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When hydroxocobalamin is given in high doses (such as during cyanide poisoning treatment), unique effects can be observed: patients often experience a transient reddening of the skin or mucous membranes and a reddish discoloration of the urine due to drug excretion

These cells are crucial for collagen and elastin synthesis, which improves skin tone, texture, and elasticity

Nevertheless, white spots may be a result of vitiligo, eczema or fungus