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Additionally, testing for biomarkers such as methylmalonic acid (MMA), may provide valuable insight and help catch B12 deficiency in the earlier stages — you can also self-order an MMA lab test via Ulta Lab Tests
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It is postulated that neurotransmitters or neurochemicals released by nerve endings, specifically substance P, can be toxic to melanocytes, causing their destruction in specific areas.92,93 The segmental distribution of vitiligo patches corresponds to the innervation of certain nerves, supporting this hypothesis.92,93 A study analyzing the presence of VZV in segmental vitiligo skin suggests a possible relationship between the 2
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