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Others follow food poisoning, antibiotic use, or long-term stress

Dig Dis Sci 47:216224

Pigmentation is also seen in the buccal mucosa (the lining of the mouth), in scars and in the conjunctivae (the lining of the eye)

The gastric mucosa is a specialized epithelial layer that depends on continuous ECM remodeling and collagen synthesis for structural integrity

Metabolic effects, including weight change, insulin resistance, and altered appetite, further affect sex hormones and ovulatory regularity
