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In patients with syndromes like Laugier-Hunziker and Peutz-Jeghers mucosal melanosis can be diagnosed in high frequencies and in patients with inflammatory skin diseases like lichen planus genital melanosis have been reported (5,7-9)

Injections are the most effective means of administration of vitamin B12 since they do not depend on the body's ability to absorb the substance through the gastrointestinal tract

Recognising symptoms is important to avoid further health complications

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Over-the-counter antidiarrheal medications like loperamide (Imodium) or bismuth subsalicylate (Pepto-Bismol) can provide short-term relief during the adjustment period