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Racial melanosis occurs in people with naturally dark skin color

Individual variation depends on factors like body composition, metabolism, liver function, and kidney health

There is an increased risk of hypoglycemia when JANUVIA is added to an insulin secretagogue (e.g., sulfonylurea) or insulin therapy

This leads to dark spots and uneven tone

L-Carnitine could be helpful for: People with type 2 diabetes Women with PCOS Those with pre-diabetes or metabolic syndrome Anyone looking to support weight loss while improving their blood sugar How Much Do You Need