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While these reactions are uncommon, its always best to prioritize your safety and ensure all providers are kept in the loop

[DOI] [PubMed] [Google Scholar] 18.van der Valk ES, van den Akker ELT, Savas M

Some medicines can cause darker patches as a side effect, though this should be checked with a doctor before making any changes

Its primary toxicity is hemolytic anemia, which can worsen cardiac disease and cause myocardial infarction

Notably, inhibition of the depalmitoylation enzyme acylprotein thioesterase 2 led to delayed onset and lower rates of melanoma in mice expressing melanocytespecific zinc finger DHHCtype palmitoyltransferase 13 and an MC1R variant

Accordingly, prominent sex differences exist in oxidative stress, as females are proposed to have overall lower levels of ROS-induced damage, reduced mitochondrial DNA damage, and higher antioxidant enzyme levels, thus being less vulnerable to oxidative insults than males (246, 249, 256)
