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If you are unable to get enough vitamin B12 from your diet, you may need to take a supplement

In addition to extensive descriptions of abnormalities in immunometabolism of vitiligo, recent studies support the critical role of dysregulation of metabolic pathways in various skin immune cells, including keratinocytes, tissue-resident memory T cells, and innate lymphoid cells of vitiligo pathogenesis

16 End-of-dose "wearing off" or deterioration has been related to increasing loss of neuronal storage capability for dopamine

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Consider water quality and choose filtered options when possible to reduce exposure to pollutants commonly found in drinking water