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Public Health Policy Implications
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Journal of Health Economics, 31 (2), 327339
16 At any rate, long-term follow-up of patients with genital melanosis is advisable but periodic re-biopsy is not necessary unless either the patient reports a changed appearance or change is noted by the clinician at the time of examination
It cautions that starting one without medical guidance risks masking underlying gastrointestinal pathology, and says a provider should assess microbiome health, medications, immune status, and gut history first
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