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Statements Author contributions YX and MW designed the manuscript

Read article Skin Care Chemical Peel for Hyperpigmentation and Melasma How chemical peels help treat hyperpigmentation and melasma, what to expect, and physician-led care at True Bliss Medical in Verona, New Jersey

Previous medications offered modest 5-10% weight loss at best

Ipamorelin Dosing Schedule (Community-Derived) Phase Assessment Timing Week 1 Daily Dose 100 mcg/day Frequency 1x at bedtime, fasted Phase Titration Timing Weeks 2-3 Daily Dose 200 mcg/day Frequency 1x bedtime, or split 100 mcg AM + 100 mcg PM Phase Standard Timing Weeks 4-8 Daily Dose 200-300 mcg/day Frequency 1-2x daily (AM fasted + bedtime is common) Phase Extended Timing Weeks 9-12 Daily Dose 200-300 mcg/day Frequency Continue if tolerated

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Peptides sold outside GMP-certified pharmaceutical supply chains can contain peptide content ranging from well below stated concentration to containing incorrect sequences