https://drive.google.com/file/d/1KggD5gx1wkkUxCnFjBW0GGSrIAtizLE2/view?usp=drivesdk

Finding a reliable and trustworthy family dentist is crucial for maintaining optimal oral health for yourself and your loved ones. Family Dentist In King County, one name that stands out is Sunrise Dental. With its commitment to exceptional dental care and a wide range of services, Sunrise Dental has become a preferred choice for families in the area. the benefits of choosing Sunrise Dental as your family dentist.
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Sunrise Dental is the ideal choice when selecting a family dentist in King County. With their comprehensive services, experienced dentists, advanced facilities, focus on prevention, family-friendly atmosphere, and emergency care, they provide the highest level of dental care for patients of all ages. Schedule an appointment today and experience the difference a dedicated family dentist can make in your oral health journey. Make Sunrise Dental your partner in achieving and maintaining healthy, beautiful smiles for your

I (F33) love my partner (M44) and he’s accepted me and my 3 kids in a very caring way but I am unsure if I’ve overlooked the importance of certain issues and would like to know if any of them are correctable so that we might move forward to marriage.
My partner and I made our relationship official over a year ago. I could tell he was very much into his work and used to living his bachelor lifestyle. We dated, developed strong feelings for one another and got serious, he met my kids, we talked future.
Everything was great although there was stress because he stepped up to fill his manager’s (we’ll call him Sam) role as a way to expedite his career advancement-advice from Sam’s boss (we’ll call her Trish). On rare occasion he was a bit flakey -making plans and then not following through or forgetting- but we talked about it and it seemed to improve. After months of dedication he was not offered the job by Trish who said her hands were tied.
Trish and Sam both followed a mutual colleague to another company and soon my partner followed. We went long distance at this point but he instantly became consumed with work. Sam eventually started having issues at work with people not liking the way he did things and my partner stepped in to help.
Soon, Sam went on various trips and medical leave and my partner was directed by Trish (Sam’s boss at this company too) to fill the role as a way to expedite his career advancement. My partner did this for months and it weighed on our relationship. We planned for me to move closer to him with my kids and join the company as well. Trish then advised against me joining so it suddenly was no longer on the table in his eyes. I found a good paying job at a different company down the street and my kids and I moved into our own place, closer to him in this other state. It took about 6 months but we finally got settled in and I told him I was done moving and wanted to set down roots here. Our plan was to finish out our leases and then get married and all live together.
The flakiness returned in multiple ways this time: through being unable to follow plans because work got in the way, not being present (on company phone or talking calls), to saying he was staying late at work when in reality he had a networking dinner to go to and tried to omit it not knowing a mutual friend had mentioned it to me. The relationship issues caused by work continued to the point where I would cry regularly about his priorities, him not showing up for us in various ways and our my concerns for our future.
He continues to give this role all he’s got for more months, saying that focusing on his career now will pay dividends. In the meantime I start to notice his bad habits increase in frequency; nose picking, poor dental hygiene, not taking showers at night, skipping meals while at work, speaking badly about people because Trish thought it was funny and being dismissive of the issues I’d bring up to work through.
When it came time, Trish again had her hands tied and my partner did not get the role. Now he is sad, crying, feeling let down and overlooked. He seems to be expressing some of the same hurts through all this that I had when talking to him about how he put work above our relationship. I’m sad to see him like this but I do want to help him.
At this point Trish gave someone else the job and spoke to my partner about other roles like this one at sites that are in other states. I told him I felt I could never sacrifice enough for him and his career, reminded him that I also have ambitions and wasn’t sure he’d do the same for me and said I did not support another move.
He was upset and feeling unsure of what his next steps could be but then asked me how I felt about him asking Trish for a corporate role where he might travel two weeks of each month and not be connected to a specific location along with having more separation between work and home. I reminded him that we spoke about having children and of my expectation that someone would be in the trenches with me on the daily.
I don’t care about work or our income more than our family life and I feel like I need him to lead whatever family we are going to have with those same values. I don’t want to turn away from him but I don’t know if I see the same future we spoke about or even one where I would have a husband who puts me ahead of himself the way that I do or father who is there for his children at the end of the day.
How can I help him? How can our relationship progress/survive?
TL;DR Partner puts work first. Correctable? Do we still have a future?

I (F33) love my partner (M44) and he’s accepted me and my 3 kids in a very caring way but I am unsure if I’ve overlooked the importance of certain issues and would like to know if any of them are correctable so that we might move forward to marriage.
My partner and I made our relationship official over a year ago. I could tell he was very much into his work and used to living his bachelor lifestyle. We dated, developed strong feelings for one another and got serious, he met my kids, we talked future.
Everything was great although there was stress because he stepped up to fill his manager’s (we’ll call him Sam) role as a way to expedite his career advancement-advice from Sam’s boss (we’ll call her Trish). On rare occasion he was a bit flakey -making plans and then not following through or forgetting- but we talked about it and it seemed to improve. After months of dedication he was not offered the job by Trish who said her hands were tied.
Trish and Sam both followed a mutual colleague to another company and soon my partner followed. We went long distance at this point but he instantly became consumed with work. Sam eventually started having issues at work with people not liking the way he did things and my partner stepped in to help.
Soon, Sam went on various trips and medical leave and my partner was directed by Trish (Sam’s boss at this company too) to fill the role as a way to expedite his career advancement. My partner did this for months and it weighed on our relationship. We planned for me to move closer to him with my kids and join the company as well. Trish then advised against me joining so it suddenly was no longer on the table in his eyes. I found a good paying job at a different company down the street and my kids and I moved into our own place, closer to him in this other state. It took about 6 months but we finally got settled in and I told him I was done moving and wanted to set down roots here. Our plan was to finish out our leases and then get married and all live together.
The flakiness returned in multiple ways this time: through being unable to follow plans because work got in the way, not being present (on company phone or talking calls), to saying he was staying late at work when in reality he had a networking dinner to go to and tried to omit it not knowing a mutual friend had mentioned it to me. The relationship issues caused by work continued to the point where I would cry regularly about his priorities, him not showing up for us in various ways and our my concerns for our future.
He continues to give this role all he’s got for more months, saying that focusing on his career now will pay dividends. In the meantime I start to notice his bad habits increase in frequency; nose picking, poor dental hygiene, not taking showers at night, skipping meals while at work, speaking badly about people because Trish thought it was funny and being dismissive of the issues I’d bring up to work through.
When it came time, Trish again had her hands tied and my partner did not get the role. Now he is sad, crying, feeling let down and overlooked. He seems to be expressing some of the same hurts through all this that I had when talking to him about how he put work above our relationship. I’m sad to see him like this but I do want to help him.
At this point Trish gave someone else the job and spoke to my partner about other roles like this one at sites that are in other states. I told him I felt I could never sacrifice enough for him and his career, reminded him that I also have ambitions and wasn’t sure he’d do the same for me and said I did not support another move.
He was upset and feeling unsure of what his next steps could be but then asked me how I felt about him asking Trish for a corporate role where he might travel two weeks of each month and not be connected to a specific location along with having more separation between work and home. I reminded him that we spoke about having children and of my expectation that someone would be in the trenches with me on the daily.
I don’t care about work or our income more than our family life and I feel like I need him to lead whatever family we are going to have with those same values. I don’t want to turn away from him but I don’t know if I see the same future we spoke about or even one where I would have a husband who puts me ahead of himself the way that I do or father who is there for his children at the end of the day.
How can I help him? How can our relationship progress/survive?
TL;DR Partner puts work first. Correctable? Do we still have a future?

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Hi everyone and thank you for reading. I'm a data analyst with 9 years experience and I have a Bachelor's Degree in Information Technology. I was laid off and have been furiously submitting resumes ever since. Please let me know if you need more information and I will edit it in.
Now to the issue at hand. Sorry for the length.
TL;DR - Red flags galore? I can't find any information on this company, the website in the email is blank, the inserted picture is blank, I can't locate any individual with the names presented, and they want to pay me to set up a "mini office" and are paying me beforehand to do so. Scam? No response since my last email.
​
Red flag #1: I applied for a position that I cannot find a receipt for in my inbox for a remote position that they posted "on a job board."
I was emailed this morning at 0741 with the following information,
" We appreciate your interest in the remote Data Analyst position that we posted on a job board. Your application has been received and evaluated. Select "YES" if you accept to take part in the VIRTUAL INTERVIEW TODAY, JUNE 1, 2023.Please respond to SCHEDULE YOUR INTERVIEW so that we can make the appropriate arrangements.--Grant Electric, Llcgrantelectricllc.com
"
With no option to "select" anything, I emailed back "yes".
​
Red flag #2: They "carefully considered my application"!? What application!?
They responded at 1152,
"Thank you again for your interest in employment at Grant Electric, Llc. Grant Electric was established in 2009. Robert Grant's experience did not start there. He took electrical work in the mid 1980's in California. With over 25+ years of experience to build on, Robert Grant demonstrates a professional and educated opinion of your electrical needs. Detail orientation is our specialty, we ensure that each of our clients experience a quality, stress free job.
Grant Electric's main goal is to complete the work accurately and in a timely manner. We pride ourselves in providing expertise and a job well done the first time around.
We have carefully considered your application during the initial screening and will now proceed to administer a Screening test/Interview for you. In order for us to move ahead with the selection process, please reply this email to confirm your details as follows:
Name:
Phone Number:
Location:
I will email you the Screening Test/Interview Questions as soon I receive your email with the above details."
I provided those three pieces of information in a reply and I now regret giving them my phone number; my email address and name most likely came from LinkedIn.
​
Red flag #3: 100% remote screening exam with no demographic questions, "Llc" still not correctly capitalized, grammatical errors, and a 2.5 hour time limit on a same day thing?
They responded at 1222 with,
"The screening exam and interview questions are provided for the interview procedure. Always remember that there are no "correct answers." The purpose of the screening exam and interview questions is to evaluate your talents and provide information about how you handle duties relevant to the position of remote Data Analyst. You must email me your responses within the next two hours and thirty minutes.
If you have any questions, do not be afraid to contact us.
Good luck on the test,"
I replied (on time) with the attachment. I have also attached the "exam and interview questions" as pictures for your viewing pleasure.
​
Red flag #4: Bad English? Come and go as I choose? Direct Deposit with no banking forms included?
They replied at 1439 with,
"Thank you for completing the screening exam and interview questions. I've received and acknowledged your answers. Your replies will be evaluated by our staff and sent to the hiring board for consideration, after which I will contact you with the hiring board's decision remarks.
Working hours are flexible, so you may come and go as you choose. This will be a strictly online remote (work from home) position. In addition, if you are recruited at the conclusion of this procedure, you will be given training before you begin working full-time. Pay will be provided weekly via direct deposit and will be $65 per hour with a training allowance of $20.
I'll email your interview questions and responses to the hiring committee."
​
Red flag #5: Pleasure to interview me? When tf did that happen? Bad English again? Okay...too many red flags in this email...basically the whole thing.
They emailed again at 1537 with,
"It was a pleasure to interview you for the position of Data Analyst (REMOTE) in our company. I'm pleased to let you know that the company has selected you to work as one of our Data Analysts due to your level of expertise and your professional abilities (REMOTE). On behalf of our company, let me congratulate you on your achievement. From now, you have the opportunity to become a member of the Grant Electric, Llc Team. We believe that your skills and expertise would make a wonderful addition to our creative team and have a big impact on the company.
Every day, I'll email you your responsibilities, and I'll be available online to walk you through them. After setting up your mini office, you will begin a 3 to 5 day online training using Cisco WebEx and Skype. You will start out earning $65 per hour, and you can choose to receive your salary each week via wire transfer or direct deposit. Benefits include paid time off, wellness programs for employees, and health and dental insurance. Following three months of employment with us, you will be registered for additional benefits.
After five days of working together, we'll switch to virtual communication. After that, we'll offer you a username and password, along with a link to the corporate server and a list of phone numbers for various departments, together with all the forms you'll need to complete. In order to set up your little office and buy the office supplies and software required to begin your training and work, you will be paid before you begin.
Your employment offer letter will be sent to you by HR via email for signature. Our goal is to get you in the training as soon as possible. To help the secretary register you, please email HR at [[email protected]](mailto:[email protected]) with the information listed below.
Subject: New Employee
Your Full Name:
Full Home Address:
Phone number:
Your Email :"
I was eating dinner and spending time with my family and didn't see this email.
​
Red flag #6: Um, are we in a rush?
I came back to the above email and the following email sent 22 minutes later at 1615,
"Hello OP, are you following?"
So at this point I'm all in thinking this is a scam. I emailed back very limited information, only what they already had, fully thinking something is up.
​
Red flag #7: They replied back, at 2300...why are they still working?
Reply at 2300,
"Hello, OP, submit the full information."
At this point I'm mostly done. Let's see if they have info.
​
Red flag #8: I sent them quite a few questions about the company and role. Did you not see my huge list of questions?
I sent,
"Hi Isaias,
I am hoping you can tell me a bit more about the company:
Can you provide more details about the company and its history?
What is the company's website and official contact information?
What is the company's physical address, and can I visit the office or meet with someone in person?
What is a phone number I can reach you and Paul at?
What are the company's core values, mission statement, or motto?
What are the types of responsibilities I will receive and on what days will I receive them?
What all needs to be set up in the mini office and how will you send the payment beforehand for me to buy it all?
Can you provide information about the specific role, its responsibilities, and reporting structure?
Who would be my direct supervisor, and can I learn more about their background and experience?
How many days PTO are there?
What are the wellness programs you offer?
What health and dental insurance do you offer?
What extra benefits will I be registered for after three months of employment?
Can I have an official check mailed to a P.O. Box?
What is the company's recruitment and hiring process?
Can you provide references from current or former employees who can vouch for their experience with the company?
Are there any employment agreements or contracts that need to be signed, and can I review them?
I will be happy to discuss moving forward with this position with you once I have received the answers to my questions listed above."
​
And received back,
"Hello OP, the information to submit to HR is incomplete, kindly provide the full information."
I said,
"I input the phone number (I left it out initially but added it because I forgot they already had it from earlier). Are you able to answer my questions?"
Received back,
"You are to provide your full address" no period...I only gave them my city and state as listed on my LinkedIn profile.
I replied,
"I'm sorry but I will only provide my full address when I have received the answers to my questions."
​
Am I insane? Super sketchy right? Please, help! TIA.

Company Name	Title	City
Dunham's Sports	General Manager	Beckley
US Foot & Ankle Specialists	Medical Assistant	Beckley
JPMorgan Chase Bank, N.A.	Relationship Banker - Beckley Main Branch - Beckley, WV	Beckley
Tentrr	Camp Host at Cacapon State Park	Berkeley Springs
Everstory Partners	Sales Representative	Bluefield
Mercer Healthcare Center	CNA Certified Nursing Assistant, PRN	Bluefield
Genesis dba Ferrovia-Ferrosafe-RVM	Driver CDL B for Genesis Rail Services II	Bluefield
Epic Travel Staffing	Travel Nurse (RN) Med/Surg (Medical-Surgical)	Bridgeport
Bfs Foods Inc	Assistant Manager	Bridgeport
Launch Wireless	T-Mobile Wireless Retail Associate Manager	Buckhannon
Papa John's Pizza	Delivery Driver	Buckhannon
Union Mission Ministries, Inc.	Thrift Store DC SortePricer	Charleston
Papa John's - P.S. MGMT	Delivery Driver	Charleston
Pizza Hut	Delivery Driver	Charleston
Emerald Health Services	Travel Nurse (RN) Med/Surg (Medical-Surgical)	Charleston
Goodwill Industries of Kanawha Valley, Inc.	Retail Sales Clerk - Kanawha City	Charleston
FamilyCare Health Centers	Dental Assistant	Charleston
Avis Budget Group	Rental Sales Associate	Charleston
KVC Health Systems	Wraparound Faciliator	Charleston
Campbell Transportation Company Inc.	Captain - Linehaul	Clarksburg
Home Base Inc.	Outreach Counselor	Clarksburg
Highland-Clarksburg Hospital	Registered Nurse - RN	Clarksburg
Par Mar Oil Company	Assistant Manager	Fairmont
Legacy Recruiting LLC	Class A Truck Driver!	Fairmont
The UPS Store Fairmont #3486	Part-Time Center Associate	Fairmont

Hey guys, here are some recent job openings , feel free to comment here if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!

Company Name	Title	City
Wilo EMU USA LLC	Application Engineering Manager	Collierville
Encore Rehabilitation Services	Certified Occupational Therapy Assistant	Antioch
Hickory Hollow Acquisitions Inc	Greenway Kia Hickory Hollow - Sales Manager	Antioch
Always Best Care Senior Services - Memphis, TN	HHA needed / Arlington, TN	Arlington
Suncoast Drivers	Class B CDL Box Truck Driver	Arlington
Lehman-Roberts Company	Front End Loader- Plant Division	Arlington
Hillcrest Healthcare	Free Nurse Aide Training	Ashland City
Jackson Hewitt 2357	Customer Service	Ashland City
Amedisys	LPN Hospice Nurse	Athens
Kidzcare Pediatrics	Front Desk Receptionist	Athens
Bracken Paving	General Laborer	Blountville
Twice Daily	Full Time - Retail Cashier (Any Shift)	Bon Aqua
CareNow	Senior Financial Analyst	Brentwood
JPMorgan Chase Bank, N.A.	Branch Manager (Network Expansion) - Greater Nashville - Nashville, TN	Brentwood
American Family Dentistry	Dental Hygienist	Brentwood
Goodwill Industries of Tenneva, inc.	Sales Associate/ Cashier	Bristol
Friendship Automotive	Volvo Sales Specialists	Bristol
Deloitte	International Tax, Manager, Value Chain Alignment	Bristol
Deloitte	VP, Product Management	Bristol
Select Specialty Hospital - TriCities	Nursing Assistant (NA) - Full Time Night Shift	Bristol
Christian Medical & Dental Associations	Continuing Education Coordinator - 4 Day Work Week!	Bristol
Bluegreen Vacations Corporation	Vacation Sales Representative	Bristol
Palmetto Moon	Store Manager - Bristol	Bristol
Mobile Therapy Centers of America	ABA Therapist	Chapmansboro
VieMed Healthcare Staffing	Clinical Respiratory Sales Representative	Chattanooga

Hey guys, here are some recent job openings , feel free to comment here if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!

Company Name	Title	City
Wilo EMU USA LLC	Application Engineering Manager	Collierville
Encore Rehabilitation Services	Certified Occupational Therapy Assistant	Antioch
Hickory Hollow Acquisitions Inc	Greenway Kia Hickory Hollow - Sales Manager	Antioch
Always Best Care Senior Services - Memphis, TN	HHA needed / Arlington, TN	Arlington
Suncoast Drivers	Class B CDL Box Truck Driver	Arlington
Lehman-Roberts Company	Front End Loader- Plant Division	Arlington
Hillcrest Healthcare	Free Nurse Aide Training	Ashland City
Jackson Hewitt 2357	Customer Service	Ashland City
Amedisys	LPN Hospice Nurse	Athens
Kidzcare Pediatrics	Front Desk Receptionist	Athens
Bracken Paving	General Laborer	Blountville
Twice Daily	Full Time - Retail Cashier (Any Shift)	Bon Aqua
CareNow	Senior Financial Analyst	Brentwood
JPMorgan Chase Bank, N.A.	Branch Manager (Network Expansion) - Greater Nashville - Nashville, TN	Brentwood
American Family Dentistry	Dental Hygienist	Brentwood
Goodwill Industries of Tenneva, inc.	Sales Associate/ Cashier	Bristol
Friendship Automotive	Volvo Sales Specialists	Bristol
Deloitte	International Tax, Manager, Value Chain Alignment	Bristol
Deloitte	VP, Product Management	Bristol
Select Specialty Hospital - TriCities	Nursing Assistant (NA) - Full Time Night Shift	Bristol
Christian Medical & Dental Associations	Continuing Education Coordinator - 4 Day Work Week!	Bristol
Bluegreen Vacations Corporation	Vacation Sales Representative	Bristol
Palmetto Moon	Store Manager - Bristol	Bristol
Mobile Therapy Centers of America	ABA Therapist	Chapmansboro
VieMed Healthcare Staffing	Clinical Respiratory Sales Representative	Chattanooga

Hey guys, here are some recent job openings , feel free to comment here if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!

Company Name	Title	City
Paychex	Sales Executive - Enterprise	Manhattan
Performance Optimal Health	Physical Therapy Aide	Manhattan
Farther	SVP / VP Financial Advisor	Manhattan
Smile New York Outreach	Registered Dental Hygienist	Manhattan
SP Plus Corporation	Facility Manager	Manhattan
Manhattan Periodontics & Implant Dentistry	Dental Surgical Assistant (FT)	Manhattan
Clean Energy Associates	Director - Solar Supply Chain Management	Manhattan
Atria Signature - West 86	Shift/Charge Nurse - LVN/LPN	Manhattan
PEC Group, LTD D.B.E. PEPOLINO	Server	Manhattan
Janie's Life-Changing Baked Goods	FOH and BOH help needed for cookie bakery! Full-time and part-time!	Manhattan
Shady Grove Fertility	Medical Assistant/Patient Service Representative	Manhattan
HealthPlus Staffing	Cardiologist needed in Manhattan, NY (Accepting Part-Time or Full-Time)	Manhattan
Birch Family Services Inc	Assistant Clinician	Manhattan
1-800-got-junk?	Full Time Box Truck Driver	Manhattan
Paychex	Account Executive - Retirement 401(k) Services	Manhattan
Calvary Hospital	Hospice Float Nurse - (12PM -8PM)	Manhattan
The Medical Group	Medical Office Manager - NYC, NY	Manhattan
Rockaway Home Care	Home Care Registered Nurse RN	Manhattan
Peter Callahan Catering	Pick and Pack	Manhattan
California Closets - New York, NY	Design Consultant	Manhattan

Hey guys, here are some recent job openings in manhattan. Feel free to comment here or send me a private message if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!

Accurate Diagnosis: Orthodontic records obtained through the NIHB program provide comprehensive information about a patient's dental and facial structures. These records, including photographs, X-rays, and impressions, help orthodontists accurately diagnose dental issues and plan the most effective treatment approach.
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Progress Monitoring: Regular evaluation of orthodontic progress is essential for adjusting treatment plans and ensuring optimal results. NIHB ortho records enable orthodontists to track the changes in tooth alignment, bite, and jaw positioning, ensuring that the treatment is progressing as intended.
Collaboration and Communication: NIHB ortho records facilitate effective collaboration and communication between orthodontists and other healthcare professionals involved in the patient's care. Clear documentation ensures that everyone is informed about the treatment plan, progress, and any necessary adjustments or considerations.
At Edxi, we are committed to providing high-quality orthodontic treatment while respecting the cultural values and unique needs of Indigenous communities. Our experienced team ensures that NIHB ortho records are handled with utmost care, accuracy, and adherence to the NIHB program guidelines.
We work closely with patients and their families to guide them through the process, addressing any questions or concerns along the way. Our goal is to deliver exceptional orthodontic care that promotes oral health, boosts confidence, and enhances overall well-being.
If you or your loved one requires orthodontic treatment covered under the NIHB program, trust Edxi to provide compassionate care and efficient management of NIHB ortho records. Contact us today to schedule a consultation or learn more about our orthodontic services tailored to Indigenous communities.

I (F33) love my partner (M44) and he’s accepted me and my 3 kids in a very caring way but I am unsure if I’ve overlooked the importance of certain issues and would like to know if any of them are correctable so that we might move forward to marriage.
My partner and I made our relationship official over a year ago. I could tell he was very much into his work and used to living his bachelor lifestyle. We dated, developed strong feelings for one another and got serious, he met my kids, we talked future.
Everything was great although there was stress because he stepped up to fill his manager’s (we’ll call him Sam) role as a way to expedite his career advancement-advice from Sam’s boss (we’ll call her Trish). On rare occasion he was a bit flakey -making plans and then not following through or forgetting- but we talked about it and it seemed to improve. After months of dedication he was not offered the job by Trish who said her hands were tied.
Trish and Sam both followed a mutual colleague to another company and soon my partner followed. We went long distance at this point but he instantly became consumed with work. Sam eventually started having issues at work with people not liking the way he did things and my partner stepped in to help.
Soon, Sam went on various trips and medical leave and my partner was directed by Trish (Sam’s boss at this company too) to fill the role as a way to expedite his career advancement. My partner did this for months and it weighed on our relationship. We planned for me to move closer to him with my kids and join the company as well. Trish then advised against me joining so it suddenly was no longer on the table in his eyes. I found a good paying job at a different company down the street and my kids and I moved into our own place, closer to him in this other state. It took about 6 months but we finally got settled in and I told him I was done moving and wanted to set down roots here. Our plan was to finish out our leases and then get married and all live together.
The flakiness returned in multiple ways this time: through being unable to follow plans because work got in the way, not being present (on company phone or talking calls), to saying he was staying late at work when in reality he had a networking dinner to go to and tried to omit it not knowing a mutual friend had mentioned it to me. The relationship issues caused by work continued to the point where I would cry regularly about his priorities, him not showing up for us in various ways and our my concerns for our future.
He continues to give this role all he’s got for more months, saying that focusing on his career now will pay dividends. In the meantime I start to notice his bad habits increase in frequency; nose picking, poor dental hygiene, not taking showers at night, skipping meals while at work, speaking badly about people because Trish thought it was funny and being dismissive of the issues I’d bring up to work through.
When it came time, Trish again had her hands tied and my partner did not get the role. Now he is sad, crying, feeling let down and overlooked. He seems to be expressing some of the same hurts through all this that I had when talking to him about how he put work above our relationship. I’m sad to see him like this but I do want to help him.
At this point Trish gave someone else the job and spoke to my partner about other roles like this one at sites that are in other states. I told him I felt I could never sacrifice enough for him and his career, reminded him that I also have ambitions and wasn’t sure he’d do the same for me and said I did not support another move.
He was upset and feeling unsure of what his next steps could be but then asked me how I felt about him asking Trish for a corporate role where he might travel two weeks of each month and not be connected to a specific location along with having more separation between work and home. I reminded him that we spoke about having children and of my expectation that someone would be in the trenches with me on the daily.
I don’t care about work or our income more than our family life and I feel like I need him to lead whatever family we are going to have with those same values. I don’t want to turn away from him but I don’t know if I see the same future we spoke about or even one where I would have a husband who puts me ahead of himself the way that I do or father who is there for his children at the end of the day.
How can I help him? How can our relationship progress/survive?
TL;DR Partner puts work first. Correctable? Do we still have a future?

I recently had a deep cleaning done by Western Dental and Orthodontics, it was my first cleaning after maybe five years after neglect from depression. They checked my periodontal pockets which ranged to 4-5. This was concerning but then they showed X-rays and said I had bone loss, but I feel like the pockets and X-ray didn’t match up. Anyway, they discussed a treatment plan with my guardian that included their own care package called Gum-X. Gum-X is not available anywhere else but this dentistry COMPANY, I will add. I did what the doctors told me and waited for my dental mold to arrive at the clinic, fast forward a few weeks and I come back for a small cleaning.
A week and a half later I receive my mouth molds, I’m advised to put medication along the molds and keep them in for 15 minutes every night after flossing and brushing.
It’s been almost over a week with these things and I don’t feel like it’s helping. I feel like my family was ripped off $2,000 for stuff that won’t even help me.
This dentist has 2 stars in multiple YELP reviews and I feel tired, sad and stressed that perhaps I didn’t get the care that I needed. They didn’t even give me paperwork of my charts or X-rays. I wish I had advised my mother to research good dentists before she booked me an appointment with some terrible corporate dentist office.
Will this actually help me in the long run?

I suspect extremely painful and dysfunctional childhoods lead most of us here.
What was it like for you growing up?
I don't think it's really surprising I ended up into this fetish looking at what I grew up with:
- physically handicapped (hearing aids). For those not aware, this makes it really hard for people (women especially, to see me in a sexual light or even really see me as a "real" man)
- only child and unplanned; parents split when I was 6
- extremely introverted personality (INTJ for those familiar)
- first girlfriend in high school would send pictures to other guys but not to me. She eventually grew to hate me and I never found out why. Of course, we never actually had sex.
- came out as "bisexual" in my teens even though in hindsight I really wasn't. I was just really lonely and horny. My first sexual experience was with an adult crossdresser, not with my first girlfriend or any other girl my own age.
- badly lost a fight in front of many people I knew (including a girl who had a crush on me) that resulted in life long dental injuries costing tens of thousands of dollars to repair. I got zero sympathy - no family member, friend, teacher, or counselor ever really acknowledged the impact this had on me.
- many people thought I was gay growing up (even before I "came out")
- I spent extremely large amounts of time online addicted to pornography since I was 12 which included a "friendship" with an old dude who would occasionally get drunk and threaten to burn my house down (the police were never called when my parents discovered this "friendship"). Leaving out a lot of details since it's not the focus of this post.
- extremely self-centered parents (narcissistic?)
- below average in height with an ectomorph body type (naturally scrawny)
- pretty ugly until my early 30s - chronically bad skin, excessive body hair
- extremely poor throughout my 20s - declared bankruptcy at 30 and I never made more than 50k in a year until I was 31 years old
Somehow in spite of the above I now have a career in tech with has allowed me to make decent money...and crave nothing but pain from the women I'm attracted to.
Basically, since puberty, life has constantly said to me in one form or another, SEX AND LOVE IS FOR OTHER PEOPLE.
Since my life has improved so much I have had the occasional experience where a woman sees me in a positive light and worthy of sex. You have no idea what a mind fuck it is to experience this.
Super curious if you guys can relate and if you care to share, what it was like for you growing up both in relation to girls and in general.
Who knows, maybe we have people with really normal backgrounds who somehow got into this! That would be really interesting.

First time poster so here it goes.
My MIL is completely irresponsible with money. She is $20,000 in credit card debit, doesn't own a home, barely holding a job, has ZERO retirement while living in one of the most expensive cites--Phoenix, AZ. We bought our new home last year and we agreed that we weren't going to participate in her irresponsible financial behavior so, we have not allowed her to fly across the country to visit us (we live in South Carolina). She rambles on and on about how living a life of service (she is a glorified art teacher, no clinical degree or license) is her destiny and she AND YET spends lavishing on things and trips she can't afford and begs others for money. She vilifies anyone who makes money (I'm a Orthopedic Certified Specialist in Physical Therapy and she thinks I am immoral because I get paid for my services).
We have tried to tell her-- gently at first and when that didn't work, we started to apply the pressure--that at 60 years old she needs to make better choices because her actions are going to cause her 4 children a LOT of burden and hardship in the future because elder care is EXPENSIVE. And that her debt is unmanageable, and she needs to make changes to mitigate this. This all falls on deaf ears and she lashes out when we ask her to demonstrate positive growth.
She refuses to change and accept responsibility. She is constantly blaming others and projecting her behavior. It is eating away at my partner because he loves his mother, but this behavior is toxic. She has verbally abused us when we establish reasonable boundaries and continues to turn other family members against us because we are trying to hold her accountable to her actions (both financial and lack of emotional intelligence).
If anyone has any advice, it would be much appreciated. I am constantly walking this tightrope of "stay out of it, protect yourself" and "fuck, she's not going to treat people that I love like this."
Thank you for your time,
K.C.
TLDR: My MIL has no retirement, no savings. She is narcissist and has no accountability for her neurotic behavior and I am completely at a loss for what to do. Please help.

Hey-Oh! So, I see some form of this question multiple times per day in various skin and personal care subs: How do I deal with my hyperpigmentation? I also asked myself this question a few years ago. See, I'm prone to freckles and a little melasma and I set out to figure out a way to solve it with years of research, trial and error, testing, talking to dermatologists and professionals, and scouring every medical article I could get my hands on. I wanted to share my findings and research since this is a common concern, especially among people in their 30s. This started as a small post about my routine and ballooned into a massive book about hyperpigmentation. I hope it's helpful!
DISCLAIMERS:

• I use the term "brightening" instead of "lightening" which is a subtle distinction. None of the ingredients or methods I recommend bleach your skin as "lightening" would suggest, but they can reduce the appearance of hyperpigmentation. "Brightening" tends to be a confusing term in skincare, but for the purposes of this post, I use it as a descriptor for anything that helps prevent or reduce melanin in hyperpigmented skin.
• I will use the term "hyperpigmentation" ad nauseam as a catch-all term for excess pigmentation in the skin including freckles, melasma, PIH and dark spots. This does not encompass moles which are different. This is also different from redness, which is a whole other post.
• Speaking about hyperpigmentation requires some sensitivity to very real issues around it including cultural implications. This post is not intended to moralize hyperpigmentation nor is it intended to alienate the normal melaninization of skin across various tones. Hyperpigmentation refers to excess melanin production on the skin in the form of spots that are darker than the surrounding skin. It's not bad or wrong, nor does it speak to anyone not "doing a good enough job" of taking care of themselves.
• I do repeat myself a few times in here but that is for people who are skipping around the article. I want to be as thorough as possible even if you're jumping to the parts of the post you need.
• I do run an online dermatology practice and skin care consultancy, but in order to protect the integrity of my advice, I do not promote my business, I don't give direct medical advice, I don't link to any products/websites, and I don't have any products I've formulated myself to promote. This is going to get long because I wanted to cover everything re:hyperpigmentation. But for your reading pleasure and ease, I have divided this post up so you can get whatever information you need:

Table of Contents

1. Types of Hyperpigmentation
2. What Causes Hyperpigmentation?
3. How To Treat Hyperpigmentation Part 1: The Ingredients
4. How to Treat Hyperpigmentation Part 2: The Routine and Recommendations
5. Body Hyperpigmentation
6. Nuclear Options

Let's get to it!
Types of Hyperpigmentation
Hyperpigmentation refers to excess melanin production in the skin, but it can actually take a couple different forms. Knowing the type of hyperpigmentation you're experiencing is key to understanding if and how it can be treated.
Freckles: Freckles are incredibly common, especially for people with lighter skin tones. They are small, brown or reddish-brown dots often clustered on the skin. They develop on the surface and are not raised bumps. Freckles can appear anywhere on the body but are common on the face. Freckles are permanent, but the color, contrast and severity can vary and be tempered.
Melasma: Melasma appears as dark patches or splotches around the face, though usually found on the forehead, upper lip, and high on the cheeks. Melasma forms deeper in the skin and appears more amorphous than freckles, moles, or age spots. It can create a “muddy” appearance and is very common among pregnant and postpartum women due to hormonal factors. But it can literally happen to anyone and anywhere on the body.
Post-Inflammatory Hyperpigmentation (PIH): Post-inflammatory hyperpigmentation (PIH) occurs when damaged skin forms melanin during the healing process leaving dark spots. This is common after acne, injuries, eczema, burns, and other trauma to the skin. Exposure to UV rays during healing can make PIH worse. Post-inflammatory erythema (PIE) is similar, but leaves pink or red marks on the skin as a result of damage to the capillaries from injury or inflammation. Basically, when skin is compromised by injury, as part of the immune response cells will begin to generate melanin in an attempt to prevent further damage from UV exposure, so what will happen is the wound/legion/blemish will heal but the pigmented skin remains.
Age Spots: This is kind of a forgotten form of hyperpigmentation. Sun spots, also referred to as liver spots, and solar lentigines are large spots/patches of dark skin with distinct borders. They vary in color from light brown to almost black. They develop on the surface of the skin usually later in life, but reflect damage that often occurred from improper sun protection at a younger age. They can appear on the face, neck, chest, hands, and arms, usually on areas that had UV exposure. For many people, they can begin to appear in your 30s or 40s.

What Causes Hyperpigmentation?

There are a number of factors that can contribute to the formation of hyperpigmentation. Generally, it forms as the result of a combination of genetic and environmental influences. Everyone is unique, but these are some of the most common causes of hyperpigmentation and dark spots:
Genetics can play a role in the development of hyperpigmentation and dark spots in several ways:

• Melanin production: Melanin is the pigment that provides color to our skin, hair, and eyes. The amount of melanin produced and distributed in the skin is largely determined by genetics. People with a greater genetic predisposition to melanin production in their skin are more likely to experience hyperpigmentation and dark spots as a result of sun exposure, hormonal changes, and other factors. People with darker skin are also more prone to melanin production in the form of hyperpigmentation.
• Genetic anomalies: Certain genetic anomalies, such as oculocutaneous albinism, can affect melanin production and distribution in the skin, leading to an increased risk of hyperpigmentation and dark spots.
• Family history: If you have a family history of hyperpigmentation or dark spots, you may be more likely to develop these conditions yourself.
• Enzymes and genes: The enzymes that control melanin production and distribution are regulated by specific genes. Variations in these genes can impact melanin production, leading to an increased risk of hyperpigmentation and dark spots.

Sun (UV) Exposure. In addition to genetic determination of melanin production, UV exposure is the leading environmental cause of hyperpigmentation and the formation of dark spots. Melanin is the pigment that provides color to our skin, hair, and eyes. It acts as a natural sunscreen (but don't treat it like natural sunscreen!!! This isn't the point of the exercise), absorbing UV radiation to protect the skin from damage.
When the skin is exposed to UV radiation, the melanocytes (cells that produce melanin) in the skin go into overdrive, producing more melanin to protect the skin from further damage. This increased melanin production can result in dark spots or areas of hyperpigmentation on the skin.
Hormones. In addition to genetic determination of melanin production, hormones and hormonal sensitivity is a leading internal cause of hyperpigmentation and the formation of dark spots. One of the most well-known examples of hormonal hyperpigmentation is melasma, a condition characterized by dark, amorphous patches on the face, particularly on the cheeks, forehead, nose, and upper lip. Melasma is often associated with hormonal changes, such as those that occur during pregnancy, hormonal therapy, or birth control pill use. The hormonal changes can stimulate an increase in melanin production, resulting in dark spots or areas of hyperpigmentation. This can happen irrespective of UV exposure, though the sun does exacerbate it.
Hormones can also affect melanin production by altering the skin's metabolism and pigmentation pathways. For example, high levels of cortisol, a hormone produced by the adrenal glands during stress, can trigger an increase in melanin production, resulting in hyperpigmentation.
Inflammation, Injury & Trauma to the skin can result in hyperpigmentation by triggering an increase in melanin production. When the skin is inflamed or injured, it triggers a response from the body's immune system, which can stimulate an increase in melanin production as a protective measure. For example, acne breakouts or other skin injuries can result in post-inflammatory hyperpigmentation (PIH), which is characterized by dark spots or areas of discoloration on the skin. The dark spots are a result of an increase in melanin production in the affected area, which occurs in response to the inflammation or injury. In addition to acne and other skin injuries, other conditions that can result in PIH include eczema, psoriasis, and insect bites.
Medication Side Effects. Certain medications can cause hyperpigmentation on the skin. Medications that can cause hyperpigmentation include:

• Tetracycline antibiotics: Tetracycline antibiotics, such as doxycycline and minocycline, can cause discoloration of the skin and teeth when taken in high doses or for an extended period of time.
• Nonsteroidal anti-inflammatory drugs (NSAIDs): NSAIDs, such as ibuprofen and naproxen, can cause hyperpigmentation in some individuals, especially if taken in high doses or for an extended period of time.
• Chemotherapy drugs: Certain chemotherapy drugs, such as doxorubicin and daunorubicin, can cause hyperpigmentation, especially in areas of the skin that have been exposed to the sun.
• Hormonal medications: Hormonal medications, such as birth control pills and estrogen replacements, can cause hyperpigmentation in some individuals, especially if they are taken for an extended period of time.
• Antimalarial drugs: Antimalarial drugs, such as chloroquine and hydroxychloroquine, can cause hyperpigmentation in some individuals, especially if taken in high doses or for an extended period of time.
• Isotretinoin aka accutane when taken for acne can cause hyperpigmentation due to the increase of cell turnover and exposing delicate new skin cells to UV rays before they have shored up.

If using these medications is necessary for your livelihood, it is not recommended to stop their use without the recommendation of your doctor.

How To Treat Hyperpigmentation Part 1: The Ingredients

When looking for skin care products to treat and prevent hyperpigmentation and dark spots, it's important to look for ingredients that can help encourage cell turnover, curb melanin production, and block harmful UV rays. A lot of these things overlap with treatments for other conditions like acne and general anti-aging, but I've noted ones that specifically work on the mechanisms controlling melanin production. Now, this is an extensive list, but I know it doesn't have everything. I've included the ingredients that had the most compelling evidence and/or worked the best for me or people at my practice. But it's also not necessarily a shopping list. You don't have to have all of these things to treat hyperpigmentation, but I'll get to that in the routine portion. This is more to be used as a tool that can help you diversify your routine if you find one ingredient or another doesn't work for you. And it can help you determine if a product targets hyperpigmentation based on its ingredients. There's lot's of options. Some of the key ingredients to look for include:
Retinoids that increases cell turnover. Retinoids like tretinoin, adapalene, retinol et al, can help treat hyperpigmentation by promoting the turnover of skin cells and increasing cell growth, which can help fade dark spots and improve overall skin tone by replacing pigmented skin cells at the surface. While retinoids are extremely effective, they do have some caveats. First, they can be sensitizing to a lot of users, but this can be tempered by using different form functions, different application methods, or different concentrations. Second, because it's constantly turning over skin exposing delicate new skin cells to the elements, it can actually worsen hyperpigmentation if you're not vigilant about sun protection and avoidance. Tretinoin and other retinoids are firewalled behind a prescription in some countries and may be more difficult to obtain. But retinol/al is available in OTC forms.
SPF represents a class of many ingredients designed to protect the skin from UV rays and the damage that occurs from exposure. UV exposure is one of the biggest causes of fine hyperpigmentation and wrinkles so adequate protection is essential. I know I'm not winning any science awards for this declaration, but a lot of people who struggle with hyperpigmentation aren't adequately protecting themselves from the sun. But you also have to be kind of realistic. Even with perfect protection and avoidance, sometimes your hyperpigmentation will still flare. This happens during the summer for a lot of people and something even I grapple with. The key is to do your best and SPF actually works well with numerous other ingredients (like the ones listed below) to help solve that problem. Arbutin is a Tyrosinase Inhibitor that blocks melanin production.
Arbutin, or the synthesized version called alpha arbutin, is a favorite brightening ingredient because it's a slow-release derivative of hydroquinone that inhibits melanin production. This results in both healing and prevention of dark spots, especially when paired with topical acids. It metabolizes on the skin into hydroquinone which is super effective for hyperpigmentation while being a less controversial and hard-to-come-by ingredient than pure hydroquinone. More on hydroquinone in part 6.
Tranexamic acid is another Tyrosinase Inhibitor. This was first used in wound care and it was found to have profound effects on hyperpigmentation. Although it's an acid, it's not a chemical exfoliant, kinda like how hyaluronic acid is not a chemical exfoliant. The exact mechanism by which tranexamic acid works to reduce hyperpigmentation is not fully understood, but it is believed to work by reducing inflammation by blocking plasmin which contributes to melanin production when unchecked. It is particularly effective in treating melasma and one of my personal favorite ingredients.
Kojic Acid is another Tyrosinase Inhibitor. Kojic acid is a natural skin brightener that is derived from various fungi. Kojic acid can also help to exfoliate because it's a slight chemical exfoliant, which can remove dead skin cells that contribute to hyperpigmentation and improve overall appearance. But it does both things: block melanin production and turn skin cells over. Azelaic Acid has a lot of things going for it that can help with hyperpigmentation. It's an anti-inflammatory and antiseptic that disrupts melanin production.
Azelaic acid works by inhibiting the production of melanin in the skin like those other tyrosinase inhibitors. In addition, azelaic acid also has anti-inflammatory and antibacterial properties, which help to improve the overall health and appearance of the skin by reducing melanin production as a result of injury or inflammation. It's also an anti-acne ingredient that can address the root cause of PIH by reducing acne on the skin. It's pretty awesome and available in OTC and prescription strengths.
Niacinamide is another one that directly and indirectly addresses hyperpigmentation. It's a skin soother that decreases inflammation and it naturally reduces sebum production which can curb acne which can curb PIH. It actually took me a little while to figure out that this was another solid hyperpigmentation treatment for these reasons because I used to look at it as being more of an acne treatment. Niacinamide is a form of vitamin B3 that works by inhibiting the transfer of pigment within the skin, which can help to reduce the appearance of dark spots and uneven skin tone. So while it doesn't block tyrosinase, it prevents transfer of pigmented skin cells to the surface.
Vitamin C aka L-ascorbic acid is an antioxidant that fights free radical damage. It treats and prevents hyperpigmentation in three ways. First, it reduces free radical damage from UV exposure which helps increase the effectiveness of SPF when worn together. Second, it is also a tyrosinase inhibitor that blocks melanin production. And finally, vitamin C encourages skin cell turnover. The key is finding a nice stable version of it.
Glycolic and Lactic Acid. Since this list is getting long I am going to group these together. Glycolic Acid is a water-soluble alpha hydroxy acid that penetrates into the pores to treat pigmentation by providing general exfoliation and resurfacing of the skin. The result is improvements in dark spots, texture and other signs of aging. Lactic Acid is also an AHA but with a slightly larger molecular size than glycolic acid so it doesn't penetrate as deep and acts more as a surface exfoliant. As a result it provides more gentle exfoliation to buff away surface pigmentation with an added benefit of acting as a humectant to seal moisture into the skin. Licorice Extract is a plant extract that inhibits melanin production.
Licorice root extract contains a compound called glabridin, which has been shown to have skin brightening effects as, you guessed it, a tyrosinase inhibitor. In addition, licorice root extract also has anti-inflammatory properties, which can help to reduce redness and inflammation associated with hyperpigmentation. I'm seeing more and more of this pop up in skin care.
Soy Proteins are another plant extract that inhibits melanin production. They contain compounds known as isoflavones, which have been shown to help reduce the amount of melanin produced by melanocytes in the skin. Additionally, soy proteins have antioxidant properties that can help to protect the skin from damage caused by free radicals, which can contribute to hyperpigmentation.

How To Treat Hyperpigmentation Part 2: The Routine and Recommendations

This is adapted from numerous comments, posts and DMs I've written on the topic and also comprises a large portion of my own personal routine and routines we recommend to patients. This is a generalist routine meaning it targets all the forms of hyperpigmentation I've mentioned; freckles, melasma, PIH, and age spots though it can be tweaked to address these individually more specifically. This is really my jumping off point for people to get a good idea of what they can achieve as a baseline with OTC ingredients before fine tuning or enlisting the help of a dermatologist. For a lot of people, this is enough to fully resolve, but even if it gets you part of the way there, this should give you a good idea of reactivity. A few caveats:

• Freckles cannot ever be 100% eradicated. You can however reduce their appearance and prevent them from getting darker. It's important to have realistic goals and understand that sometimes our genetics will overrule any routine we have.
• This routine and any hyperpigmentation routine will not address moles. Moles are a totally different thing that can only be eradicated through removal by a medical practitioner. Moles can be raised or not, but no amount of topicals will get rid of them.
• Melasma is a beast. Sometimes it can be treated with OTC topicals, sometimes it requires prescription strength topicals like hydroquinone, sometimes you need in-office procedures like fractal lasers or IPL. Again, this routine is a jumping off point to see what you can accomplish at home before going down that road.
• You'll notice I don't mention products with all the ingredients I listed above. This is because the more you put on your face, the greater your risk of causing irritation. Again, you can adjust and tweak by switching out products with these ingredients or add/subtract as it suits your personal needs.
• If you're struggling with hyperpigmentation while pregnant or breastfeeding, these recommendations may need to be paused.

Alright, let's get to it!
AM routine -- The Goal: Heal, Protect, and Prevent. In order of application following a lukewarm water rinse:

• Azelaic acid
• Alpha Arbutin
• Vitamin C serum
• Moisturizer
• SPF

The combo of C+AZ+AA+SPF is an absolute powerhouse for healing existing hyperpigmentation and preventing new hyperpigmentation from forming. It makes your SPF more effective, it inhibits the production of melanin from UV exposure (not your natural melanin production though), and it speeds cell turnover with dual antioxidant action and gentle chemical exfoliation. The result is brighter skin in a few months of consistent use.
For Azelaic Acid, this is the ingredient for serious treatment. It's considered one of the most effective ways to reverse melasma aka serious hyperpigmentation short of hydroquinone -- which is both controversial and hard to get. It brings a little bit of exfoliation to the table in addition to inhibiting UV melanin production, but it also has a slight antiseptic property which can help with acne. Paula's choice Azelaic Acid Booster is the only one I've really tried after sampling the Ordinary's in-store and not liking the texture. I get about 6 months out of a tube and a little bit goes a long way.
For Alpha Arbutin, the Ordinary's formulation is pretty solid. I prefer the Ordinary's AA 2% + HA as opposed to their AA 2% + Ascorbic Acid 8% as I don't believe the quality and stability of their Ascorbic Acid (Vitamin C) is great. That's why I opt for a separate Vitamin C serum step. But the AA + HA also has a little bit of lactic acid in it which provides some gentle exfoliation and encourages AA deeper into the skin where it's more effective. Lactic acid is mild enough that it's safe for use in a morning routine, but you still want to protect with SPF. There are a couple AA products floating around but I think TO's product is probably the best, most straightforward one. Alpha Arbutin metabolizes into hydroquinone on the skin so is basically one of the best OTC pigment correctors you can get.
For Vitamin C, the gold standard really is Skinceuticals CE Ferulic. This is stupid expensive though so I’m going to suggest Timeless Vitamin C. I like that it comes in an airless pump that prevents oxidation over time. Vitamin C is an antioxidant that increases the rate of skin cell turnover bringing forward new, skin cells while simultaneously improving the effects of SPF. It's a great foundation for a fix.
These ingredients can be layered on one right after the other then topped with your moisturizer (I like a basic one like cetaphil daily lotion), then topped with your SPF. The SPF I would recommend is Canmake UV mermaid gel in clear as this will not leave a white cast on your skin and it’s generally a very elegant SPF. It's SPF 50 which means it gives really good protection, but there are numerous SPFs you can try. I personally like anything from La Roche Posay, any Neutrogena SPF that's not formulated with ethylhexylglycerin, Supergoop Unseen Sunscreen, Biore Aqua Rich (another Japanese brand), Trader Joe's SPF if you can get your hands on it, and EltaMD.
Of all the products I’ve tried that could act as a stand-in for vitamin c, azelaic acid, and alpha arbutin, there’s one Japanese serum from Hada Labo called “whitening lotion” which has had the biggest impact on my hyperpigmentation in a single product of anything I’ve tried. This might be a little too effective though, I actually find that it washed me out within the first 2 weeks of twice daily use, so now I only use it in the morning. And I’m not a fan of the translation… which is a direct but mistranslation. It’s not a bleaching lotion, it also relies on a form of vitamin C and tranexamic acid to brighten skin. But it's a really interesting to try if you wanted a simplified morning routine in which case I would apply this, then your moisturizer, then your SPF.
PM routine -- The Goal: Renew and Reveal. In order of application:

• Cleanse
• Buffer
• Tranexamic acid and exfoliant OR retinoid**
• Moisturize

To cleanse, I have a really basic recommendation that will remove your SPF, makeup, and any grime/sebum from your day. Start with Cetaphil gentle cleanser. This is a gentle, hydrating cleanser that will break up your SPF really effectively. Massage in and rinse. Then apply a foaming cleanser, I recommend Cetaphil daily cleanser which foams. This will sweep away anything that’s left and give you a good foundation for the rest of your routine. While this doesn't directly help hyperpigmentation specifically, it's a critical step especially for people who are acne>PIH prone. It also gives you a nice clean slate to apply the rest of your skincare. I've tried dozens of cleansers but always come back to these two as good basic options.
For your Buffer this is an important step that can be done prior to using a chemical exfoliant or retinoid: applying an occlusive that will block the active from more sensitive skin. I recommend buffering around your eyes and nostrils with La Roche Posay Cicaplast balm because it kind of doubles as a nice eye cream, but this can also be done with basic vaseline or aquaphor for a more budget-friendly option.
For Tranexamic Acid, my holy grail TXA product, La Roche Posay Glycolic B5 is actually a multipurpose serum that combines ingredients to treat hyperpigmentation with chemical exfoliants. It contains two hyperpigmentation heavy hitters -- Tranexamic acid and Kojic Acid which are great for melasma -- and two exfoliants -- Glycolic Acid and Lipo-Hydroxy Acid (LHA) which is like fancy salicylic acid -- so it both reveals new skin cells that are less prone to pigmenting from UV exposure while sloughing away your old skin cells. You can use this 2 or 3 nights per week. On off nights, just cleanse and moisturize.
For a Retinoid if you can get prescription tretinoin, this is going to be the best bet. Your doctor will advise you on the concentration. More on that in part 6. It will help speed up the rate of cell turnover bringing new, unpigmented skin cells to the surface faster. Some other OTC options include differin (which is rated more for acne but uses the same mechanism for cell turnover so it's also effective in this use case) and retinols. Now, I haven't tried every retinol on the market but I have two that I stand by: SkinCeuticals retinol and L'Oreal retinol serum. The SkinCeuticals is, in my opinion, the closest to RX tretinoin in terms of efficacy, but it's a little pricey. The L'Oreal also does a really good job and is a little more affordable. It's currently my go-to OTC on the days I'm not using my RX retinoid tazarotene. You can use this 2 or 3 nights per week. On off nights, just cleanse and moisturize.
** My recommendations for tranexamic acid and retinoids CANNOT be used in the same night. You'll nuke your skin. And for most people, both aren't necessary, you can get away with using one or the other. If I had a preference, I would say use the TXA serum instead of a retinoid, but if you can build up a tolerance to using them both without damaging your barrier, they work really well together. So, proceed with caution. If you want to use both, use them on alternate nights and give yourself a night or two without either to let your skin recover. For me personally, I do retinoids on Sundays, and Wednesdays, chemical exfoliants on Mondays and Thursdays, and I let my skin rest (cleanse, moisturize, squalene oil) on Tuesdays, Fridays, and Saturdays.
On top of whichever active you choose, apply your moisturizer. You can use the same one you use in your morning routine, the Cetaphil daily lotion as it’s nice and light. I also like La Roche Posay Toleraine double repair for a ceramide-based cream alternative if you want something richer.
You do not want to "slug" over actives. This advice gets mixed in a lot. Slugging refers to applying an occlusive layer over your skincare such as vaseline, aquaphor, oils like squalene oil, or healing balms like La Roche Posay Cicaplast balm. While this can be done on hydration nights, it should not be done on nights when you're using chemical exfoliants or retinoids as this may make them too effective causing irritation and breakouts.

Body Hyperpigmentation

Ok, I need everyone to be a grownup for two seconds. These products and methods (both from the prior section and this section) should NOT be used on your genitals. First, you can cause serious irritation or infection by applying active skincare to your genitals. Second, it's really not going to do anything to change the pigmentation of the skin there. The skin on your genitals is different than your body and facial skin and it pigments in different ways for different reasons so it's not going to respond to topicals the same way the rest of your body does. Don't even try it.
To be perfectly clear, these are the areas you should not be applying skincare: labia majora, labia minora, vaginal entrance or vagina, clitoral hood, perineum, anus, intergluteal cleft aka inside your butt crack, penis, or scrotum. And I say this as someone who chaffed the precipice of her "intergluteal cleft" in an unfortunate crunches-in-the-wrong-gym-shorts accident leaving me with some deeply incriminating hyperpigmentation and earning me the nickname "skid mark" from my ever loving boyfriend. It faded after a year but you can still send prayers.
These are areas you can apply skincare but do so with absolute caution and at your own risk: bikini line, mons pubis, inner thigh up to the groin fold, butt cheeks. Ok, now that we've got the disclaimers out of the way, let's move forward.
Hyperpigmentation can also occur on body skin for the same reason it appears on the face, but it can also be triggered by friction. And because body skin is different from facial skin, it requires a slightly different approach. This is my recommendation for both hyperpigmentation and KP (Keratosis pilaris) because they rely on the same mechanism for treatment: chemical exfoliation.
In the case of body hyperpigmentation, I recommend a two prong approach: a body wash in the shower and a topical treatment to be used after. Oh, and SPF again if there are areas that are exposed to the sun, and I have a holy grail SPF recommendation for this.
Now you may have noticed in my facial skin recommendation that I did not mention CeraVe as a treatment brand. I have posted numerous takedowns of CeraVe on other threads so I won't rehash them here suffice it to say that it's no longer a brand I can in good faith recommend since it's acquisition by L'Oreal. This is often the brand that's considered when treating KP on the body, but I don't believe their formulations and ingredient quality works for everyone.
For the body wash, I recommend Neutrogena body clear with Salicylic acid. This is an exfoliating body wash that will help clear away dead skin cells on the surface allowing new ones to come through. To be effective, you want it to sit on your skin for a little while. I recommend lathering it up and applying it after turning off your shower faucet and letting it sit for 2 or 3 minutes. This is when I like to knock out shower emails. Then rinse away.
On towel dried skin after your shower, apply AmLactin Bumps Be Gone. Again, this is formulated for KP but the reason I like it is because it contains lactic acid which will also give the assist on brightening hyperpigmented body skin. The wash and this should be effective, but you might also want to mix in a few drops of the alpha arbutin serum I recommended for your facial routine, maybe three drops per application area (each leg, each arm, chest, etc). I generally don't encourage facial products on the body because it's not an economical use for them, and also because body skin is a little more resilient and doesn't need skincare that's formulated for more sensitive facial skin. The AA serum from the Ordinary is very affordable however and is a good hyperpigmentation generalist.
Another one that I mentioned in the facial hyperpigmentation portion that can work well on the body is the Hada Labo whitening lotion. Again, this is formulated around tranexamic acid which is very effective for hyperpigmentation and a little bit if this stuff goes a long way. I buy it in bulk from Japanese Importers though it's also available on Amazon for a slightly higher price. If you find yourself in Asia, stock up on it. I use this specifically for fading tan lines that happen (even with diligent/neurotic SPF use) around my fitness watch and the straps of my workout tops that I run in.
You also want to wear SPF on areas that are exposed to the sun to prevent pigmentation from occurring. The one I absolutely love that’s not your 90’s banana boat is Aveeno Protect + Hydrate lotion with SPF 60. This is a great SPF for a lot of reasons: it finishes like a lotion instead of a sunscreen, it dries down totally clear, and it has a pleasant, slight sweet scent. On a scale of 1-10 with 1 being bare skin, 10 being banana boat slathered on by your mom in 1997, and regular body lotion being a 2, I give Aveeno Protect + Hydrate a 2.5 in terms of texture and feel-finish. I use it as my daily lotion on my neck, arms, shoulders, and chest. If you're more active you might need a heavier hitter here like a sport sunscreen.

Nuclear Options

In general, I recommend trying OTC topical solutions for any skin concern before heading down the in-office procedure route. Part of this is because you can usually put a good dent in what you're struggling with by using OTC topicals, making in-office procedures and RX treatments easier and more effective. Part of it is so you have a good maintenance routine in place to use after the fact to preserve the results of your in-office procedure which can sometimes be costly. Lastly, while some procedures can solve the immediate problem completely, topical skincare can be really effective at treating other adjacent conditions like redness, acne, and fine lines.
Side note: I haven't listed every possible compounded medication because there are a lot, and many compounded meds are formulated to tackle multiple issues like acne and hyperpigmentation. I also tend to favor single note skin care (aka, products with very few ingredients) as this allows you to combine or remove certain actives and gives you a better sense of reactivity.
For tougher-to-treat hyperpigmentation such as melasma, if your topical routine doesn't totally clear the problem in 6 to 8 months, a visit to the dermatologist might be helpful. Here are the heavier-hitting procedures and topicals that can go the extra mile after you've exhausted other options.
Medical Grade Peels: Medical grade chemical peels can be done by dermatologists. Trichloroacetic acid (TCA) or phenol peels may be done for cases of severe hyperpigmentation, but high concentration BHA or AHA peels are also commonly used. I do these twice a year. Because of the strength of the acids used, these must be done by a medical professional with careful followup.
***IPL Therapy and Laser Therapy may not work for everyone and in some cases may exacerbate hyperpigmentation so you really want to work with dermatologists with a lot of experience in treating cases similar to yours to determine if these interventions are appropriate for you.
IPL Treatment: Intense Pulsed Light (IPL) therapy can treat hyperpigmentation by targeting the melanin in the skin with a broad spectrum of light wavelengths, heating and breaking the melanin down. IPL is particularly effective for treating sun damage and age spots, as well as other forms of hyperpigmentation. The treatment is relatively non-invasive, with minimal downtime, making it a popular option. This is also a great treatment for the redness associated with enlarged blood vessels (often confused for broken capillaries) on the surface of the skin which can also appear alongside hyperpigmentation. There isn't any clinical evidence to support at-home IPL devices being effective in the same way. That doesn't mean it's not possible, it's just not studied enough to be certain. Most at-home IPL devices do not operate in effective wavelengths the way professional grade ones do.
Laser Therapy: Fractional and CO2 lasers can be used to treat a range of hyperpigmentation issues, including sun damage, age spots, and melasma. The treatment works by removing the top layers of skin, which contain the excess pigmentation, revealing fresh, healthy skin cells underneath. The lasers also stimulate the production of collagen, which helps to improve skin texture and reduce the appearance of fine lines and wrinkles.
Hydroquinone: This isn't an in-office procedure like the aforementioned treatments, but it is firewalled behind a prescription meaning you can only access hydroquinone in effective concentrations by working with a doctor. This is a somewhat new development at least in the US following some covid-era rejiggering of prescription clearances. HDQ is controversial because it's a skin bleaching agent which has some cultural implications in places where light skin is favored over natural pigmentation. HDQ technically works the same way other OTC tyrosinase inhibitors do (in fact arbutin actually metabolizes into HDQ when applied to the skin), pure HDQ happens to be the most powerful version of them. It lightens any skin it touches, not just hyperpigmented skin in higher concentrations which can make it tough to use. This effect isn't as profound in the other tyrosinase inhibitors I mentioned making them much easier to use over HDQ which, in high concentrations, must be dotted on the skin in only hyperpigmented areas. So HDQ is really reserved for intervention in extreme or OTC treatment-resistance cases.
Tretinoin and Prescription Retinoids: This is going to be dependent on what part of the world you're in, but in a lot of countries, tretinoin and its counterparts like tazarotene are only available through prescription. I mentioned retinoids in the routine so if you're able to get your hands on a prescription from a doctor, it may be more effective than OTC retinols. Most doctors will prescribe a retinoid over hydroquinone, so this is usually easier to procure and can be quite effective on its own as a hyperpigmentation treatment. OTC differin is the only retinoid available over-the-counter (in the US) which can also be used for hyperpigmentation.
Prescription Azelaic Acid: This is another one that's available in lower concentrations over-the-counter (which can still be quite effective) but there are prescription strength grades of azelaic acid. This is usually reserved for rosacea treatment as it tends to target redness and flushing, or as an acne treatment because of its antiseptic properties, but it can also be an effective hyperpigmentation treatment for its tyrosinase-inhibiting ability.
If you made it this far, congratulations! I hope this information is helpful. While it is extensive and based on massive amount of research, experience, experimentation and work with professionals, it may not be perfect and it may not be suitable for everyone. Feel free to offer any constructive criticism or ask any questions in comments. I am always open to expanding my understanding.