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Syphilis can cause a painless sore (chancre) on the lip in its primary stage, but this appears as an ulceration, not a brown or black spot
References Houe-Lvin, C
This was confirmed by giving the volunteers antibiotics for one week to suppress the gut bacteria, then repeating the L-carnitine supplement experiment
When a medication is in shortage, or when a patient needs a specific dose or format not available in branded versions, licensed compounding pharmacies can prepare the medication using the same active ingredients
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