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In summary, Riehl melanosis seems to be influenced by various factors such as genetics, autoimmune conditions, allergic reactions, exposure to UV light and specific allergens
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those with normal glucose tolerance, chemical diabetes (called impaired glucose tolerance), diabetes with minimal fasting hyperglycemia (fasting plasma glucose 140 mg/dL)

This may be due to the chemical properties of the drug rather than a generic effect of all drugs that target ApoC3
