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Oxidative stress is responsible for triggering increased DHT production in scalp follicles, but the copper complex inhibits this stress by enhancing the production of SOD (Superoxide dismutase), which neutralizes potent free radicals like superoxide

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A three-month course of oral lymecycline 408mg daily was advised, with topical ketoconazole cream twice daily to affected areas on the face, aiming to wean this down to once or twice per week over the following few weeks as the rash improved

Do not double up on doses as this can lead to an overdose