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doi: 10.3390/antibiotics11081079 184 Valenzuela-RojoR

Patient-reported outcomes and other measures were assessed cross-sectionally at initiation of biologic therapy and included the following: Dermatology Life Quality Index (DLQI), itch visual analog scale (VAS), skin pain VAS, fatigue VAS, Psoriasis Epidemiology Screening Tool (PEST), psoriasis disease characteristics, and medical history

This is why comprehensive hormone panelsnot just total testosteronematter

BMJ 385 , e078483 (2024)

Advise patients using oral hormonal contraceptives to switch to a non-oral contraceptive method, or add a barrier method of contraception for 4 weeks after initiation with ZEPBOUND and for 4 weeks after each dose escalation