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The reason B12 levels fall so dramatically in this condition has somewhat less to do with what you are consuming and more to do with what your stomach can no longer do

For those unfamiliar with the latter ingredient, studies have found that tranexamic acid reduces hyperpigmentation by "blocking the interaction between keratinocytes [a.k.a

This condition can be triggered by factors such as excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infection with Helicobacter pylori bacteria

Intensive Tone & Texture Smoothing: Works daily to intensely lighten persistent uneven pigment shadows, fade dark spots, and reveal an unblemished, vibrant complexion

The main caution is additive glucose-lowering effects if you're also on insulin or other hypoglycemic agents, which could risk low blood sugar