congenital lingual melanotic macule Pigmented lesions of the oral mucosa and perioral tissues: a flow-chart for the diagnosis and some recommendations for the management Pigmented macule on the mandibular – a) Lingual melanotic macule. (b,

Folic acid is synthetic, does not exist in nature, and must be converted through DHFRan enzyme that is extremely slow and variable in humansbefore your body can use it. It accumulates in blood as unmetabolized folic acid (UMFA), blocks folate receptors, and competes with active forms

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So, she went back to Kerato and had some of the pigmentation removed

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doi: 10.1038/nm934 134 SharmaMDBabanBChandlerPHouD-YSinghNYagitaHet al