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he could have liver problems, cortisol hormone problems, thyroid hormone abnormalities,
he needs to see a doctor and get some blood testing to find out what may be wrong.
is he willing to see a doctor for some blood tests and evaluation?
high blood cortisol levels can cause cushinoid rounded face swelling changes and can cause itching
thyroid hormone problems can cause itchiness of the skin.
poor diet and certain foods can cause chronic gastritis.
puffy face can also be due to weight gain and poor diet and inflammation in the body.