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They can appear due to stress, minor injuries from biting the cheek or brushing too hard, food sensitivities, or underlying health conditions

Vitiligo Vitiligo is an acquired autoimmune disorder involving melanocyte destruction

Diabetic retinopathy complications : Patients with pre-existing diabetic eye disease should be monitored closely, as rapid improvement in blood glucose control may temporarily worsen retinopathy

Inquire about contraindications, particularly personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2

10.3389/fphar.2023.1269581 2 AttarilarS.YangJ.EbrahimiM.WangQ.LiuJ.TangY.et al (2020)