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Using a broad-spectrum sunscreen with at least SPF 30 daily is crucial, as UV exposure can exacerbate melasma

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doi: 10.1210/clinem/dgaf053

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Most recent Cigna/Express Scripts formulary updates reviewed: January 2026 Cigna Plans & Express Scripts Unlike BCBS (which operates as 33 independent affiliates), Cigna operates nationally through Express Scripts, its pharmacy benefit manager (PBM)

Another study found that FM patients had decreased delta and beta wave activity in the parietal cortex, which is involved in sensory processing and spatial awareness 87,88