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Name: melanotic macules gums macule on Pigmented lesions of the oral cavity: An Update Smokers melanosis . Oral pigmentation – Smoker's melanosis - Wikipedia
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No industrially produced silicic acid (silicon dioxide) flow aid

doi: 10.1016/j.mam.2018.09.002 25

Ultimately, your plastic surgeon will help determine if there are non-surgical options that may work better to achieve your aesthetic goals

The decision to continue, adjust, or discontinue therapy should be based on objective body composition measurements (DEXA scans, circumference measurements), achievement of fat loss goals, tolerance and side effect profile, and physician assessment of metabolic markers