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Additional mistakes to avoid: Injecting through clothing rather than directly into clean, exposed skin Failing to rotate injection sites adequately, leading to lipohypertrophy Injecting cold medication directly from the refrigerator (if product IFU recommends warming) Removing the needle too quickly before the full dose is delivered Rubbing the injection site vigorously after injection Disposing of needles in regular trash rather than FDA-approved sharps containers Improper storage of medications is another significant concern

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induction of inflammation of viable melaoncytes followed by post inflammatory hyperpigmentation remains to be a proposed mechanism of TCA for activation of repigmentation in vitilgo patches 9
