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Congenital melanotic macules have been described, occurring primarily in the tongue

Elmonem MA, Veys KRP, Prencipe G (2022) Nephropathic cystinosis: pathogenic roles of inflammation and potential for new therapies

The lightening process starts from the inside out and creates an overall body skin lightening effect

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It is best viewed as a support tool rather than a primary fat loss driver

I recommend prescribing it only after a thorough evaluation, including blood tests to confirm deficiencies and a detailed discussion of the potential benefits and risks