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A histopathologic examination can confirm the MNTI diagnosis by identifying two distinct cell populations: small round cells and larger melanocyte-like cells containing dark brown pigment, set in a fibrillary and collagenized vascular stromal background (Asefa and Hailu 2024)

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Lactiplantibacillus plantarum fermentation starter cultures are long-standing starting cultures in milk, meat, and vegetables

Vegetarians and vegans represent the highest-risk category, as B12 is naturally found almost exclusively in animal-derived foods

You only need to be physically located in a state where our providers are licensed at the time of your telehealth visit