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The most common alternative is retinoids - either tretinoin by prescription, or retinol over the counter

Because fat compounds a delay that is already happening

Thromb Haemost 69(3):236239 Cleveland WS, Devlin SJ (1988) Locally weighted regression - an approach to regression-analysis by local fitting

Microscopically, there is increased pigment in the basal and parabasal cells of an otherwise normal stratified squamous epithelium (the layered surface lining of the mouth)