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Using ABCDE to find melanoma A = Asymmetry (Does one side of the mark match the other?) B = Border (Is it ragged along the edges?) C = Color (Are there many distinct colors or shades?) D = Diameter (Is it above 6 millimeters or about 1/4 inches in size?) E = Evolution and everything else (Are there any changes in color, size or look of the mole over time?) Other signs may include Bleeding or crusting within or along its edges Variations of color on existing moles Development of a raised area of the skin Lesion (abnormal lump, bump, ulcer, sore, or colored area on the skin) Tanner Deasons Story: A Stage 4 melanoma patient with brain metastasis shares his treatment experience at Saint Johns

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Limited data available suggests that dose adjustment of Karnitine Injection may not be needed in these patients