melanotic macule on lower lip Does anyone know what this black mark my is? Started last August so it's I've had it nearly a year, was living in Spain at the time for 6 months Labial Macules: Dark Spots on

Acta Neuropathol 139:135

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Important Safety Information Contraindications and Precautions: Joint injections should only be performed by qualified medical professionals Active joint infection is an absolute contraindication to intra-articular injection Bleeding disorders or anticoagulation therapy may increase injection risks Pregnancy and breastfeeding: no safety data available, avoid use Cancer history: while AOD-9604 does not affect IGF-1, consult oncologist before use Monitoring Recommendations: Regular follow-up with joint imaging and functional assessments to evaluate treatment response