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If you suspect this as a possibility, ask your GP to test CFP and ESR (inflammatory markers)

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Metformin users, common among type 2 diabetes patients who then add semaglutide, face a double hit since metformin independently reduces B12 absorption by 10-30% over long-term use

Darker, pigmented patches or sunspots can temporarily darken, and then peel off over a week or so, leaving normal skin
