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Poor graft survival is mainly presented as an absorption rate of up to 80%, liquefaction necrosis, and fiber calcification, which ultimately lead to unsatisfactory or failed surgical results [1]

8-week on, 4-week off example: Weeks 1-2: Assessment and dose finding (every other day) Weeks 3-6: Optimization phase (3-5 times weekly) Weeks 7-8: Maintenance (3 times weekly) Weeks 9-12: Complete break, no DSIP During the off period, focus on sleep hygiene fundamentals: consistent wake times, light exposure management, temperature optimization, and stress reduction