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Have you ever looked down at your nails and thought, “What the hell is going on here?”

I used to do that quite a bit when I was growing up because I had those big white stains underneath a few of mine. I had heard through the grapevine that they were a sign of a calcium deficiency, so I freaked out. But as it turns out, I would come to find out that they were just a sign of a past injury to the base of my nail, from knocking them around to putting too much pressure on them. My nails eventually grew out, and the white spots would disappear.

But as Glamour and dermatologist Debra Jaliman pointed out, some nail issues are caused by more than just accidental bumps and knocks here and there. Not that you should immediately lose your sh-t, but if your nails have looked like the following for a while, it might be time to schedule a doctor’s appointment.

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