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Treatment with TCC is found to be superior to the rest.[11,12,13,14,15,16] TCC in combination with chemical peels yields better results than either therapy alone.[17,18,19,20] TCC is found to be comparable in efficacy to intralesional tranexamic acid (TXA) and intralesional triamcinolone acetonide[21,22,23] TCC in combination with laser therapy yields better results than either therapy alone.[24,25,26,27,28,29,30,31,32] HQ cream HQ 4% creamstrength of recommendation B, LOE 1

However, because sermorelin typically comes in a lyophilized (freeze-dried) powder form, it must be properly reconstituted with bacteriostatic water before use