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You should NOT undergo microneedling if you: Additionally, microneedling has not been formally evaluated in patients with certain conditions, including active acne, rosacea, eczema, psoriasis, diabetes, active infections, keloid scarring, or those on blood thinners or immunosuppressive therapy

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Nutrients (2017) 9(5):521

A patient in perimenopause will not get the same duration as a twenty-eight-year-old on the same protocol, and that is normal physiology, not a failure of treatment