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Hypersensitivity and Systemic Effects Less common reactions include flushing, fatigue, dizziness, abdominal symptoms and hypersensitivity reactions

Final Action: After consideration of public comments, we are finalizing our proposal, with modification

Deficiencies can lead to a host of issues, including pernicious anemia, depression, and cognitive decline

These later findings raise the possibility of early, evolving lichen sclerosus [36] Differential Diagnosis The differential diagnosis includes physiologic hyperpigmentation of the vulva and vulvar melanosis

These agents draw water into the intestinal lumen, softening stool and stimulating motility