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Microneedling the scalp before application is a common practice to improve delivery, and some limited evidence supports this approach
Its typically offered to people with a BMI over 40 , or over 35 if they have an obesity-related condition such as type 2 diabetes or high blood pressure
clinics mitigate this with sterile technique, but immunocompromised EDS patients or those with vascular EDS must be especially cautious
Youll see this as white precipitate when the vial thaws
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