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Other common triggers include post-inflammatory pigmentation after acne or injury, hormonal changes such as those seen in melasma, and we also see pigmentation linked to ageing, where uneven melanin distribution becomes more noticeable over time. In Dr Jaafars clinic, the most common causes of hyperpigmentation include: 'post-inflammatory pigmentation after acne or eczema, sun exposure which overstimulates pigment cells, hormonal changes such as melasma during pregnancy or with contraception and ageing and UV damage. What are the best ingredients to look out for when treating hyperpigmentation

The difference in the median rate-correct scores of the Stroop inhibition test after 24 weeks was significantly higher in the L-carnitine group than in the placebo group