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(PubMed) Steinbrecher A, Meplan C, Hesketh J, et al

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While the exact cause of melasma is not known, the condition can be triggered by exposure to UV rays from the sun, sunlamps, or tanning beds and hormone fluctuations from pregnancy, puberty, or hormonal birth control pills

Always consult a qualified healthcare professional before considering any new injectable therapy

Pain tolerance varies from person to person

Confirmatory data are also needed to determine if chemo-induced carnitine insufficiency increases malaise or fatigue (58) (59)