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Tranexamic acid has been studied extensively for melasma and has shown significant improvement, especially when combined with other brighteners like niacinamide or kojic acid

You may get several shots the first week or two after, but then decrease the frequency to once a month, while still maintaining the benefits

Maquart FX, Pickart L, Laurent M, et al

At Glitzy MD, we may evaluate factors such as: Hormone imbalances Testosterone and estrogen levels Thyroid function Iron and ferritin levels Vitamin deficiencies Stress Rapid weight loss Overall wellness and lifestyle factors Addressing underlying causes often leads to better long-term outcomes