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The National Institute of Arthritis and Musculoskeletal and Skin Diseases explains that new skin cells typically take about a month to cycle to the surface of the skin, but with psoriasis skin cells quickly rise from their origin below the surface of the skin and pile up on the surface before they have a chance to mature, perhaps within only a few days time

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Clinical concerns include: Post-operative anemia Delayed tissue repair Reduced tolerance for physiotherapy Prolonged fatigue Iron infusions may be used pre-operatively or post-operatively to optimize hemoglobin and ferritin levels, supporting efficient surgical recovery

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