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These concerns are commonly associated with increased melanin production the natural pigment responsible for skin colour as well as slower cellular turnover, which can lead to a dull appearance

Carnitine palmitoyltransferase 1 B Carnitine palmitoyltransferase 1 B (CPT1B) is expressed mainly in tissues characterized by high rates of FAO, such as muscle and brown adipose tissue

You'll need to either increase dosing frequency to 3 per week (depleting the vial in 6.6 weeks), increase per-dose amount to 75100mcg (depleting in 57 weeks), or switch to a smaller 0.5mg vial that depletes in 5 weeks at your current protocol

Lancet Diabetes Endocrinol (2020) 8(2):10614

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