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Lesions which are small (15 mm), uniformly pigmented, brown to black, sharply circumscribed macules may be found anywhere on the integument, the conjunctivae, and mucocutaneous orifices (Fig

These often use biogel packs or vacuum insulation to maintain refrigerator temperatures for 24 to 48 hours

If vitamin b12 levels arent maintained, you will eventually become deficient

Although uncommon, some patients may experience more serious side effects, which may include: Pancreatitis Kidney-related complications Gallbladder issues Severe allergic reactions Please consult your doctor immediately if you notice any severe or unusual symptoms

Gridelli, C