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Clinically, HHIs are best used selectively: As primary therapy for unresectable or inoperable BCC As neoadjuvant therapy to reduce tumor burden before surgery or radiation As bridge therapy to optimize cosmetic or functional outcomes Even without complete tumor eradication, many patients achieve meaningful functional and cosmetic improvement

L-carnitine has been shown to protect human hepatocytes against oxidative stress through its ability to scavenge free radicals [47]

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