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Epidermal melasma showed network with a brownish homogenous pigmentation on dermoscopy while mixed melasma showed showed few areas of enhancement by woods light and irregular pigment network superimposed by dark brown or bluish-black granules, globules and blotches on dermoscopy

Existing studies also overlook the frequent comorbidity of NPS features, rather focusing on isolated symptoms

Often, the underlying issues include: Hidden nutrient deficiencies : Subclinical levels of Vitamin C, B vitamins, magnesium, CoQ10 or NAD+ can impair egg development, hormonal signaling, or immune regulation

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