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You should see a dermatologist if: Spots are persistent and not fading OTC products and home remedies fail to show results Pigmentation is worsening or spreading Getting early expert help ensures the right treatment for dark spots on face and prevents further darkening

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That distinction matters because “better for some people” is not the same as “best for everyone.” ‍ IUDs, injections, and implants These options can feel harder to compare because they differ in dose, delivery, and how much hormone reaches the whole body