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Description
It occurs when the bodys immune system mistakenly attacks and destroys melanocytes

Metabolic studies of a synthetic lipolytic domain (AOD9604) of the human growth hormone - paper on the metabolic significance of the lipolytic domain of hGH 177-191/AOD9604

Most cases result from modifiable factors

Also, the metabolic profiling indicated that -hydroxybutyrate enhanced levels in upper GI patients were positively correlated with leucine and isoleucine serum levels and negatively correlated with alanine and pyruvate as gluconeogenesis substrates [57]
