doi: 10.3746/pnf.2020.25.2.124 34
10.1023/A:1005592401947 5
A quick way to tell them apart Melasma, hormonal patches on both sides of the face, gets darker with sun exposure Post inflammatory marks, dark spots left behind after acne, cuts, or injury Sun induced pigmentation, flat brown spots built up from years of UV exposure, no hormonal link Uneven tone and dullness, general patchiness from genetics, sun, and skin ageing combined Hair dye related pigmentation, grey-brown patches around the hairline, temples, or ears after repeated dye use Lichen Planus Pigmentosus, slow developing grey-brown or bluish patches caused by inflammation, not the same as melasma Melasma Melasma shows up as brownish or greyish patches, usually across the cheeks, forehead, or upper lip, appearing on both sides of the face at once, and it is triggered mainly by hormonal changes such as pregnancy or hormonal contraceptives
Or perhaps a foggy head is making it impossible to face your responsibilities
Acetaminophen is used for recreational purposes by combining it with opioids or mixing it with alcohol to enhance feelings of euphoria