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Dark circles have two primary causes that are frequently conflated but require different active responses: vascular pooling in the blood vessels around the eye, which produces a bluish-purple discolouration most visible through thin skin in that area, and surface pigmentation from UV exposure, post-inflammatory marks, or accumulated melanin, which produces a brownish discolouration

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Effect sizes were pooled using a random-effect model through RevMan software (Version 5.4.1) for Windows

References Cryan JF, O KJ M, Cowan CS, Sandhu KV, Bastiaanssen S, Boehme TF