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Vitiligo can lead to several complications that extend beyond the skin

Counsel patients to report symptoms of thyroid tumors (e.g., a lump in the neck, persistent hoarseness, dysphagia, or dyspnea) to their healthcare provider [see Boxed Warning and Warnings and Precautions (5.1)]

For the purpose of anti-aging therapy (with no surgical adjunct), I typically place patients on one IV infusion monthly, maybe a few times the first month, and then encourage subcutaneous doses weekly or every two weeks in between