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Clark KD, Strand MR (2013) Hemolymph melanization in the silkmoth Bombyx mori involves formation of a high molecular mass complex that metabolizes tyrosine

2017;96:e7637

Brunner G

Levels of several hormones such as melatonin, cortisol, sex hormones, thyroid stimulating hormone as well as a number of metabolic factors vary across the day, and some of them, in turn, can feedback on circadian clock rhythms

Thats the reason why this treatment is addressed as may be a cure which is normally never used for any other vitiligo treatment

51,52 Whether or not resection of the CMN or other treatment methods are attempted, patients should be followed closely and any nodules or areas with suspicious changes examined histo-logically