An Inquiry into Light: Brandon Blackstock, Melanoma Awareness, and the Healing Promise of Phototherapy
Introduction: A Private Battle in the Public Eye
On August 7, 2025, the public learned more about music manager Brandon Blackstock’s personal health journey, which brought attention to the importance of melanoma awareness. As a successful music manager, a dedicated father of four, and the former husband of renowned singer Kelly Clarkson, Blackstock has long been in the public spotlight. His experience with melanoma has since inspired conversations about skin health, early detection, and the evolving role of safe light-based therapies..8
Blackstock’s story—centered on melanoma, a skin condition primarily linked to ultraviolet (UV) radiation exposure—opens the door to a deeper discussion: the complex relationship between light and human health. While UV light can be harmful, other forms of light are harnessed in medicine for positive, non-invasive therapeutic effects. This duality highlights the importance of understanding which wavelengths help us heal and how to use them safely.
This report aims to offer an evidence-based look at phototherapy—covering its two core modalities, Photobiomodulation (PBM) and Photodynamic Therapy (PDT). By exploring the science, clinical applications, and safety considerations of these approaches, we hope to guide readers in making informed, health-positive choices. Blackstock’s journey serves as an inspiration throughout, reminding us that awareness, prevention, and safe innovation can work together to improve lives.
Section 1: The Science of Light as Medicine: A Tale of Two Therapies
To fully understand the potential and risks of phototherapy, it is essential to first clearly distinguish between two often-conflated core technologies. While both use light, their biological objectives and mechanisms of action are polar opposites. One aims to stimulate cellular vitality and promote repair; the other is designed to selectively destroy target cells. This fundamental difference is the foundation for understanding all subsequent clinical applications and safety considerations.
1.1 Photobiomodulation (PBM): Igniting Energy and Repair from Within
Photobiomodulation (PBM), formerly known as low-level laser therapy (LLLT), is a non-thermal, non-invasive treatment that typically uses light-emitting diodes (LEDs) or low-power lasers to emit red light (approx. 620-700 nm wavelength) and near-infrared (NIR) light (approx. 700-1440 nm).12 Its core mechanism of action lies in the absorption of photons of specific wavelengths by cellular chromophores, the most critical target being Cytochrome C Oxidase (CCO) in the mitochondrial respiratory chain.15
This photon absorption triggers a cascade of cellular biological events, which can be termed the "mitochondrial cascade":
- Increased Adenosine Triphosphate (ATP) Production: The stimulation of CCO enhances the efficiency of the mitochondrial electron transport chain, thereby significantly increasing the synthesis of adenosine triphosphate (ATP).20 ATP is the cell's "energy currency," providing ample energy for cells to perform repair, regeneration, and normal physiological functions.24 A healthy mitochondrion can produce up to 36 ATP molecules in a single cycle, whereas a dysfunctional one might only generate 2.26 By boosting ATP production, PBM greatly enhances cellular metabolic activity.
- Regulation of Reactive Oxygen Species (ROS): PBM causes a transient, moderate increase in intracellular reactive oxygen species (ROS). This momentary burst of ROS is not harmful oxidative stress but acts as a crucial signaling molecule, activating various transcription factors (like NF-κB) and, in turn, initiating the cell's defense, anti-inflammatory, and repair pathways.12 Interestingly, when PBM is applied to cells or disease models already under oxidative stress, it can actually lower overall ROS levels and upregulate the body's antioxidant defense mechanisms.13
- Release of Nitric Oxide (NO): A key hypothesis suggests that photons can dissociate inhibitory NO from CCO. The dissociation of NO restores the enzymatic activity of CCO, allowing oxygen to rebind, thereby resuming electron transport and ATP production. Simultaneously, the released NO is a potent vasodilator, improving local blood circulation and bringing more oxygen and nutrients to the tissues.16
These primary effects further trigger a wide range of downstream effects, including reducing inflammation by regulating cytokines (e.g., lowering pro-inflammatory interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α)), promoting cell proliferation and migration, and synthesizing new proteins (like collagen), which are the biological basis for its applications in wound healing, tissue repair, and skin rejuvenation.15
1.2 Photodynamic Therapy (PDT): A Targeted "Search and Destroy" Mission
In complete contrast to the restorative goal of PBM, Photodynamic Therapy (PDT) is a precise, destruction-oriented treatment strategy. It is a strict two-step process, not merely shining light:
- Step 1: Administration of a Photosensitizer: First, the patient receives a photosensitizer via oral, topical, or intravenous administration. This drug is typically non-toxic or has low toxicity on its own and does not produce a therapeutic effect until activated by a specific wavelength of light.29
- Step 2: Light Activation: After a period of time (the drug-light interval), the photosensitizer selectively accumulates in the target tissue (such as cancer cells, pathogenic microorganisms, or abnormal blood vessels).33 At this point, the physician uses a light source of a specific wavelength (such as a laser or LED) to illuminate the lesion area.
The mechanism of action is that when the photosensitizer absorbs the photon energy of a matching wavelength, it becomes activated and transfers this energy to surrounding oxygen molecules, generating highly reactive singlet oxygen and other forms of reactive oxygen species (ROS).33 These strong oxidizing agents are extremely toxic to cells, rapidly destroying cell membranes, mitochondria, and other organelles, leading to the apoptosis or necrosis of the target cells.29 This process is known as phototoxicity.
Therefore, the fundamental goal of PDT is to achieve selective cell killing to treat cancer, clear infections, or eliminate abnormal tissue, whereas the goal of PBM is to promote cellular health and tissue repair through biostimulation.33 Common photosensitizers include aminolevulinic acid (ALA), Methylene Blue, and Riboflavin, which require activation by different colors of light (such as blue or red).29
Before delving into specific applications, it is crucial to understand a core scientific principle of PBM efficacy: the "biphasic dose response," also known as the Arndt-Schulz Law.16 This principle states that the effect of PBM is not linearly incremental—it is not a case of "more is better." Instead, it follows a "Goldilocks" optimal window: if the dose is too low, the light fails to produce a significant biological effect; at a moderate dose, the optimal therapeutic effect is achieved; and if the dose is too high, the effect may diminish, or even become inhibitory or harmful. The mechanism behind this phenomenon may be related to ROS production: moderate ROS are important signaling molecules, but excessive ROS can trigger oxidative stress and cellular damage.
This principle has profound implications for clinical practice and the proliferation of at-home devices. Consumers, when purchasing or using at-home PBM devices, often fall into a common misconception that "higher power is better" or "longer exposure is more effective." However, this logic might inadvertently push them beyond the optimal therapeutic window, not only failing to achieve the desired benefits but potentially inhibiting the cellular repair process. This highlights that the precise control of phototherapy parameters (including wavelength, power density/irradiance, energy density/fluence, and exposure time) is as important as the light itself, and is the core value of professional medical guidance over unregulated home use.
Table 1: Comparative Overview of Photobiomodulation (PBM) and Photodynamic Therapy (PDT)
Table 1. Comparative Overview of Photobiomodulation (PBM) and Photodynamic Therapy (PDT)
Feature |
Photobiomodulation (PBM) |
Photodynamic Therapy (PDT) |
Primary Goal |
Stimulate cellular function, reduce inflammation, promote tissue repair and regeneration |
Selectively destroy target cells (e.g., cancer cells, pathogens) |
Mechanism of Action |
Photons absorbed by mitochondrial cytochrome c oxidase; ↑ ATP; modulate ROS and NO signaling |
Photosensitizer activated by specific light to generate ROS, causing cytotoxicity and cell death |
Requires Photosensitizer |
No (acts on endogenous chromophores) |
Yes (exogenous photosensitizing drug required) |
Common Light Source / Wavelength |
Red / Near-infrared (≈620–1440 nm) LEDs or low-power lasers |
Specific wavelength matching photosensitizer absorption (e.g., blue, red) |
Biological Outcome |
↑ Cellular energy, ↓ inflammation, enhanced proliferation and repair |
Apoptosis/necrosis of target cells |
Example Clinical Applications |
Skin rejuvenation, wound healing, muscle recovery, chronic pain management |
Actinic keratosis, certain non-melanoma skin cancers, antimicrobial applications |
Treatment of certain skin cancers, actinic keratosis, acne, antimicrobial infections 39
Section 2: Phototherapy in Oncology: A Double-Edged Sword
By combining the scientific principles of phototherapy with the context of Brandon Blackstock's condition, we can see that light plays a complex and contradictory role in the field of cancer treatment. On one hand, PDT offers a precise means of attack; on the other, PBM presents a stark warning due to its biostimulatory properties.
2.1 PDT as a Cancer Treatment: A Targeted Weapon
Photodynamic Therapy (PDT) is a well-established therapy approved by the U.S. Food and Drug Administration (FDA) for treating specific cancers and precancerous lesions.39 It is particularly suitable for treating lesions on or just under the skin, such as actinic keratosis (a precancerous condition) and certain types of non-melanoma skin cancers (like basal cell carcinoma and squamous cell carcinoma).39 Additionally, PDT can be used to relieve symptoms caused by some internal cancers, for example, when esophageal cancer obstructs the esophagus, PDT can be used to remove tumor tissue to restore swallowing function.32
The main advantage of PDT is its high degree of targeting. The photosensitizer tends to accumulate in rapidly proliferating abnormal cells, and the light is precisely focused on the tumor area, which minimizes damage to surrounding healthy tissue and typically leaves no scars, which is particularly important for treating facial skin cancers.31 However, PDT also has its inherent limitations. Its primary constraint is the limited penetration depth of light, which can usually only penetrate about 1 centimeter (about 1/3 inch) of tissue.29 This means PDT cannot effectively treat large or deep-seated tumors.
Although Brandon Blackstock suffered from melanoma, and PDT is currently more commonly used for other types of skin cancer, the core principle embodied by this therapy—using light to selectively destroy malignant cells—stands in stark contrast to the potential risks of PBM, providing a crucial reference for understanding the dual role of phototherapy in oncology.
2.2 The PBM Conundrum: A Strict Contraindication for Active Malignancy
This report must convey a critically important safety message: Photobiomodulation (PBM) is strictly contraindicated for direct application over known or suspected malignant lesions.40 This contraindication is not arbitrary but is based on the profound biological mechanisms of PBM itself.
The scientific rationale is that the core function of PBM is to promote cellular bioactivity. It provides energy to cells by increasing ATP production, stimulates cell proliferation and migration, and promotes the formation of new blood vessels (angiogenesis) to improve blood supply.15 Unfortunately, these are the very physiological processes that tumors rely on for growth, invasion, and metastasis. Therefore, applying a biostimulatory therapy to a malignant tumor carries a significant theoretical risk of "fueling the fire," potentially accelerating the tumor's progression. Some in vitro studies have already shown that, under specific parameters, PBM can indeed increase the proliferation rate of cancer cell lines.45
However, this contraindication is not absolute. PBM does have a place in oncology, but its application is highly specific and nuanced. It is used to treat the side effects of cancer treatment itself, serving as a palliative or supportive care measure.43 For example, patients receiving radiation to the head and neck or high-dose chemotherapy often suffer from severe oral mucositis (redness, swelling, pain, and ulcers in the mouth, tongue, and lips), and PBM has been proven effective in preventing and treating this side effect.13 In this context, PBM is precisely applied to the damaged healthy mucosal tissue to reduce inflammation, alleviate pain, and promote healing, while strictly avoiding known tumor areas. All such applications must be conducted under the close supervision and with the permission of an oncologist.42
With the booming market for at-home PBM devices, a potential public health risk is emerging. For diagnosed cancer patients, who are typically under the supervision of the healthcare system, the risk of directly applying PBM to a tumor is relatively controlled. However, the greatest danger lies with ordinary consumers who have undiagnosed malignancies.
Consider this scenario: a person notices a new, unevenly colored, or irregularly bordered spot on their skin, sometimes accompanied by mild pain or discomfort—this perfectly matches the "ABCDE" self-check rule for early melanoma.2 However, instead of seeking immediate medical attention, they mistake it for a common "age spot," an "inflamed mole," or a "sore muscle." At the same time, for reasons of "wellness," "skin rejuvenation," or "pain relief," they may purchase an at-home red light therapy device.24 Believing the advertised claims of "reducing inflammation and promoting healing," they begin to irradiate the unknown skin lesion daily. In doing so, they are unwittingly providing potential cancer cells with the key elements they need to grow: extra cellular energy (ATP), enhanced local blood supply, and stimulated proliferation signals. Theoretically, this could accelerate the tumor's growth and progression, thereby missing the golden window for early diagnosis and treatment. Brandon Blackstock's battle with aggressive melanoma tragically underscores the extreme importance of timely, professional diagnosis for any suspicious skin lesion, especially before considering the use of any form of at-home "health" therapy.
Section 3: Broadening the Spectrum: Clinical Applications of Photobiomodulation
Having established the strict limitations of PBM in oncology, this section will explore its broad applications and evidence base in numerous non-cancerous disease areas, showcasing its potential as a versatile therapeutic modality.
3.1 Applications in Dermatology and Aesthetics: Rejuvenation and Repair
The application of PBM in dermatology is one of its most extensively researched and well-evidenced fields.
- Skin Rejuvenation: Numerous clinical studies have confirmed that PBM can effectively combat the signs of skin aging. By stimulating fibroblasts in the dermis, PBM can significantly promote the synthesis of collagen and elastin, thereby reducing the depth of fine lines and wrinkles and improving skin firmness and elasticity.24 A clinical study on an at-home LED mask showed that after three months of continuous use, subjects' crow's feet wrinkle depth decreased by 15.6%, dermal density increased by 26.4%, and skin sagging and roughness also significantly improved, with the effects lasting for up to one month after discontinuing use.20
- Acne: In the treatment of acne, different colors of light play different roles. Blue light (approx. 407-420 nm wavelength) can be absorbed by porphyrins within Cutibacterium acnes, triggering a photochemical reaction that produces singlet oxygen, thereby directly killing the bacteria and exerting an antibacterial effect.49 Red light, on the other hand, primarily works through its powerful anti-inflammatory properties to reduce the redness and inflammation of acne lesions.24 Therefore, many devices (especially at-home masks) use a combination of red and blue light to simultaneously address both the bacterial and inflammatory causes of acne, and multiple studies have confirmed the effectiveness of this combination therapy.54
- Wound Healing and Scar Management: The ability of PBM to promote wound healing was one of its earliest discovered and studied applications. By enhancing cellular ATP production, reducing inflammation, promoting angiogenesis, and collagen synthesis, PBM can significantly accelerate the healing process of various types of wounds.15 Furthermore, it has shown potential in scar management, particularly for hypertrophic scars and keloids. PBM can help reduce scar volume, improve its texture and elasticity, and alleviate associated itching and pain by regulating fibroblast activity and collagen synthesis.15
- Hair Loss: For the most common type of hair loss—androgenetic alopecia (also known as pattern baldness)—PBM has been proven to be an effective treatment option. Multiple randomized controlled trials have shown that regular irradiation of the scalp with low-level red or near-infrared light can stimulate hair follicles and extend their growth phase, thereby increasing hair density, thickness, and strength, and promoting hair regrowth.46
3.2 Chronic Pain and Inflammation Management: A Non-Pharmacological Intervention
The anti-inflammatory and analgesic effects of PBM make it a highly attractive non-pharmacological therapy in the field of pain management.
- Musculoskeletal Pain: A large body of evidence indicates that PBM can effectively relieve chronic pain caused by various musculoskeletal disorders. For patients with osteoarthritis, PBM can reduce joint inflammation, alleviate pain, and improve function.37 It is also used to treat conditions characterized by chronic pain and inflammation, such as neck and lower back pain, tendonitis, and fibromyalgia.13
- Neuropathic Pain: PBM has also shown therapeutic potential for neuropathic pain caused by nerve damage or dysfunction. Its mechanisms may involve improving local blood circulation to damaged nerves, promoting the regeneration and repair of nerve fibers, and modulating nerve conduction, thereby alleviating symptoms such as pain, numbness, and paresthesia.57
- Athletic Recovery: In the field of sports medicine, PBM has become a popular adjunctive recovery tool. Whether used before exercise (as pre-conditioning) or after, PBM has been shown to reduce delayed onset muscle soreness (DOMS), decrease exercise-induced inflammation and oxidative stress, and promote muscle repair by accelerating ATP replenishment, thus helping athletes recover faster and enhance performance.61
3.3 Complex Case Study: Lyme Disease and its Post-Treatment Syndrome
Lyme disease is a bacterial infectious disease caused by Borrelia burgdorferi, transmitted through tick bites.65 Its clinical manifestations are diverse, with the characteristic "bull's-eye" Erythema migrans often appearing in the early stages. If not treated promptly, it can progress to late-stage Lyme disease affecting the joints, heart, and nervous system.65
A highly challenging and controversial area is "Post-Treatment Lyme Disease Syndrome" (PTLDS). Approximately 10-20% of patients, after receiving standard antibiotic treatment, continue to experience long-term, debilitating symptoms such as diffuse pain, severe fatigue, and cognitive dysfunction (commonly known as "brain fog").70 The National Institutes of Health (NIH) has acknowledged the existence of PTLDS and is funding research into its potential causes, with hypotheses including difficult-to-detect persistent infection, an autoimmune response triggered by the initial infection, or persistent immune dysregulation.75
In the treatment of Lyme disease, there are two mainstream but divergent clinical guidelines. The guidelines from the Infectious Diseases Society of America (IDSA) typically recommend a short course of antibiotics for 10-28 days and strongly oppose the use of long-term antibiotics for PTLDS patients, citing a lack of evidence for efficacy and potential risks.76 In contrast, the International Lyme and Associated Diseases Society (ILADS) emphasizes the importance of clinical diagnosis, advocates for individualized treatment based on the patient's specific situation, is open to long-term antibiotic therapy, and encourages the integration of complementary and alternative therapies to manage persistent symptoms.81
It is within the comprehensive treatment framework advocated by ILADS that phototherapy has begun to be explored as a non-pharmacological means of managing PTLDS symptoms. The known mechanisms of PBM—reducing systemic inflammation, alleviating muscle and nerve pain, combating chronic fatigue by boosting ATP production, and improving microcirculation—are highly consistent with the core needs of PTLDS patients.28 Some clinicians and patients have reported that using PBM (especially whole-body irradiation or targeted application to specific painful areas) helps improve their quality of life.88 Additionally, there are more cutting-edge explorations attempting to use photodynamic therapy (PDT) in combination with photosensitizers like riboflavin to directly kill potentially latent
Borrelia burgdorferi, but research in this area is still in its very early stages and lacks solid clinical evidence.91
When we examine the application of PBM in a variety of seemingly unrelated conditions such as skin aging, muscle fatigue, chronic pain, and even PTLDS, a common, deep biological theme gradually emerges: mitochondrial dysfunction. Skin aging is directly related to a decline in mitochondrial function 20; muscle fatigue is essentially ATP depletion and mitochondrial stress 28; and the core symptom of chronic fatigue syndrome and PTLDS—an indescribable exhaustion—is also hypothesized to be related to mitochondrial energy metabolism disorders.72 The core target of PBM is precisely the mitochondria, and its primary effect is to optimize their function and enhance energy output.16 Therefore, PBM can be understood as a practical form of "mitochondrial medicine." It is not merely a symptomatic treatment for isolated symptoms but addresses the common pathophysiological basis of many chronic, degenerative diseases by repairing the most fundamental energy production units of the cell. This perspective provides a unified scientific framework for understanding why PBM can exhibit such a broad therapeutic potential.
Table 2: Summary of Evidence for PBM Clinical Applications
Table 2. Summary of Evidence for PBM Clinical Applications
Condition / Disorder |
Primary PBM Mechanism |
Key Clinical Study Findings |
Level of Evidence |
Skin Aging |
Stimulates collagen & fibroblasts; ↑ ATP |
Reduces fine lines; improves elasticity/density; evens tone |
Strong |
Acne |
Blue light kills C. acnes; red light anti-inflammatory |
↓ Inflammatory & non-inflammatory lesions; ↓ redness |
Moderate |
Osteoarthritis |
↓ Inflammation; analgesia; improved microcirculation |
↓ Pain scores; ↑ joint function & ROM |
Moderate |
Neuropathic Pain |
↓ Neuroinflammation; promotes nerve repair; improves microcirculation |
↓ Pain; ↑ nerve conduction velocity & sensory function |
Emerging |
Muscle Recovery |
↑ ATP; ↓ inflammation & oxidative stress |
↓ DOMS; faster strength recovery; better performance |
Moderate |
PTLDS Symptoms |
Systemic anti-inflammatory; ↑ ATP to combat fatigue; analgesia |
Improves fatigue, pain, “brain fog”; ↑ quality of life |
Emerging / Anecdotal |
Section 4: Navigating the At-Home Revolution: Efficacy, Safety, and Regulation
With the popularization of phototherapy technology, a large number of at-home devices targeting ordinary consumers have flooded the market, from LED masks to handheld wands and large panels. This "at-home revolution" provides people with convenient health management tools but also brings serious challenges regarding efficacy, safety, and misleading marketing. This section aims to provide consumers with a clear navigation map.
4.1 Professional vs. Consumer-Grade Devices: The Power and Precision Gap
The most fundamental difference between professional medical-grade devices and at-home consumer-grade devices lies in their technical parameters, which directly determine the depth and speed of the therapeutic effect.
- The Power Density Gap: The key parameter is power density (or irradiance), measured in milliwatts per square centimeter (mW/cm2). Professional systems can deliver significantly higher energy output, typically in the range of 40-150 mW/cm2, whereas most at-home devices have a much lower power output, generally between 1-40 mW/cm2.94 Higher power density means that photons can penetrate more effectively to deeper tissue layers and deliver sufficient energy in a shorter time to elicit a robust cellular response.94
- Efficacy Expectations: Therefore, treatments received in a professional medical setting usually produce more significant and rapid results than using at-home devices.53 At-home devices, especially for superficial issues like skin rejuvenation, can indeed achieve measurable improvements through long-term, consistent use.46 However, they should not be considered a complete substitute for professional treatment, especially when dealing with deeper tissue problems (like joint pain) or seeking more dramatic improvements.96
- Precision and Personalization: Another advantage of professional treatment is its precision and customizability. Trained clinicians can precisely select wavelengths and adjust dosages and treatment protocols based on the patient's specific condition, treatment stage, and response.94 In contrast, most consumer-grade devices have preset, fixed wavelengths and modes, lacking this personalized adjustment capability.
4.2 Decoding FDA Terminology: "Cleared" vs. "Approved"
When purchasing at-home medical devices, consumers often encounter marketing terms like "FDA Certified" or "FDA Approved," but these terms have vastly different meanings at the regulatory level, and understanding their true significance is crucial.98
- "FDA Registered": This simply means that the manufacturer or distributor of the device has registered their business information with the FDA and paid an annual fee. It has nothing to do with the product's safety or effectiveness and does not represent any form of endorsement from the FDA.98
- "FDA Cleared": This is the regulatory status obtained by the vast majority of at-home PBM devices (which are Class II, moderate-risk medical devices). It is obtained through the 510(k) premarket notification process. In this process, the manufacturer only needs to demonstrate that their new device is "substantially equivalent" to a legally marketed "predicate device." This process typically does not require the manufacturer to conduct independent, large-scale clinical trials to prove the safety and efficacy of the new device.100 The American Academy of Dermatology (AAD) explicitly states that "FDA Cleared" indicates that the FDA considers the device to pose a low risk to the public, but
it does not say anything about how effective the device is.46 - "FDA Approved": This is the FDA's most stringent review process, known as Premarket Approval (PMA), reserved for Class III high-risk medical devices (such as pacemakers, artificial heart valves). Obtaining "approval" requires the manufacturer to submit a detailed application containing extensive clinical trial evidence to independently prove that the device is safe and effective for its intended use.98 Therefore, although the PBM Foundation claims that "PBM equipment is FDA approved" 47, this is a broad statement. In reality, the vast majority of consumer-accessible at-home devices are "Cleared," not "Approved."
4.3 Key Safety Considerations for All Users
Although PBM is generally considered very safe, any effective therapy has potential risks and contraindications that users must take seriously.
- General Side Effects: The side effects of PBM are usually mild and temporary, including temporary redness, skin irritation, headache, and eye strain in the treated area. However, improper use, especially with overly powerful devices or prolonged exposure, can cause skin burns or blisters.24 In all cases, dedicated protective eyewear must be worn during device use to protect the eyes.103
- Contraindication: Pregnancy: For ethical reasons, there is a lack of clinical research data on the effects of PBM on a fetus. Therefore, pregnancy is generally considered a contraindication. The medical consensus is that, out of an abundance of caution, pregnant women should avoid using PBM, especially avoiding irradiation over the abdomen or pelvic area.108
- Contraindication: Photosensitizing Medications: This is a significant and often overlooked risk. Many common medications can increase the skin's sensitivity to light, and using phototherapy can trigger severe phototoxic or photoallergic reactions. Medications that require special caution include tetracycline antibiotics (like doxycycline, minocycline), some antipsychotic drugs (like lithium), retinoids (like isotretinoin), and certain diuretics.110 It is particularly noteworthy that doxycycline is often used to treat acne and Lyme disease—and patients with these conditions are precisely the ones who might seek phototherapy. Although some research indicates that the phototoxicity of doxycycline is primarily triggered by the UVA spectrum (340-400 nm), which theoretically differs from the red or blue light wavelengths emitted by LED masks 118, and one retrospective study found no adverse reactions when combining doxycycline with laser/IPL 115, the vast majority of guidelines and expert opinions still recommend that patients taking any known photosensitizing medication must consult their prescribing physician before using phototherapy.110
- Other Precautions: People with photosensitive diseases (like lupus) or a history of light-induced seizures should avoid use or use it under strict medical supervision.46 Extra caution is also needed when using high-power devices on tattooed or very dark skin, as the dark pigment absorbs more light energy and converts it into heat, which can cause pain or burns.41
Table 3: Key Contraindications and Safety Precautions for Phototherapy
Table 3. Key Contraindications and Safety Precautions for Phototherapy
Condition / Situation |
Risk Level |
Required Action / Guideline |
Active or Undiagnosed Malignancy |
Absolute Contraindication |
Do not apply PBM on/near lesion; any suspicious lesion must be dermatology-diagnosed first |
Pregnancy |
Strong Precaution |
Avoid use (especially abdomen); consult obstetrician before any therapy |
Use of Photosensitizing Medications |
Strong Precaution |
Consult prescribing physician; may require pausing medication or avoiding phototherapy |
Eye Exposure |
High Risk |
Always wear dedicated protective eyewear to prevent retinal damage |
Photosensitive Diseases (e.g., Lupus) |
High Risk |
Avoid use or proceed only under specialist supervision |
Light-Induced Seizures |
High Risk |
Avoid use, especially flashing/strobing modes |
Conclusion: An Admonition of Hope and Prudence
When we return to the story of Brandon Blackstock, it is not to speculate on his personal treatment choices, but to draw lessons from his experience in memory of his life. His battle with melanoma, in the most tragic way, underscores the seriousness of skin health and the irreplaceable importance of seeking professional medical diagnosis and care. His story serves as a powerful backdrop for understanding the complexity of phototherapy—light can be both the cause of disease and a tool for healing.
The core message of this report is to reveal the profound duality of phototherapy. On one hand, Photobiomodulation (PBM) demonstrates extraordinary, scientifically-backed potential to heal tissues, reduce inflammation, and combat aging by stimulating the body's own cellular energy and repair mechanisms. On the other hand, Photodynamic Therapy (PDT) provides a precisely guided "molecular scalpel" capable of targeting and destroying diseased cells. It must be clear that these two technologies are fundamentally different in their goals and mechanisms, and any "phototherapy" concept that conflates them is inadequate and potentially misleading.
With technological advancements, phototherapy is moving from professional clinical settings into countless homes, undoubtedly bringing unprecedented opportunities for health management. However, beneath the dawn of hope lies the shadow of misunderstanding and misuse. The proliferation of at-home devices demands a higher level of scientific literacy and caution from consumers. The final call of this report is to embrace an evidence-based, prudent consumerism. The promise of phototherapy technology is real, but the science behind it is complex. Whether for treating disease or enhancing wellness, the powerful force of light is best harnessed under the guidance of qualified medical professionals who can navigate its complexities, ensure its safe application, and distinguish scientific fact from marketing hyperbole. Only then can we truly and safely bask in the therapeutic light of light.
Works cited
- Brandon Blackstock: Remembering the Legacy of a Music Industry Influencer, accessed August 15, 2025, https://www.vinylmeplease.com/blogs/music-industry-news/brandon-blackstock-remembering-the-legacy-of-a-music-industry-influencer
- Brandon Blackstock dies at 48 — what to know about deadly 'Black Tumor' cancer, accessed August 15, 2025, https://m.economictimes.com/news/international/us/brandon-blackstock-dies-at-48-what-to-know-about-deadly-black-tumor-cancer/articleshow/123190437.cms
- Inside Brandon Blackstock's Final Days in Montana, Where He Died 'Surrounded by His Family' - People.com, accessed August 15, 2025, https://people.com/inside-brandon-blackstock-final-days-montana-11786930
- Melanoma can be deadly: What to know about the disease that killed Kelly Clarkson's ex, accessed August 15, 2025, https://www.foxnews.com/health/when-melanoma-deadly-what-know-about-disease-killed-kelly-clarksons-ex
- Heartfelt Tributes to Brandon Blackstock: A Legacy Remembered - Vinyl Me, Please, accessed August 15, 2025, https://www.vinylmeplease.com/blogs/music-industry-news/heartfelt-tributes-to-brandon-blackstock-a-legacy-remembered
- New details emerge surrounding Brandon Blackstock's tragic death aged 48 | HELLO!, accessed August 15, 2025, https://www.hellomagazine.com/celebrities/850317/new-details-emerge-surrounding-brandon-blackstock-tragic-death-aged-48/
- Everything Kelly Clarkson and Brandon Blackstock Have Said About Their Relationship, accessed August 15, 2025, https://people.com/music/kelly-clarkson-brandon-blackstock-relationship-everything-they-said/
- Brandon Blackstock Never Spoke About His Cancer Diagnosis Before His Death - Parade, accessed August 15, 2025, https://parade.com/news/brandon-blackstock-never-publicly-spoke-about-his-cancer-diagnosis-before-his-death
- What We Know About Kelly Clarkson's Ex-Husband Brandon Blackstock's Health Before His Death - Parade, accessed August 15, 2025, https://parade.com/celebrities/kelly-clarkson-ex-husband-brandon-blackstock-health
- Kelly Clarkson's Ex-Husband Brandon Blackstock Dies Following Secret Cancer Battle—After Singer Returned Home To Be With Him - Realtor.com, accessed August 15, 2025, https://www.realtor.com/news/celebrity-real-estate/kelly-clarkson-husband-brandon-blackstock-dead-children/
- Brandon Blackstock Dies at 48 After Courageous Three-Year Battle with Melanoma, accessed August 15, 2025, https://oncodaily.com/stories/celebrities/brandon-blackstock-melanoma
- Photobiomodulation CME part I: Overview and mechanism of action - PubMed, accessed August 13, 2025, https://pubmed.ncbi.nlm.nih.gov/38309304/
- Mechanisms and applications of the anti-inflammatory effects of photobiomodulation - PMC, accessed August 14, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC5523874/
- Unlocking the Power of Light on the Skin: A Comprehensive Review on Photobiomodulation, accessed August 14, 2025, https://www.mdpi.com/1422-0067/25/8/4483
- Photobiomodulation therapy in keloid management: a comprehensive review - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC12283276/
- Proposed Mechanisms of Photobiomodulation or Low-Level Light Therapy - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC5215870/
- Mechanisms and Mitochondrial Redox Signaling in Photobiomodulation - PubMed Central, accessed August 14, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC5844808/
- Enjoy the Benefits of a LED Mask During Pregnancy - Safe & Natural ..., accessed August 13, 2025, https://www.ledmask.co/post/the-benefits-of-using-a-led-mask-during-pregnancy
- Restoring mitochondrial dynamics in neuronal health through photobiomodulation, accessed August 15, 2025, https://www.jkslms.or.kr/journal/view.html?uid=362&vmd=Full&
- Reverse skin aging signs by red light photobiomodulation - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC10311288/
- Red light therapy lowers blood sugar and mitigates glucose spikes - News-Medical, accessed August 14, 2025, https://www.news-medical.net/news/20240220/Red-light-therapy-lowers-blood-sugar-and-mitigates-glucose-spikes.aspx
- The Importance of ATP in Light Therapy - Erchonia Corporation, accessed August 14, 2025, https://www.erchonia.com/importance-of-atp-in-light-therapy/
- Mitochondria are an important target of photobiomodulation in cardiomyocytes, accessed August 15, 2025, https://www.techscience.com/biocell/v46n12/49260/html
- Red Light Therapy: Benefits, Side Effects & Uses - Cleveland Clinic, accessed August 13, 2025, https://my.clevelandclinic.org/health/articles/22114-red-light-therapy
- Can Lyme Disease be Treated with Red and Infrared Light Therapy?, accessed August 14, 2025, https://platinumtherapylights.com/blogs/news/red-light-therapy-lyme-disease
- Red Light Therapy Aliso Viejo - SMART Health & Wellness, accessed August 15, 2025, https://www.smarthealthwellness.com/red-light-therapy-smart-health-and-wellness/
- 8 Ways Red Light Therapy Enhances Skin & Muscle Recovery - Deeply Vital Medical, accessed August 15, 2025, https://deeplyvitalmedical.com/8-effective-ways-red-light-therapy-skin-muscle-recovery/
- A Potential Role for Photobiomodulation Therapy in Disease Treatment and Prevention in the Era of COVID-19 - PubMed Central, accessed August 14, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC7673843/
- Photodynamic Therapy: Procedure, Cost, and Recovery - Healthline, accessed August 14, 2025, https://www.healthline.com/health/photodynamic-therapy
- Photobiomodulation & Photodynamic Therapy - AMA Regen Med & Skincare, accessed August 14, 2025, https://amaregenmed.com/treatment/2-light-therapies-photobiomodulation-photodynamic-therapy/
- Photodynamic therapy - Mayo Clinic, accessed August 14, 2025, https://www.mayoclinic.org/tests-procedures/photodynamic-therapy/about/pac-20385027
- Photodynamic Therapy to Treat Cancer - NCI, accessed August 14, 2025, https://www.cancer.gov/about-cancer/treatment/types/photodynamic-therapy
- Unlocking the Power of Light on the Skin: A Comprehensive Review on Photobiomodulation - PMC - PubMed Central, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC11049838/
- Innovative Photodynamic Therapy by Dr. Fred Bloem, accessed August 14, 2025, https://drbloem.com/photodynamic-therapy/
- ANTI-MICROBIAL PHOTODYNAMIC THERAPY - ISLA, accessed August 14, 2025, https://www.isla-laser.org/wp-content/uploads/COPYRIGHTED_Antimicrobial-Photodynamic-Therapy_incl.-Pre-Study-Malaria.pdf
- Photobiomodulation—Underlying Mechanism and Clinical Applications - PMC, accessed August 14, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC7356229/
- Low-intensity LASER and LED (photobiomodulation therapy) for pain control of the most common musculoskeletal conditions - PMC, accessed August 15, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC9980499/
- Exploring the benefits of red light therapy | Gundersen Health System, accessed August 15, 2025, https://www.gundersenhealth.org/health-wellness/aging-well/exploring-the-benefits-of-red-light-therapy
- Red light therapy: What the science says - Stanford Medicine, accessed August 13, 2025, https://med.stanford.edu/news/insights/2025/02/red-light-therapy-skin-hair-medical-clinics.html
- Is Photobiomodulation Therapy Safe? What the Research Says, accessed August 14, 2025, https://lightforcemedical.com/is_photobiomodulation_therapy_safe/
- PBM/Photobiomodulation Therapy - Contraindications - THOR Laser, accessed August 14, 2025, https://www.thorlaser.com/PBM/PBM-contraindications.htm
- Contraindications for Red Light Therapy- MedcoVet, accessed August 14, 2025, https://medcovet.com/blog/contraindications-for-red-light-therapy/
- About Your Photobiomodulation Therapy - Memorial Sloan Kettering Cancer Center, accessed August 14, 2025, https://www.mskcc.org/cancer-care/patient-education/about-your-photobiomodulation-therapy
- Photobiomodulation - American Society for Laser Medicine and Surgery, accessed August 14, 2025, https://www.aslms.org/for-the-public/treatments-using-lasers-and-energy-based-devices/photobiomodulation
- Photobiomodulation: A Systematic Review of the Oncologic Safety of Low-Level Light Therapy for Aesthetic Skin Rejuvenation, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC10309024/
- Is red light therapy right for your skin? - American Academy of Dermatology, accessed August 13, 2025, https://www.aad.org/public/cosmetic/safety/red-light-therapy
- Red Light Therapy for Lyme Disease, accessed August 14, 2025, https://projectlyme.org/red-light-therapy-for-lyme-disease/
- 5 health benefits of red light therapy - UCLA Health, accessed August 15, 2025, https://www.uclahealth.org/news/article/5-health-benefits-red-light-therapy
- Blue-Light Therapy for Acne Vulgaris: A Systematic Review and Meta-Analysis - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC6846280/
- Light-based therapies in acne treatment - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC4439741/
- Clinical Efficacy of Self-applied Blue Light Therapy for Mild-to-Moderate Facial Acne - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC2923954/
- Effect of Blue Light on Acne Vulgaris: A Systematic Review - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC8537635/
- LED Light Therapy: How It Works, Colors, Benefits & Risks - Cleveland Clinic, accessed August 13, 2025, https://my.clevelandclinic.org/health/treatments/22146-led-light-therapy
- Efficacy and Tolerability of a Combined 445nm and 630nm Over-the-counter Light Therapy Mask with and without Topical Salicylic Acid versus Topical Benzoyl Peroxide for the Treatment of Mild-to-moderate Acne Vulgaris - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC4896818/
- Editorial: Photobiomodulation and phototherapy in skin diseases - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC10803527/
- Blog – What is red light therapy? Benefits and side effects | Main Line Health, accessed August 15, 2025, https://www.mainlinehealth.org/blog/what-is-red-light-therapy
- Nurse Explains Red Light Therapy For Neuropathy - Rehabmart.com, accessed August 14, 2025, https://www.rehabmart.com/post/light-therapy-for-neuropathy
- Neuropathy: Does This Vita Red Light Therapy REALLY Work? - The BodyFix - Mt. Pleasant Sports Medicine Chiropractic & Spine Wellness Clinic, accessed August 14, 2025, https://www.thebodyfixchiro.com/red-light-neuropathy/
- Effectiveness of Photobiomodulation Therapy on Neuropathic Pain, Nerve Conduction and Plantar Pressure Distribution in Diabetic Peripheral Neuropathy - A Systematic Review - PubMed, accessed August 14, 2025, https://pubmed.ncbi.nlm.nih.gov/37622461/
- Benefits of Red Light Therapy for Peripheral Neuropathy, accessed August 14, 2025, https://physmedcolumbus.com/patients/patient-education/73-benefits-of-red-light-therapy-for-peripheral-neuropathy
- Can Red Light Therapy Aid Mitochondria for ATP Production in Cells?, accessed August 14, 2025, https://platinumtherapylights.com/blogs/news/red-light-therapy-mitochondria
- Red Light Therapy and Muscle Recovery - Physiopedia, accessed August 15, 2025, https://www.physio-pedia.com/Red_Light_Therapy_and_Muscle_Recovery
- Red Light Therapy for Muscle Recovery: Fitness Expert Insights - City Fitness, accessed August 15, 2025, https://cityfitness.com/archives/36400
- Can Red Light Therapy Improve Sleep, Skin, and Recovery? - News-Medical, accessed August 15, 2025, https://www.news-medical.net/health/Can-Red-Light-Therapy-Improve-Sleep-Skin-and-Recovery.aspx
- Lyme Disease: Symptoms, Treatment, Prevention & Recovery - Cleveland Clinic, accessed August 14, 2025, https://my.clevelandclinic.org/health/diseases/11586-lyme-disease
- Lyme Disease: What You Need to Know - CDC, accessed August 14, 2025, https://www.cdc.gov/lyme/media/pdfs/Lyme-Disease-What-you-need-to-know.pdf
- About Lyme Disease - CDC, accessed August 14, 2025, https://www.cdc.gov/lyme/about/index.html
- Lyme disease - Symptoms and causes - Mayo Clinic, accessed August 14, 2025, https://www.mayoclinic.org/diseases-conditions/lyme-disease/symptoms-causes/syc-20374651
- Signs and Symptoms of Untreated Lyme Disease - CDC, accessed August 14, 2025, https://www.cdc.gov/lyme/signs-symptoms/index.html
- Lyme Disease Syndrome - NIH News Release and Our Treatment Results, accessed August 14, 2025, https://xbodyus.com/lyme-disease-syndrome-nih-news-release-and-our-treatment-results/
- Chronic Symptoms and Lyme Disease - CDC, accessed August 14, 2025, https://www.cdc.gov/lyme/signs-symptoms/chronic-symptoms-and-lyme-disease.html
- Treatment Approaches to Post-treatment Lyme disease & a new Clinical Trials Network Brian A. Fallon, MD, MPH - National Academies, accessed August 14, 2025, https://www.nationalacademies.org/event/06-29-2023/docs/DD510203D6D7ED673A540B1167DBC17725F62E8C4656?noSaveAs=1
- NIH awards will fund Post-Treatment Lyme Disease Syndrome research, accessed August 14, 2025, https://www.nih.gov/news-events/news-releases/nih-awards-will-fund-post-treatment-lyme-disease-syndrome-research
- NIH awards will fund Post-Treatment Lyme Disease Syndrome research - South Florida Hospital News and Healthcare Report's, accessed August 14, 2025, https://southfloridahospitalnews.com/nih-awards-will-fund-post-treatment-lyme-disease-syndrome-research/?print=pdf
- Posttreatment Lyme disease syndromes: distinct pathogenesis caused by maladaptive host responses - JCI, accessed August 14, 2025, https://www.jci.org/articles/view/138062
- Clinical Assessment, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis: Clinical Practice Guidelines by the Infectious Diseases Society of America - Oxford Academic, accessed August 14, 2025, https://academic.oup.com/cid/article/43/9/1089/422463
- Treatment and Intervention for Lyme Disease - CDC, accessed August 14, 2025, https://www.cdc.gov/lyme/treatment/index.html
- Guidelines Summary for the Prevention, Diagnosis, and Treatment of Lyme Disease - IDSA, accessed August 14, 2025, https://www.idsociety.org/globalassets/idsa/practice-guidelines/lyme/idsa_aan_acr-lyme-disease-guideline---clinician-summary.pdf
- AAN/ACR/IDSA 2020 Guidelines for the Prevention, Diagnosis and Treatment of Lyme Disease, accessed August 14, 2025, https://www.idsociety.org/practice-guideline/lyme-disease/
- Lyme disease - IDSA, accessed August 14, 2025, https://www.idsociety.org/ID-topics/infectious-disease/lyme-disease/
- Statement on Guidelines - ILADS, accessed August 14, 2025, https://www.ilads.org/statement-on-guidelines/
- The International Lyme and Associated Diseases Society - ResearchGate, accessed August 14, 2025, https://www.researchgate.net/profile/Richard-Horowitz/publication/8147295_Evidence-based_guidelines_for_the_management_of_Lyme_disease/links/5ece984d299bf1c67d20dbad/Evidence-based-guidelines-for-the-management-of-Lyme-disease.pdf
- ILADS Treatment Guidelines, accessed August 14, 2025, https://www.ilads.org/patient-care/ilads-treatment-guidelines/
- ILADS 2020 Annual Conference - Abstract, accessed August 14, 2025, https://www.ilads.org/ilads-conference/ilads-annual-conference-2020/abstract/
- 2023 Annual Conference Boston - ILADS, accessed August 14, 2025, https://www.ilads.org/ilads-conference/2023-annual-conference-boston/
- Red Light Therapy for Lyme Disease: A Natural Solution, accessed August 14, 2025, https://infraredi.com.au/blogs/red-light-therapy/red-light-therapy-for-lyme-disease
- The Role of Lightwave Therapy in Reducing Symptoms of Chronic Fatigue Syndrome, accessed August 14, 2025, https://lightwavetherapy.com/2024/05/22/the-role-of-lightwave-therapy-in-reducing-symptoms-of-chronic-fatigue-syndrome/
- Lyme and Mold Treatment in Denver with Ozone Therapy, Red Light Therapy, Hyperbaric Oxygen Therapy, and Functional Medicine Approach | Axon Integrative Health LLC, accessed August 14, 2025, https://axonintegrativehealth.com/blogs/lyme-and-mold-treatment-in-denver-with-ozone-therapy-red-light-therapy-hyperbaric-oxygen-therapy-and-functional-medicine-approach/
- Red Light Therapy and Lyme Disease, accessed August 14, 2025, https://www.globallymealliance.org/blog/red-light-therapy-and-lyme-disease
- Light Therapy (Photobiomodulation) - NatureMed Clinic, accessed August 14, 2025, https://www.naturemedclinic.com/services/light-therapy-photobiomodulation/
- Anti-Microbial Photodynamic Therapy (aPDT) - Weber Medical, accessed August 14, 2025, https://www.webermedical.com/fileadmin/template/pdf/Ergebnisse_Borreliose_Hepatitis.pdf
- Lyme disease (Borreliosis): Causes, symptoms and treatment | Hyperthermia Centre Hannover | Germany, accessed August 14, 2025, https://www.hyperthermia-centre-hannover.com/lyme-disease-borreliosis
- Red Light Therapy for Chronic Fatigue (CFS) | Luminous Health Vancouver, accessed August 14, 2025, https://luminoushealthsolutions.com/red-light-therapy-for-chronic-fatigue-cfs/
- At-Home LED Masks vs Professional In-Clinic LED Therapy: What's Best for Post-Facelift Recovery?, accessed August 13, 2025, https://drturner.com.au/blogs/at-home-led-masks-vs-professional-in-clinic-led-therapy-whats-best-for-post-facelift-recovery/
- LED Mask vs LED Panel - Which is Better? | Red Light Therapy Devices - Maysama, accessed August 13, 2025, https://maysama.com/blogs/news/which-is-better-led-mask-or-led-panel
- The Truth About At-Home LED Masks vs. Clinical-Grade Red Light Therapy: What You Need to Know - Hybrid Medical Solution, accessed August 13, 2025, https://www.hybridmedicalsolution.com/the-truth-about-at-home-led-masks-vs-clinical-grade-red-light-therapy-what-you-need-to-know/
- Efficacy of home-use light-emitting diode device at 637 and 854-nm for facial rejuvenation: A split-face pilot study - PubMed, accessed August 13, 2025, https://pubmed.ncbi.nlm.nih.gov/32649063/
- FDA Approval vs. Clearance - in2being, accessed August 13, 2025, https://www.in2being.com/videos/fda-approval-vs-clearance/
- FDA approved vs. FDA cleared: Why you need to know the difference - CNET, accessed August 13, 2025, https://www.cnet.com/health/fda-approved-vs-fda-cleared-whats-the-difference/
- FDA-Cleared & FDA-Approved Remote Patient Monitoring Devices - Tenovi, accessed August 13, 2025, https://www.tenovi.com/rpm-fda-approved-cleared-registered/
- FDA Clearance vs. FDA Approval Process for Medical Devices - GoodRx, accessed August 13, 2025, https://www.goodrx.com/classes/medical-supplies-and-devices/fda-approval-vs-fda-clearance
- Differences: FDA-Cleared and FDA-Approved Medical Devices - CITI Program, accessed August 13, 2025, https://about.citiprogram.org/blog/understand-the-difference-between-fda-cleared-and-fda-approved-medical-devices/
- Red Light Therapy Side Effects - Krysus, accessed August 14, 2025, https://www.krysushp.com/learn/red-light-therapy-side-effects/
- The Acute Side Effects of Bright Light Therapy: A Placebo-Controlled Investigation - PMC, accessed August 14, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC3782468/
- Red light therapy: Benefits and side effects - Medical News Today, accessed August 14, 2025, https://www.medicalnewstoday.com/articles/325884
- Red Light Therapy: Benefits, Safety and Things to Know | Brown University Health, accessed August 14, 2025, https://www.brownhealth.org/be-well/red-light-therapy-benefits-safety-and-things-know
- What is red light therapy? | MD Anderson Cancer Center, accessed August 14, 2025, https://www.mdanderson.org/cancerwise/what-is-red-light-therapy.h00-159701490.html
- Can You Use Red Light Therapy While Pregnant? - The Bump, accessed August 13, 2025, https://www.thebump.com/a/red-light-therapy-while-pregnant
- Is Red Light Therapy Safe During Pregnancy? Risks, Benefits & Expert Advice - HueLight, accessed August 13, 2025, https://hue-light.com/blog/is-red-light-therapy-safe-during-pregnancy/
- Who Should Not Use Red Light Therapy? Risks & Safety 101 - Foreo, accessed August 13, 2025, https://www.foreo.com/mysa/who-should-not-use-red-light-therapy-rtl
- Can You Use LED Light Therapy While Pregnant? Complete Guide, accessed August 13, 2025, https://cheeks.cc/blogs/beauty-skin/can-you-use-led-light-therapy-while-pregnant
- A Systematic Review of Elective Laser Therapy during Pregnancy - PMC, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC8558736/
- Dermatologic and Cosmetic Procedures in Pregnancy - PMC - PubMed Central, accessed August 13, 2025, https://pmc.ncbi.nlm.nih.gov/articles/PMC9364454/
- Do antibiotics and red light mix? - Invigorate Advanced Aesthetics, accessed August 14, 2025, https://www.invigorateaa.com/2023/07/03/do-antibiotics-and-red-light-mix/
- Safety of Combination Laser or Intense Pulsed Light Therapies and Doxycycline for Treatment of Rosacea | Request PDF - ResearchGate, accessed August 14, 2025, https://www.researchgate.net/publication/335076297_Safety_of_Combination_Laser_or_Intense_Pulsed_Light_Therapies_and_Doxycycline_for_Treatment_of_Rosacea
- Photosensitive Medications - Body Beautiful Laser Medi-spa, accessed August 14, 2025, https://bodybeautifullasermedi-spa.com/premium-pittsburgh-laser-treatments/pre-and-post-recommendation-sheet/photosensitive-medications-safety-list/
- Understanding Medications That Interact with Red Light Therapy, accessed August 14, 2025, https://www.coohom.com/article/understanding-medications-that-interact-with-red-light-therapy
- Can you use an LED mask while taking doxycycline? - Remedy, accessed August 14, 2025, https://remedyskin.com/blogs/skinpedia-advice/can-you-use-an-led-mask-while-taking-doxycycline