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The pathophysiologic mechanism of hyperpigmentation involves increased melanin synthesis and the inadequate transfer of the pigment from the melanocytes to the nearby keratinocytes

POLYBCOM Vitamin B12 Injection POLYBCOM Vitamin B12 Injection POLYBCOM Vitamin B12 Injection is a prescription supplement used to treat Vitamin B complex and Vitamin B12 deficiencies in patients who cannot maintain adequate levels through diet alone

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Arafa M, Agarwal A, Majzoub A, et al

If the aim is a brief anti-inflammatory window (e.g., to facilitate physiotherapy), a single, carefully timed steroid may be consideredwith glucose monitoring and surgical date planning

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