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The FDA-approved branded product (Vyleesi) is indicated for the treatment of acquired, generalized hypoactive sexual desire disorder in pre-menopausal women

1 Riehls melanosis (RM) is an acquired hyperpigmentation disorder, presenting diffused and reticulate brownish-gray pigmentation, preferentially on the face and neck, and the histopathological features include basal cell liquefactive degeneration, dermal melanin incontinence and/or lymphohistiocytic infiltrate, and upper dermal melanophage infiltration

Effects fade when you stop, and chasing permanence with continued high-dose injections is where the safety risk climbs

It is the standard biological timeline of regeneration