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Metabolic imbalances could lead to liver dysfunction, possibly causing a condition known as hepatic encephalopathy that could also result in death
The B12 carrier is a formulation choice by Optimal Balance Pharmacy, not by RxPepsDirect
In my practice, I do occasionally recommend glutathione and polypodium supplements for melasma (more so for skin lightening)
FDA-approved as Egrifta for HIV-associated lipodystrophy
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