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Discoloration suggests oxidation or bacterial contamination

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The extent and intensity of physiological oral pigmentation increases with age[52, 53], concurrently with an increase in the number of oral melanocytes[15], perhaps because of the effects of potentially melanogenic stimuli such as recurrent minor functional injury, inflammatory conditions, medication, or tobacco smoke are cumulative[3]

Management: Regular monitoring of blood glucose levels is recommended

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Keep in mind that the monthly costs of these drugs are only one part of the total bill since drug costs do not include doctor visits, lab work and other associated costs