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Therefore, it is essential to consult with a dermatologist before preparing for skin whitening treatment

The peptide's unique mechanism of action involves modulation of the nitric oxide system, upregulation of critical growth factors (VEGF, EGF, FGF), activation of the FAK-paxillin pathway, and interaction with GABAergic neurotransmission

Importantly, functional B12 deficiency can sometimes coexist with high total B12 levels, especially in kidney disease, and may require additional testing with methylmalonic acid (MMA) or holotranscobalamin if deficiency is suspected clinically

Wang M, Peng J, Hui J, Hou D, Li W, Yang J