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I think the pills can make a difference, but they have to first be approved for use on the NHS and we then need services with the right teams to be able to manage their use in patients

Bauer AZ, Swan SH, Kriebel D, Liew Z, Taylor HS, Bornehag CG, et al

Steroid production in the skin is directly dependent on local enzymatic activity (e.g., aromatase), substrate availability, and mobilization of signal transduction and gene expression pathways, and can be modulated by several internal and external factors, including growth factors, inflammatory cytokines such as IL-1 and TNF, cAMP analogs, and glucocorticoids such as dexamethasone (Tkachenko et al., 2011

The change in insulin balance appears to be the most important of the driving forces toward obesity and metabolic syndrome with the antipsychotics