My skin gets tanned very easily, even when I apply high spf sunscreen. I know that controlling tanning is hard because it is my skin's tendency to protect from sunrays. I want to know if there any effective methods for de-tanning my skin completely.

Elevated NT-proBNP levels indicate increased cardiac stress. With an LVEF of 25%, your mother's heart is under significant strain. High NT-proBNP levels can indicate a higher risk of adverse cardiac events. Consult her cardiologist about adding medications to reduce NT-proBNP levels and alleviate cardiac stress. Medications like ACE inhibitors, beta-blockers, or ARBs may be prescribed. Close monitoring of her condition, including regular echocardiograms and blood tests, is crucial.