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If not, they may recommend alternative treatments or lifestyle changes that could help

PubMed Inozemtseva, L.S., Karpenko, E.A., Dolotov, O.V., Levitskaya, N.G., Kamensky, A.A., Andreeva, L.A., & Grivennikov, I.A

But the overwhelming majority of spots that appear to come out of nowhere have a benign and traceable explanation

Acknowledgements The authors acknowledge the efforts of Prof Omnia ElRashidy one of the founders of the Pediatric Ketoclinic and Prof Ehab Khairy Emam the Head of the Pediatric Gastroenterology, Hepatology and Clinical Nutrition Unit, at the children`s Hospital, Faculty of Medicine, Ain shams University, for their support