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Treatment strategies should be individualized based on patient factors, underlying causes, and treatment tolerability

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Baseline photographs from 4+ angles with consistent lighting Progress photos at 2-4 week intervals Daily shedding observations during washing Scalp feel assessments noting any changes in texture or oiliness Hair texture notes including thickness, strength, and shine Side effect logging including injection site reactions Overall subjective satisfaction ratings Hair density counts provide more objective measurements for those wanting detailed tracking

If the muscle actually tenses during the injection, that can create more damage, inflammation and discomfort, says Dr

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