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They begin at the cellular level due to oxidative stress, excess melanin production, inflammation, and reduced collagen activity
They slow stomach emptying so meals feel more filling for longer, prompt the pancreas to release insulin when blood sugar rises, suppress glucagon (which keeps the liver from dumping extra glucose into the bloodstream), and tend to reduce appetite signaling at the brain level
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This case presents the aggressive nature of malignant mucosal melanoma in 32 years old male and highlights the need of careful scrutinization of any pigmented lesions in oral cavity and necessity of biopsying lesions with potential growth to rule out malignancy
