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"NAD+ metabolism and the control of energy homeostasis: A balancing act between mitochondria and the nucleus." Cell Metabolism , 22(1), 3153

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The complications of Vulvar Melanotic Macules may include the following: The longstanding skin patches can cause emotional stress and cosmetic concerns in some individuals The appearance of the pigmented macules may induce a fear of melanoma (which is a type of skin cancer) Complications that arise from an underlying genetic condition/syndrome How is Vulvar Melanotic Macules Treated

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