can l-carnitine cause anxiety in the Treatment of Psychiatric and Neurological Manifestations: A Systematic Review L-Carnitine: Benefits, Side Effects, FAQ,

5.4 Procedural treatments 5.4.1 Chemical peels Chemical peels including glycolic acid, salicylic acid, or trichloroacetic acid have been considered in melasma management and have shown moderate clinical efficacy

Xu J, Li Y, Feng Z, Chen H

doi: 10.1007/s00401-024-02758-2

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Many patients report that after about 4 weeks of weekly injections, they observe improvements such as more steady energy levels and easier weight loss progress