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Of note, all of these patients had the following risk factors: phototype I or II, multiple melanocytic nevi, personal and family history of melanoma, regular use of tanning beds, and repeated exposure to sunlight

Rare but serious events, such as kidney infarction and hormonal imbalance, have been described in case reports, though causal links remain uncertain

Step 2 Fixing Lotion Apply Step 2 evenly to lashes or brows after Step 1

For mild, non-bloody diarrhoea without fever, short-course loperamide may be considered following pharmacist or clinician advice, in line with NHS self-care guidance

"4-Norleucine, 7-D-phenylalanine-alpha-melanocyte-stimulating hormone: a highly potent alpha-melanotropin with ultralong biological activity"

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