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This enhanced melanin deposition occurs without a corresponding proliferation of melanocytes, distinguishing these macules from other pigmented oral pathologies

Hormone Replacement PT-141 Advantages: Non-hormonal approach (doesn't affect testosterone or estrogen levels) Works immediately when taken (30-60 minutes) No long-term hormone monitoring required Fewer systemic effects than hormone replacement Can be used as-needed basis Hormone Therapy Advantages: Addresses underlying hormonal deficiencies Provides broader health benefits beyond sexual function May be more appropriate for significant hormone imbalances Long-term solution for age-related hormone decline Combination Approach: Many patients benefit from combining optimized hormone levels with PT-141 for enhanced sexual wellness

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