Please be aware that with any injectable there is the possibility of bruising. This is not considered an “adverse reaction,“ Only a side effect that some clients experience. Avoiding certain supplements or medications (blood thinners) 10 days prior to dermal injections will help minimize the risk of bruising. However, prescribed medications should not be stopped until discussed with your physician. Over the counter products most commonly responsible for bruising are: Ibuprophin (Motrin, Advil) Naproxen (Naprosyn, Aleve, Anaprox, etc) Aspirin or other non-steroidal anti-inflammatories Vitamin E Fish Oil Garlic Ginkgo Biloba St. John's Wort Horse Chestnut Chondroitin MSM Cayenne Ginger and Cinnamon Turmeric The effects of these products and other prescribed medications may last as long as 10 days in the body so stopping them the day before may not help avoid the issue. Alcohol consumption can also promote bruising so avoid it 2 days prior to your appointment. For 2 days prior and 4 days after your procedure, some people find it helpful to take:​ 500 mg. Bromelain orally twice a day 30 c. of Arnica Montana sublingually, can take up to 5 pellets 3 times a day Arnica gel applied topically up to 4 times per day Auriderm gel (Vitamin K oxide) applied up to 4 times a day ​ The use of ice packs and head elevation after your appointment may be beneficial. Do not exercise, bend over, lift heavy objects, or overexert yourself for 24 to 48 hours after the procedure Please feel free to discuss any concerns with our staff or Dr. Cadoux directly.