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doi: 10.1111/j.1365-2125.2012.04173.x

In one case report it was suggested that a bitter orange-containing dietary supplement may have masked bradycardia and hypotension while exacerbating weight loss in an individual with anorexia nervosa, although no evidence was provided that an adverse event had actually occurred

They can discuss ways to manage them

It is unlikely to: Eliminate deep wrinkles Produce facelift-like tightening Reverse advanced skin laxity Deliver dramatic overnight transformations Instead, it is best understood as a supportive ingredient that may help optimize skin health and improve the appearance of aging skin gradually

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L-carnitine is converted to other forms called acylcarnitines