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Glutathione and human pigmentation

These pigmented lesions present as small (1-5 mm), flat, well-demarcated, dark brown to black spots

Unfortunately, some patients have difficulty absorbing an adequate amount of vitamin 12 because they do not produce enough stomach acid due to a condition called autoimmune atrophic gastritis which can cause a deficiency of vitamin B12

Recent studies have found that daily oral administration of cyanocobalamin will just as effectively increase serum cobalamin levels as monthly injections

Declaration of competing interest The authors report that there are no competing interests to declare

Updated 30 May 2023