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Blood glucose was determined using a handheld glucometer (OneTouch Ultra Easy, LifeScan) following an overnight fast, and plasma insulin levels were quantified by ELISA according to the manufacturers protocol (Abcam)

Limiting sugars, refined carbohydrates, saturated fats, and high-fat animal products is recommended, as they may raise TSH and worsen inflammation (Baygut And Beyhan 2024)

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This mechanism is particularly relevant for Indian skin tones, where UV exposure and pollution significantly accelerate pigmentation concerns