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Meanwhile, the control animals continued to show incomplete healing, with persistent gaps filled by fatty tissue and weaker, less organized collagen fibers

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Theres also likely a hormonal factor: Youre losing facial fat, which acts as an endocrine organ, producing hormones like estrogen, and estrogen is important to the integrity of your skin, says Dr

While this concern comes largely from human medicine rather than strong equine evidence, it is still a reasonable precaution