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The mechanism involves oxidation of hydroquinone to benzoquinone, which polymerises and deposits as pigmented granules in the dermis
Elevated vitamin B12 (cobalamin) levels in the blood are often discovered incidentally during routine blood tests, as high B12 itself rarely causes direct symptoms
If improvement plateaus or symptoms persist despite treatment, further investigation may be warranted to identify other contributing factors or alternative diagnoses
A lot of people, when they get bariatric surgery, are doing it because they want to come off medicines
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