While her ferritin was 18 ng/mL (technically normal), her vitamin D was 22 ng/mL (insufficient), and B12 was 310 pg/mL (low-normal)
Malabsorption issues due to gastrointestinal conditions
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31, according to the Defense Health Agency
Importantly, any ongoing source of inflammation will keep triggering new pigmentation, which is why identifying and removing the irritant is the first step before any corrective protocol
Like insulin, GLP-1 receptor agonists are biologic protein-based drugs, and improper storage can break down their molecular structure, making them less effective or even unsafe