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L-Carnitine in the Treatment of Psychiatric and Neurological Manifestations: A Systematic Review - PMC

The oral lesions are usually irregularly shaped melanotic macules, papules, plaques, or a combination of these forms, and their pigmentation is non-uniform, with mottled shades of grey, dark blue, dark brown, or black (Figure 6a–c) [15, 44]

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Normally, there’s a check-and-balance relationship between trimethylamine and FMO3: when your body produces trimethylamine, FMO3 enzymes break it down