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Patients were randomized to several groups, including topical melatonin only, topical melatonin plus screen, and a combination of topical and oral melatonin and hydroquinone 4% for 90 days

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Around 30% of patients start with bulbar symptoms, which affect the muscles used for speaking and swallowing, leading to problems like slurred speech (dysarthria), trouble swallowing (dysphagia), and twitching of the tongue muscles (Chi et al., 2013)

Serving Size: 12 sprays Servings per Container: approx 30 Ingredients Amount per serving: Proprietary blend 787mg *Daily value not established