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While we cannot reproduce clinical photographs from the cited studies without permission, we can describe what the published cases document: Patil and Mitra (2026) describe tongue hyperpigmentation in the context of Addison's disease - typically presenting as diffuse darkening of the tongue surface, often alongside pigmentation of other mucosal surfaces and skin creases

Managing Gastrointestinal Side Effects: Practical Considerations Gastrointestinal adverse effects are the most commonly reported side effects of Ozempic , affecting a significant proportion of patients, particularly during dose initiation and escalation

Lingappan K (2018) NF-B in Oxidative Stress

doi:10.1007/bf02284971

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(PubMed) Fairweather-Tait SJ, Filippini T, Vinceti M