labial melanotic macule removal This patient has multiple macules. These are essentially freckles of the lips. These most commonly involve the lower lip. This patient had involvement of both the upper and lower lips oral melanotic macule treatment Differential

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[23] Antivitamin B 12 compounds (often synthetic B 12 analogues) not only have no vitamin action, but also actively interfere with the activity of true vitamin B 12

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