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The California Physician Assistant Practice Act provides that they may perform procedures if all of the following conditions are met: The physician assistant (PA) is supervised by a physician

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"It's not safe if someone is pregnant, breastfeeding, or trying to conceive and usually has to be used only for a limited time period because if it's used for months without any breaks in the skin, it can actually cause worsening of the pigmentation." Bottom line: Dark skin under the arms is totally normal and totally nature, but if you choose to lighten the area, there are plenty of options at your disposal