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Digestive issues like diarrhea or constipation can follow within the first day or two

32 Last, for chronic ACD that is resistant to topical treatments, phototherapy (bath psoralen plus ultraviolet A photochemotherapy or narrowband ultraviolet B has demonstrated clinical improvement in chronic hand eczema cases), or systemic immunosuppressive medication (such as oral methotrexate, cyclosporine, mofetil, azathioprine, mycophenolate) are used

And when food is no longer serving as a source of comfort, whatever it was helping you cope with doesn't necessarily disappear

Labrie, Fernand, et al

And I think that comes from implicitly some obesity bias, some misunderstanding about obesity