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I would argue that we don't have enough information about young people who might be 12, 14, 16

Bioactive compounds in red chili pepper, such as capsaicin and capsanthin, were reported to activate the nuclear factor erythroid 2-related factor 2 (Nrf2), a transcription factor that regulates the expression of antioxidant enzymes [43, 44]

It is well-documented that the oral pigmentation can be influenced by physical, chemical, and hormonal factors [10], as appears to be the case here

If pregnancy occurs or is planned, inform your provider immediately, as tirzepatide should be discontinued for weight management upon pregnancy recognition