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Count by lesion, not by injection pass: if you inject two concentrations into the same lesion, that is still one lesion Bilateral lesions count separately: a keloid on each earlobe = 2 lesions Document the tally explicitly: “12 acne lesions injected on the face and chest” beats a generic reference to “multiple lesions” Threshold is 8, not 7: seven lesions = 11900

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doi:10.1093/jn/138.1.130 Tutelyan VA, Makhova AA, Pogozheva AV, Shikh EV, Elizarova EV, Khotimchenko SA