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Start with 0.5-1mg daily if injecting, or a 1-2% topical product applied once daily

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a single bad burn can produce multiple new patches Medical procedures injections, surgical scars, tattoos, and even vaccinations Chemical irritants harsh exfoliants, bleaching agents, or depilatory creams Waxing and hair removal the trauma of ripping hair from the root is a known Koebner trigger Sports and physical activity friction from shin guards, helmets, or equipment padding Childhood scrapes and falls explaining why knees are often the first site for childhood vitiligo How to Protect Your Skin from the Koebner Phenomenon 1

The split-dose protocol used by many compounding telehealth clinics is intended to smooth the Cmax peak that drives nausea: tirzepatide has a roughly 120-hour half-life (StatPearls pharmacokinetics) and once-weekly dosing produces a peak 8 to 72 hours post-injection where GI side effects cluster

In addition to the initial water retention and contouring benefits, H.A