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Eur J Obstet Gynecol Reprod Biol 160(1):7478

Triggering Factors Against a genetically predisposed background, certain triggering events can precipitate the onset or worsening of vitiligo: Intense emotional stress (grief, separation, psychological shock) particularly frequent Skin trauma : phenomenon of Koebner (appearance of spots on friction areas, cuts, burns, tattoos) Severe sunburn Pregnancy, childbirth, menopause (hormonal fluctuations) Viral or bacterial infections Certain medications (rare cases of induction by interferons, cancer immunotherapies) Key takeaway: vitiligo is never "the patient's fault"

Your cells work hard and need support to stay healthy

Its tied to cortisol levels, insulin sensitivity, blood pressure, and even your mood

When it's chronically overloadedfrom running, standing for long periods, or even improper footwearit develops microscopic tears