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Some authors recommend anatomopathological examination for diagnostic confirmation, although others sustain that the diagnosis is only clinical and follow-up is necessary to investigate changes in size, shape, and color of the lesion

Other studies indicate that slightly increased hsCRP levels can be due to oral contraceptive drugs in women athletes and non-athletes, and old data reveal that CRP can be increased due to intrauterine contraceptive devices [434,435,436,437]

Additionally, individuals who have experienced reactions to L-carnitine or related compounds may be more likely to react to acetyl-L-carnitine

doi:10.1080/15384101.2019.1690881
