Thank you for viewing! ☆*。 I don't remember using it, and as far as I can see, there are no markings like highlighters. However, I apologize if I missed anything. - Title: Health Promotion - Publisher: Medical Tribune Co., Ltd. - Price: 2,500 yen (excluding tax) - Condition: Unused, stored on a bookshelf (for textbooks) ★ It will be shipped with waterproof packaging via Nekopos or Yu-packet Post. ★ I can offer a small discount. I also have other textbooks and texts for sale, and if you purchase them together, I may be able to offer a significant discount, so please feel free to ask. ★ Please feel free to ask if you have any other questions!