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Follow physical therapy guidance progressing loading based on pain response, healing timeline, functional testing

It is postulated that neurotransmitters or neurochemicals released by nerve endings, specifically substance P, can be toxic to melanocytes, causing their destruction in specific areas.92,93 The segmental distribution of vitiligo patches corresponds to the innervation of certain nerves, supporting this hypothesis.92,93 A study analyzing the presence of VZV in segmental vitiligo skin suggests a possible relationship between the 2

Iron supplementation should be guided by laboratory testing (ferritin, complete blood count) rather than empiric use