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Carnitine (or L-carnitine) is a naturally occurring compound produced in the body from the amino acids lysine and methionine

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In addition to improving the appearance of dark spots caused by acne, glutathione can reduce the frequency and severity of active acne/breakouts

Amy Yasko and Nutritionist Cynthia Smith both suggest you can consider taking low dose lithium orotate (Cynthia Smith suggests approximately 4.6 mg pulsed a couple times a week before adding the B12 form in thats most likely best for you)

Topical application is generally considered the lowest risk because very little of the ingredient reaches the bloodstream