Essential Rewards (ER) is Young Livingâs monthly autoship program. There is no cost to sign up for this program, and your order must be at least 50PV each month (50PV usually equates to $50 before tax and shipping). ER is not required, but it does have some really great benefits:
acral (not comparable) Of or pertaining to peripheral body parts, such as toes and fingers. Acral melanoma is a type of skin cancer that occurs on fingers, palms, soles, and nail beds. Acral distribution of a dermatosis means it affects distal portions of limbs (hand, foot) and head (ears, nose).
Acral mutilation syndrome (AMS) is a rare autosomal-recessive genetic sensory neuropathy of dogs that results in progressive mutilation of the distal extremities.uto-amputation of claws, digits and footpads occurs in severe cases, with acral changes including swollen reddened paws, paronychia, palmar and plantar ulceration, nail loss and painless fractures.