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Physiological oral mucosal melanin hyperpigmentation is very common in Blacks, in general is more frequent in darker-skinned than in lighter-skinned persons regardless of their race/ethnicity, and is most probably caused by genetically determined metabolic hyperactivity of oral melanocytes
labs looks like this: Normal range: 200 to 900 pg/mL (some labs use 160 to 950 pg/mL) Optimal range: 400 to 600 pg/mL Elevated: above 900 to 1,000 pg/mL (hypercobalaminemia) These ranges come from sources including UCSF Health and WebMD, though your labs specific cutoffs may differ
Disentangling these effects requires controlled studies that have not yet been conducted
Every batch is prepared under controlled conditions with pharmaceutical-grade ingredients
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