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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

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Patients experiencing frequent vomiting should be monitored for signs of dehydration and may require temporary dose reduction or supportive care measures

Body Pharm's advantage is transparency: a confirmed pre-filled pen, a stated 16 mg + 16 mg split, and a full published HPLC Certificate of Analysis where Alluvi's format, split, and COA are not shown at the Synedica point of sale