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All authors participated in the preparation of the manuscript and approved the final manuscript

received funding from DFG under Germanys Excellence Strategy EXC-2049 390688087, Collaborative Research Center ReTune TRR 295-424778381, Clinical Research Group KFO 5023 BeCAUSE-Y, project 2 EN343/16-1

Despite plentiful evidence showing improvement in acne, several studies have failed to show a significant reduction in sebum output after PDT with ALA.[67,68] However, one supportive study found that lower sebum excretion persisted even 20 weeks after multiple PDT sessions, but not after a single PDT session

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Berries: Unwashed berries can carry pathogens, but they are not classically associated with life-threatening infections in hemochromatosis D