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It is diagnosed by your doctor or dermatologist if you are displaying the main symptoms like facial redness and irritation, once other skin health conditions like lupus or allergies are ruled out

doi: 10.1046/j.1525-1373.2000.22428.x 101

And they have to meet specific BMI or body mass index thresholds

The balance requires individualised assessment, taking into account your baseline metabolic rate, activity level, treatment goals, and overall health status