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Smoker's melanosis , diffuse brown patches in heavy smokers, often on the gums and inside of the cheeks

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Doxorubicin also influences the carnitine system by decreasing heart concentration of free carnitine, free fatty acid oxidation, creatine phosphate, and oxygen uptake [70]

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But the degree of effect you'd reasonably expect at 211 mg is not the same as what those large-dose trials demonstrated

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