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doi: 10.1111/head.12838 21

Common reasons include: Lack of natural oils: Dry skin produces less sebum, reducing protection Environmental factors: Cold weather, low humidity, pollution, and indoor heating Ageing: Ceramide and lipid levels decline with age Poor skincare habits: Over-cleansing, harsh products, hot water Dehydration: Not drinking enough water affects skin from within Because dry skin is both an external and internal issue, it often needs more than just surface-level care

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Hair loss and skin changes also contribute to the psychological burden of cirrhosis, necessitating a holistic approach to patient care