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Penicillin also decreases nicotinamide production by inhibiting intestinal bacteria, which may lead to hyperpigmentation of the tongue

Authors details Dr Janine Nip, ASPIRE Aotearoa Research Centre, and Department of Public Health, University of Otago Wellington Dr Jude Ball, ASPIRE Aotearoa Research Centre, and Department of Public Health, University of Otago Wellington Prof Janet Hoek, Co-Director of ASPIRE Aotearoa Research Centre, and Department of Public Health, University of Otago Wellington Prof Richard Edwards, Co-Director of ASPIRE Aotearoa Research Centre, and Department of Public Health, University of Otago Wellington Dr Michaela Pettie, ASPIRE Aotearoa Research Centre, and Department of Public Health, University of Otago Wellington Melissa-Jade Gregan, ASPIRE Aotearoa Research Centre, and Department of Public Health, University of Otago Wellington References Nutt DJ, Phillips LD, Balfour D, et al

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