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There are two types: gastric inhibitory polypeptide (GIP), secreted from K cells present in the upper intestine, and glucagon-like peptide-1 (GLP-1), secreted from L cells present in the lower intestine and large intestine 25

Necrosis Necrosis is the death of cells induced by serious pathological factors

L-carnitine, the active form of dietary carnitine, also plays an important role in the regulation of metabolic pathways involved in skeletal muscle protein balance 5

Environmental Factors: These do not directly cause vitiligo but can increase the chances of developing the disease and can also trigger the disease