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TERRIBLY dry skin

I am 4 months post op. I have had dry skin issues since about a week or two after surgery, which I felt was fairly normal. My water intake was dramatically reduced. Now I get at least 60oz a day and lotion with heavy cream at least once a day but do often times lotion up twice. I used Palmer's cocoa butter (I swear by it). But my stomach skin and hands are still dry. Any one have any thoughts or ideas on this?

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