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In light of these concerns, we advocate for a personalized, patient-centered approach to statin therapy tailored to individual risk profiles and clinical contexts

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Commonly reported side effects include: Nausea, vomiting, or stomach cramps Diarrhoea or loose stools A distinctive 'fishy' body odour, caused by the production of trimethylamine a metabolic by-product of carnitine breakdown in the gut These gastrointestinal effects are more likely at higher doses, particularly above 3,000 mg per day, and are consistent with adverse effects described in the levocarnitine SmPC

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Thirty-six of these cases were coded correctly (by either JJA or ZMC) as isolated choroidal melanocytosis at the time of their initial evaluation in the Ocular Oncology Service