focal melanotic macule melanosis macules a Multiple brown on the labial mucosa of a patient with Pigmented Lesions Labial melanotic macule

Renal diseases generally lead to L-carnitine homeostasis imbalance as long-term hemodialysis leads to an increase in the ratio of L-AC to free L-carnitine

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doi: 10.1038/s41580-018-0092-0 15

You may wish to speak to your treating doctor to find out if there are clinical trials suited to your individual situation