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It's particularly effective for Indian skin tones, where pigmentation is a common concern due to sun exposure and post-acne marks

Molecules 26:5984

For best results on hyperpigmentation, it should be combined with good skincare (brightening creams, exfoliants, sun protection) and possibly other dermatologic treatments, depending on the severity of the issue

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Baseline: CBC, B12, folate, iron studies Repeat B12 levels 1 month after loading dose Annual checks for chronic therapy Monitor potassium during initial treatment Neurological exams for neuropathic symptoms B12 injections can "mask" megaloblastic anemia from folate deficiency while allowing neurological damage to progress

[cited 2024 Mar 5]