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Proc Natl Acad Sci U S A 92:1131211316 Ellouzi H, Hamed KB, Hernndez I, Cela J, Mller M, Magn C, Abdelly C, Munn-Bosch S (2014) A comparative study of the early osmotic, ionic, redox and hormonal signalling response in leaves and roots of two halophytes and a glycophyte to salinity

Studied in models involving melanocortin receptor signaling, pigmentation biology, and melanogenesis-related pathways

Firstly, when one tans generally, their skin may produce melanin

If phosphate levels are below 2.5mg/dL, this confirms the diagnosis and may require phosphate supplementation under medical supervision

If you have one or a combination of these symptoms, it's worth seeing a doctor to investigate further