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This is due to a metabolic byproduct of L-carnitine, trimethylamine (TMA), which is excreted through sweat, breath, and urine

The optimal ratios between components for different applications have not been scientifically established through controlled studies

Sekhars group currently is conducting studies to understand the metabolic benefits of restoring Glutathione in elderly/senior people

In such cases, no treatment is generally required If required, a surgical excision and complete removal of the macule, primarily to address cosmetic issues may be undertaken Treatment of the underlying associated genetic disorder, if any Follow-up care with regular screening and check-ups are encouraged How can Melanotic Macules be Prevented