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On examination, there was diffuse hyperpigmentation predominantly seen over the face, bilateral forearms, lower legs, palms and soles [Figure 1]

Starting too high is the single most common mistake, and it leads to unnecessary gastrointestinal distress that could have been avoided with proper titration

Immediate and long-term clinical benefits of a treatment for facial lines and wrinkles

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People with a severe deficiency or absorption problems can feel the effect wear off sooner

Treatment decisions must be made on the basis of clinical history and signs and symptoms of cyanide intoxication