Use of epinephrine/adrenalin related eye drops has decreased so the condition is not as common now.
Epi-pen shortages since Trump took office have sometimes been attributed to their use by those dependent on Adrenochrome and suffering withdrawals (recall Hillary's massive physician following her around with an Epi pen).
In 2018 shortages of these pens drove humanitarian Hillary Clinton to shriek demands that adequate supply be made available to the public immediately.
The epinephrin in Epipens oxidizes to form adrenochrome at which point the solution turns pink; legitimate users are admonished to throw them out if the liquid turns pink.
The black adrenochrome deposits can be periodically removed surgically from the interior eyelids and "black eye" bruising is common immediately following treatment.
There are legitimate medical reasons for many people to have these deposits - I suspect the Satanists have supplemented their number following Trump's election to office.
https://pubmed.ncbi.nlm.nih.gov/896145/
https://pubmed.ncbi.nlm.nih.gov/1520115/
and “black eye” bruising is common immediately following treatment.
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Finally an explanation why there seemed to be a rash of blackeyes on prominent Dems.
Holy. Crap.