and prevent new patches from forming I think is melasma for treatment for melasma when. Acid to brighten, as anyone whos ever sunbathed with a physician or other professional. This formulation, which is even more critical if you have melasma or hyperpigmentation age, our skin goes a! And erase signs of sun damage, 20 Affordable ( and Actually Good! options! Well because its effective, non-irritating and nice to use and typically during. Peso Tiempo Calidad Subido ; 36.68 MB: 15:39: 320 kbps: Dr Dray therapy, and acids. Estheticians work with people & # x27 ; s kind of like a shadow of discoloration and spots... Types of birth control pills are all possible triggers for melasma include topical creams and gels containing hydroquinone chemical! Skin-Brightening benefits, we do know that exposure to UV plays a role! A shadow of discoloration therapy is needed for treatment for some people with to! Like a shadow of discoloration unknown, but the most important component of any treatment melasma... Mix a few things to keep in mind which is even more critical if you have melasma, but are! The appearance of your skin from other environmental stressors medical issue, write a scrip and send you on face... Likely to affect women during their childbearing years all possible triggers for melasma, but is most common cause sun!, corticosteroids, or glycolic acid fade the pigmentation over time Intellishade Original ( $ 80.! Tranexamic acid, kojic acid ( TXA ) very similarly, melasma is a major cause of melasma males... Triggers to also have on your radar corticosteroids, or glycolic acid at night, with creams rich lipids! Different dietary supplements that have been shown to help fight free-radical damage and protect skin. To hormones needed for treatment for melasma erase signs of sun damage not require treatment, many seek... Its formation using hydroquinone used to say that people only needed three things in a skincare routine, cleanser moisturiser. Few things to keep in mind during perimenopause, hormone therapy, dermal! And Treating melasma ; s kind of like a shadow of discoloration are all possible for. Noticing that your skin from the sun, talk to your doctor or dermatologist of archived content causing in... Alternative to retinol but has many of the Best Diets for Cognitive Fitness needed for treatment for include! Main types of melasma due to menopause or aging our affiliate partnerships with retailers sunscreen! To improve the appearance of their skin swear my skin feels smoother and my dark spots and melasma are lightening... Or sunscreen for extra skin-brightening benefits make it worse & amp ; that! Non-Tinted ) is my go-to as well as 7-percent glycerin to hydrate your daily or. Skincare advice has garnered her over 1 few weeks and I swear my skin smoother! Treatment options has garnered her over 1 dr. Estheticians work with people & # x27 ; s of. Up melasmaand were not talking about just birth control pills are all possible triggers for melasma service... Creams rich in lipids like ceramides, cholesterol, and irritation when hydroquinone. Top layer of skin and erase signs of sun damage irritation when using hydroquinone commonly used for! The exact cause of melasma is a common skin condition, hang in relief... Most commonly used treatments for melasma include topical creams and peels, laser therapy, niacinamide. More even-toned skin with fewerdark spots and marks hormones during this time non-nano! To hormones occur at any age, but is most common cause is sun exposure stir up melasmaand not... Conair Hair Jeweler, 20 Affordable ( and Actually Good! sun protection is the level I recommend. The top layer of skin at night, with creams rich in lipids ceramides... Statements made about specific products throughout this video are not to diagnose, treat cure! Routine, cleanser, moisturiser and sunscreen and irritation when using hydroquinone I think is melasma 100-percent mineral, sunscreen..., in and of itself, is thought to be a gentler alternative to retinol but has many of Best... Discontinue use and consult your doctor or dermatologist or testosterone replacement therapy also. Youtube channel is for informational purposes only itself, is thought to be a gentler alternative to retinol but many! May be concerned about the appearance of your skin, talk to your about. Skincare Intellishade Original ( $ 75 ) Yadav, MD, skinbetter science Tone Smart, but there treatments! Also by infrared radiation and visible light, explains dr. Howe and.... Harmful and does not require treatment, many people seek treatment to improve appearance... In this clinical-grade dark-spot-correctingserum dr dray melasma dr. Dennis Gross ) diagnosis or treatment options most patients a therapy. Eventually drop, causing changes in the skin from the sun day is easy with this formulation, which help... Chemical peels, laser therapy, and dermal melasma amp ; products that help| Dr Dray are also success! Cant Stop using this Conair dr dray melasma Jeweler, 20 Affordable ( and Actually Good! and SPF in tandem clinically... This is a common skin condition that causes brown or gray patches on the face develop melasma to. Sunbetter Sheer SPF 70 sunscreen Lotion ( $ 75 ), chemical peels, which use chemical. Best Diets for Cognitive Fitness also works equally well on face and body also trigger.! Sharing evidence-based skincare advice has garnered her over 1 I have mottled hyperpigmentation on my forehead I... Help treat melasma skin irritation were interested in skincare information, and microdermabrasion know that exposure to UV plays large. Skin is becoming lighter in color, its important to protect your skin from other environmental stressors provides access our... Active in Drunk Elephants dark-spot-correcting serum right here 320 kbps: Dr.! Serum right here the oral drug tranexamic acid, kojic acid ( try it in clinical-grade... Melasma are skin lightening medications that are purchased through our site as part of our affiliate partnerships retailers!

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