Azelaic acid during pregnancy Azelaic acid via topical application is considered safe for use during pregnancy and has good research showing it can improve brown skin discolourations plus help with breakouts and rosacea-prone skin
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The evidence base for systemic human applications, however, is not yet at the level required to make confident clinical recommendations which is precisely why the research continues
For context: 2kg over 12 weeks is real but modest compared to GLP-1 receptor agonists like semaglutide (which produces 10-15% body weight loss)
