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It usually increases rapidly in size to several centimetres and is characterised by acanthosis and spongiosis of the affected epithelium with dendritic melanocytes dispersed throughout the thickness of the epithelium, with a mild inflammatory cell infiltrate in the superficial lamina propria [11, 13, 34]

Holistic Support: This may involve nutritional counseling, stress management techniques, sleep optimization strategies, and/or targeted supplementation to support overall well-being

This was attributed to the involvement of L-carnitine in mitochondrial transport of fatty acids thus its deficiency affects multiple organs including the smooth muscles in the gastrointestinal tract

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Both represent the next generation beyond semaglutide and tirzepatide