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Treating melasma can be a long process, and relying only on topical treatments may not work for everyone

Indigestible maltodextrin [corn: foreign origin (Russia, Hungary, Serbia, etc.)], L-carnitine tartrate (China), Blend 1 (corn maltodextrin, sodium selenite), Vitamin B6 hydrochloride, Vitamin B2, Isomalt, Blend 2 (dextrin, flavoring, gum arabic), Grapefruit concentrate powder (grapefruit juice concentrate: USA), Enzyme-treated stevia, Silicon dioxide, Red beet juice powder (France), Sucralose (sweetener), L-arginine, Fish collagen, Hydrolyzed elastin, Blend 3 (dl--tocopheryl acetate, modified starch, glucose syrup powder, silicon dioxide)

The Lancet 404(10454):773786 Packer M, Zile MR, Kramer CM, Baum SJ, Litwin SE, Menon V et al (2024) Tirzepatide for heart failure with preserved ejection fraction and obesity

In other embodiments, the pharmaceutical formulations or compositions also contain other therapeutic substances