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This is a dissociation between what happens in the dermis (good) and what happens in the epidermis (potentially concerning for already-thin post-menopausal skin)

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Experiments ex vivo have shown that vinpocetine acts as a selective inhibitor of Ca 2+ /calmodulin-dependent cyclic nucleotide phosphodiesterase type I [21,108], a potent blocker of voltage-gated sodium channels [109,110], inhibits platelet aggregation, reduces blood viscosity, vasodilates cerebral arteries, and increases cerebral blood flow [111]

This has led some people to look into other options that may support healing rather than simply symptom control