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What Makes Periorbital Skin So Vulnerable A 2019 clinical assessment published in Clinical, Cosmetic and Investigational Dermatology confirmed that under-eye dark circles correlate with measurably thinner skin, higher hemoglobin index (a marker of vascular prominence), and a higher melanin index all pointing to both vascular and pigmentary contributors rather than just one single cause

[DOI] [PMC free article] [PubMed] [Google Scholar] 214.Pitarresi G, Fiorica C, Palumbo FS, Rigogliuso S, Ghersi G, Giammona G

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As shown in the connected scatterplot in Figure 5 (top), the Sucrosomial B12 formulation rapidly raised circulatory vitamin B12 levels above the deficiency threshold, exceeding 300 pg/mL (borderline level) from day 1, and demonstrated a similar pattern of increasing circulatory vitamin B12 levels over time as observed in the KEMU and LRH studies cohorts, reaching a peak value of 592.7 74.3 at day 7, with all measurements throughout the week being significantly higher than baseline ( p 0.012)