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Surgical Options In cases where vitiligo is stable and has not changed for a long period, surgical options may be considered: Skin grafts from pigmented areas Transplantation of pigment cells Techniques that encourage re-pigmentation in stubborn or resistant areas These procedures are typically reserved for small, localised patches that have not responded to other treatments

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Sleep: If fatigue is a major symptom, protect a consistent bedtime and limit late caffeine

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