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Gassman N

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doi: 10.1017/S0007114524001405 182

Here is what the clinical evidence actually tells us: cosmetic procedures such as laser, microneedling, and filler do not have a documented mechanism for causing tongue hyperpigmentation in the available research

If diet is a factor, adjusting what you eat alongside treatment helps maintain stable levels

A burning or sharp pain during injection (this may indicate you've hit a blood vessel or muscle) Medication leaking out of the injection site Injection site reactions like bruising, swelling or redness that worsen after the injection Shortness of breath call 911 if this occurs The medication isn't having its intended effects, such as reduced appetite