KaramMD on Instagram: "Perimenopause and menopause are major accelerators of visible skin aging. Hormonal shifts reduce collagen, increase pigmentation, and deplete moisture, leading to fine lines, dryness, dullness, and uneven tone. That’s exactly why Dr. Karam developed the KaramMD Trifecta. Powered by ingredients like retinol, vitamin C, peptides, niacinamide, botanical brighteners, hyaluronic acid, and gentle exfoliation, the Trifecta is designed to support collagen, improve tone, restore hy