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Apart from its disturbing nature due to significant psychosocial impact and cosmetic concern, it is also believed to be associated with a metabolic syndrome similar to facial acanthosis nigricans

Nat Cell Biol 27 , 563574 (2025)

doi:10.1111/j.1464-410X.2004.05154.x

So like, on the ride home, he was was in Orange County, but we flew him in and we rented out one of those works

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