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30(2): 3168 De Sousa C, English NR, Stacey TE, et al

Physiological oral mucosal melanin hyperpigmentation is very common in Blacks, in general is more frequent in darker-skinned than in lighter-skinned persons regardless of their race/ethnicity, and is most probably caused by genetically determined metabolic hyperactivity of oral melanocytes

Conflicting Treatments or Trials: Those currently taking other weight-loss medications or actively participating in another clinical trial are typically excluded