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10.1016/j.ijwd.2019.01.001 109 SavilleC

Tong M, Gao M, Xu Y, Fu L, Li Y, Bao X, et al

After the formation of DQ, the pathway diverges into two pathways leading to the synthesis of reddish-yellow pheomelanin that requires the presence of cysteine, or brownish-black eumelanin due to adding an amino group to DQ with tyrosinase-related proteins 1 (TYRP1) and 2 (TYRP2) or dopachrome tautomerase (DCT)

However, timing varies between individuals, and treatment is most effective when guided by proper medical assessment