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Tulsi Kotecha is the founder and medical director of Refine by Tulsi, a physician-led aesthetic and wellness practice with locations in Lincoln Park and Logan Square, Chicago

However, certain circumstances warrant professional evaluation to ensure safety and exclude underlying pathology

Start with fundamentals like sleep, protein- and fiber-rich meals, daily movement, and morning light exposure

We at the Observer say its all about balance: a smoothie at lunch one day and maybe a Big Mac the next.

Clinical misdiagnosis rates up to 87.5% are documented in peer-reviewed studies, with most lesions present for over 12 months before correct diagnosis

Beigi Harchegani A, Dahan H, Tahmasbpour E, Bakhtiari Kaboutaraki H, Shahriary A