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The clinical presentation of DM is often non-specific with lesions showing local growth, a palpable nodule or plaque, and an absence of pigmentation in about 60% of cases [14], especially in the pure type (with prominent fibrosis)

Some studies show it helps repair damaged tissue, regenerate skin cells, and maintain overall elasticity

This condition, called hypochlorhydria or achlorhydria when severe, impairs b12 absorption even without medication effects

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Grimsrud PA, Picklo MJ, Griffin TJ, Bernlohr DA