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For this particular population of boys, could a viable preventative strategy be simply to ensure carnitine is provided in the diet as an infant goes from carnitine-rich milk as their primary food, to juices, fruits, and other foods containing reduced amounts of carnitine

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Nail Biopsy : In cases where melanoma or other serious conditions are suspected, a nail biopsy may be performed to obtain a tissue sample for further evaluation under a microscope

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31 Skeletal-muscle relaxants may be considered in combination with the above therapies to treat myofascial spasm, although caution should be exercised as there is a theoretic risk of increasing joint instability via reduced muscle tone