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Numerous hyperpigmented macules of the oral mucosa

The metabolic pathway of ifosfamide leads to formation of chloroacetyl-CoA, and the presence of chloroacetyl-carnitine is detected in urine [69]
While its not a miracle solution, it can complement a healthy lifestyle and provide noticeable improvements in stubborn fat areas

Among these, choline is the most potent precursor, producing TMAO more efficiently than either betaine or L-carnitine