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If your B12 is elevated and youre not supplementing, see your doctor

This is because vitamin B12 is involved in the production of red blood cells, which helps the skin produce its pigmentation

The GH-IGF-I axis and the cardiovascular system: Clinical implications

About this article Cite this article Gwyer, D., Wragg, N.M

Topical Anesthetics Lidocaine Lidocaine, an FDA category B drug, can be applied topically to the oropharynx before upper endoscopy and ERCP, although it is rarely needed