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Free Radic Biol Med (2015) 89:61423

PLoS ONE 9(1):e80169 Grander C et al (2018) Recovery of ethanol-induced Akkermansia muciniphila depletion ameliorates alcoholic liver disease

Pigmentation can be significantly reduced, but long-term maintenance depends on sun protection, lifestyle habits, and follow-up treatments

He did advise subcutaneous b12 injections
