She told her hospital consultant, who asked where she had bought the tanner and what was in it
Ingredienten Water, fructose, l-carnitine (carnipure) (4%), voedingszuur ( melk zuur), smaakstof, voedsel antioxidanten (l-ascorbinezuur), conserveermiddel (kaliumsorbaat), zoetstof (natriumcyclamaat, acesulfaam kalium, sacharine), emulgator (mono- en diglyceriden van vetzuren) en pyridoxine hydrochloride

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Reduced caloric intake can contribute, especially if the appetite suppression leads to unintentionally skipping meals