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[4] Other symptoms may include shortness of breath, feeling faint, a smooth red tongue, pale skin, chest pain, nausea and vomiting, loss of appetite, heartburn, numbness in the hands and feet, difficulty walking, memory loss, muscle weakness, poor reflexes, blurred vision, clumsiness, depression, and confusion

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Lancet Diabetes Endocrinol 2019;7:52839.PubMed 29

However, these results are usually limited to skin health improvements, such as reduced pigmentation and increased brightness, rather than systemic effects