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You may consider clinical assessment if: Pigmentation is long-standing or resistant to topical care Melasma remains persistent despite conservative management Post-inflammatory hyperpigmentation does not gradually fade Sun damage is extensive Treatment recommendations should always be individualised after medical evaluation

Tip: Two key principles guide your interlaminar injection coding: (i) anatomical localisation of the injection in the spine and (ii) use of imaging guidance for the procedure

Aim for at least 1,2001,500 calories daily (individualized to your body size and activity level) and 100+ grams of protein

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