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NICE advises against initiating gabapentinoids, opioids, paracetamol, NSAIDs, benzodiazepines, corticosteroids, and antipsychotics for chronic primary pain including fibromyalgia
9,10 Rationale for Diagnosis In exploring the differential diagnosis of a rare case of intraoral graphite pigmentation in a young patient, we have described the most important localized pigmentations of the oral cavity that the clinician may encounter in daily practice
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