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Foam sclerotherapy mixes the sclerosant with air or gas to create foam, displacing blood more effectively and enhancing contact with the vein wall, especially useful for larger or tortuous varicose veins.
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In refractory cases, repeat sclerotherapy spaced several weeks apart allows safe cumulative dosing, gradually reducing resilient or recurrent vein segments.
The number of sclerotherapy sessions varies; small clusters might clear in one or two visits, while extensive networks of spider veins often require several staged treatments.
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