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Obes Res (1994) 22:1106

There are a few things youll want to be careful of with physical scrubs: Scrubs that are too abrasive, causing micro-tears in the skin if used too vigorously Most scrubs will not penetrate deeply enough to break down the keratin build-up that causes bumps to appear Using scrubs for continued smoothness requires frequent scrubbing, which can lead to over-exfoliation, worsening inflammation and redness Exfoliating tools These are tools like loofahs, brushes, or gloves/mitts used in the shower to exfoliate the skin

There are also patients who have complex medical processes and there could be tremendous renal implications to these medications