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In the literature, there are only a few case reports about dermoscopic features of pigmented genital lesions in male patients

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It is possible that the blood lactate levels were lower because of the secondary role of L-carnitine balancing the acetyl-CoA/CoA ratio allowing pyruvate to be converted into acetyl-CoA instead of lactate (31), but this is unlikely due to the moderate intensity level when blood lactate was evaluated

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