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Keratinocyte cultures from involved skin in vitiligo patients show an impaired in vitro behaviour

however, the carcinogenicity of acrolein is controversial (reviewed in Abraham et al

Surgery, typically laparoscopic excision, removes visible lesions

Dosing can vary for adrenal and thyroid glandulars but if you want to get started a dose of around 25 to 200mg of adrenal or thyroid glandulars is a good place to start