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This design choice introduces potential bias, particularly for subjective outcomes, but it reflects the practical reality that these treatments have different injection devices and titration schedules that would make blinding extremely difficult

Using a mild shampoo free of sulphates and parabens helps maintain a balanced scalp microbiome, the foundation for healthy follicles

Protocol integration: Take AREDS2 daily (PreserVision, Macuhealth, or equivalent)

Chemotherapy induced gastrointestinal toxicities

Transition Phase After the first phase, clients may transition to weekly injections for a few weeks