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Regarding the prognostic factors, a large cohort study (2050 acral melanomas) revealed that acral melanoma shares the same prognostic factors (age, ulceration, tumor thickness, and tumor spread) as other types of melanomas [19], and NAM presumably has similar prognostic factors [20,21]

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Instead of a single peak followed by a gradual decline, multiple smaller peaks create a more stable blood concentration throughout the week

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