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18 , 19 Stage I: The presence of the primary tumor (T any N 0 M 0 ) Level I: Purein situmelanoma with either absence of invasion orin situ melanoma with "microinvasion." Level II: Involvement of the lamina propria Level III: Invasion into the deep skeletal tissue (skeletal muscle, bone, or cartilage)

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This is when patients usually decide whether to add NAD+ IV for energy, peptide therapy for muscle preservation, or B12/MIC injections

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