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This is caused by the sun triggering your body to produce more melanin, which in turn can cause dark patches

B12 deficiency is most common in individuals with conditions like pernicious anemia, certain gastrointestinal disorders (such as Crohns disease or celiac disease), or those who have had gastric surgery

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What Causes B12 Deficiency

These include allergic reactions, which can be very serious

Food and Drug Administration (FDA) for the treatment of type 2 diabetes (brand name: Mounjaro, FDA approval May 2022