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So we tell patients that for the best results, they should select an experienced and skilled provider, clearly communicate what result they hope to achieve, and then allow the physician to select the tools to achieve that goal

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These injections are composed of a blend of ingredients such as vitamin B12, methionine, inositol, and choline

For example, peptides like sermorelin and ipamorelin boost growth hormone release

While I did not try ablative lasers, aggressive treatments that work by removing and rebuilding the outer layer of the skin, I tried non-ablative lasers (like Clear + Brilliant), chemical peels (such as the VI Peel, which initially was successful at lightening my melasma, but unfortunately didnt have a lasting effect), and an array of other skin care including tretinoin (a prescription retinoid) and glycolic acid