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MELASMA: From what I have read on this site it seems to me that melasma might be another name for pregnancy cap. This is what (in the "old" days) we called the brownish grey pigmentation that covered the faces of some pregnant women. I have seen the same thing on a niece of mine when she was going through fertility treatment and it is still in evidence some years after. What I do know is that Adelle Davis indicated this to indicate a deficiency in folic acid..perhaps this should be investigated.. Adelle also warned all those years ago about spina bifida and folic acid deficiency. Such a tragedy her information was neglected by the medical profession until now.