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While the exact cause of vitiligo is still unknown, researchers believe that vitiligo causes involve a combination of genetic predisposition, environmental triggers, and autoimmune factors which ultimately cause the destruction of melanocytes the cells responsible for producing melanin which give skin its color

Richard Choi (@rkchoi) for thoughtful comments on this chapter

GLP-1 medications run between $617 and $766 per month at list price and when large employers began covering them at scale, the impact on pharmacy benefit spending was immediate and significant. The numbers tell the story clearly