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doi: 10.1001/jama.2019.2941 140 NauckMA

There are patients who have had kidney failure, blood pressure issues and what we worry about as dermatologists is that, because it enhances your pigment-producing cells to produce tan or pigment, it stimulates melanocytes, which are pigment producing cells, and there have been cases of melanoma which is a very dangerous skin cancer which can be fatal

Or there may be something inside the pen, such as dust or food

There is a tragic lack of knowledge among doctors when it comes to B12 deficiency, as discussed in our book The B12 Deficiency Survival Handbook , or in Sally Pacholoks excellent Could It Be B12

Available online at: (Accessed November 1, 2022)