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Deterioration of vitiligo and new onset of halo naevi observed in two patients receiving adalimumab

This "purging" happens when copper peptides reset the hair cycle, pushing telogen hairs out to make way for new growth

While its sometimes caused by diet, frequent episodes may point to issues with your pancreas, liver, or intestines

This phenomenon is predominantly caused by cobalamin release during hepatic cytolysis and/or decreased cobalamin clearance by the affected liver

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However, it's best to consult with your doctor before starting this injection during pregnancy