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Pigmentation around mouth

I have pigmentation around my mouth n I get pimples too. My skin does not look fresh. I have uneven skin tone. I m taking treatment but its not working.
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Dr. Aman Sharma
Dermatologist 12 yrs exp Delhi
This can be due to insulin resistance, especially if there is diabetes in the family or you take a very spicy and sugary diet or very high carb diet.
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