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[IP] RE: smudges

The dark smudges referred to are likely related to the following condition,
which is common in insulin resistant conditions. To read more:

There are also pictures.

<<Acanthosis nigricans
A skin condition characterized by increased pigmentation (darkening of the
skin) and hyperkeratosis (thickening of the skin). It occurs most commonly
in the flexural skin areas (behind knee, front of elbow, neck, etc.). The
disorder is related to insulin metabolism and appears in diseases which
affect insulin metabolism including obesity.>>

Barbara A. Bradley, MS, RN, CDE

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