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It takes a long time for a dose of warfarin to really kick in and knock out those clotting factors - at least 48 hours to begin affecting the INR for each dose in most patients, and even then, youre probably not be seeing the full effect of that dose on the INR

Dont forget to add one amla (Indian gooseberry) - a powerhouse of Vitamin C and antioxidants that rejuvenates the skin

In cases where clinical suspicion remains high despite normal B12 levels, additional testing with methylmalonic acid (MMA) or homocysteine levels may be helpful, though availability is limited in the UK and results can be affected by renal function

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For deeper or stubborn dark spots, additional targeted treatments may be needed

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