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The discoloration is usually more pronounced at the center of the lips and may extend to the gum line

Their first step should be to talk to physicians because the doctor needs to rule out any medical conditions that can be treated, say something like irritable bowel syndrome or actual celiac disease. Instead many people who have GI symptoms hear that gluten is a potential irritant and try going gluten-free on their own

Then, let the baking soda sit there overnight (for 24 hours), and vacuum or brush it away with a clean cloth the next day