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Avoid harsh, stripping formulas that deplete the skin barrier, which is especially important when skin is already under stress from rapid body changes

Reduced inflammation protecting blood vessels and nerve function

L-Carnitine L-Tartrate facilitates fat metabolism and energy generation, complemented by L-Arginine, which promotes nitric oxide production for improved vascular function

Certain symptoms require professional evaluation

Alterations in serotonin levels and serotonergic signaling in the GIT are associated with a variety of pathological conditions, including irritable bowel syndrome, inflammatory bowel syndrome and idiopathic constipation [97,98]

Note that metoclopramide has MHRA restrictions (maximum 5 days use, risk of extrapyramidal effects) and domperidone has cardiac risk warnings and contraindications