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MSM helps melasma if sufficient quantity is taken. However, MSM is not sold in Thailand. Although a common acne medication such as azelaic acid and retinoic acid may reduce some of those issues. It is said that excessive production of estrogen and progesterone brings about melasma, although I believe that vitamin E 400 i.u. also tends to normalize some of these hormone imbalances as this is one of remedies used to alleviate menopause, which is a hormonal imbalance.
(Tagbileran, Phillipines)
05/30/2009