I had Sculptra 4 years ago, no problems. 3 years later I got Sculptra again from same board-certified provider and got lumps at the injection sites. I was later diagnosed with celiac disease and read Sculptra nodules are more likely in people with autoimmune disease. Is this the most likely explanation for my lumps? My provider didn’t think so but said I shouldn’t get Sculptra anymore. Also what is the best alternative for volume now?