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Mller TD, Finan B, Bloom SR, D'Alessio D, Drucker DJ, Flatt PR, Fritsche A, Gribble F, Grill HJ, Habener JF, Holst JJ, Langhans W, Meier JJ, Nauck MA, Perez-Tilve D, Pocai A, Reimann F, Sandoval DA, Schwartz TW, Seeley RJ, Stemmer K, Tang-Christensen M, Woods SC, DiMarchi RD, Tschp MH

ET: This article was updated to correct Trump's age and the date when he took office for his second term.

While the exact cause of melasma is not fully understood, hormonal changes , particularly increased levels of estrogen and progesterone, play a significant role