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Physical trauma, known as the Koebner phenomenon, can induce the appearance of vitiligo patches in areas of repeated friction, wounds, scars, and pre-existing lesions of contact eczema or psoriasis.76 Exposure to chemicals, such as phenolic derivatives, generates a melanotoxic effect in vitiligo by inducing oxidative stress and causing direct damage to melanocytes

Glutathione use may vary depending on the type of cancer and treatment plan

& Aveleira, C

Enzymatic O-methylation of N-acetylserotonin to melatonin

Your provider can order appropriate testing to guide treatment decisions

I also know people that are taking oral versions of this and I think that science has shown that thats completely useless