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Heres what we recommend for elderly patients: Start with 1000 mcg of vitamin B12 weekly for 4-6 weeks Then, give 1000 mcg every 1-3 months, depending on how theyre doing Keep an eye on their vitamin B12 levels, blood counts, and brain function A study in the Journal of Gerontology stressed the need for B12 in older adults

The basic layering rule Thinnest to thickest consistency: Cleanser Toner (if using) Thinnest serum (usually peptide serum) Retinol (if in serum form) Moisturizer Occlusive (if needed) Why this order: Thinner products penetrate better when applied first

Carneys complex Lentigines are a feature of Carneys complex (Fig

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