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Your Fitzpatrick skin type determines your starting dose, loading duration, total cumulative dose, and maintenance frequency

Amouzegar A, Wu X, Long JP, Chen GW, Wong JW, Prabhakaran S, Little L, Gumbs C, Bota N, Malke J, Simon J, Zhang J, Nagarajan P, Davies MA , Tawbi H, Amaria RN, Oliva ICG, Ikeguchi AP, Su S, Hanna EY, Weiser R, Bednarski B, Sims TT, Mitra D, Wargo J, Gershenwald JE, Scheet P, Yu Y, Huff C, Nelson KC, McQuade JL, Futreal PA

It remains a useful surgery, but the recovery is long, and the side effects are significant

This allows for personalized dosages and can be a reliable path forward when branded options are unavailable