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Even if short-term studies report no safety concerns, they would not be designed to detect longer-term risks like cancer or abnormal tissue growth, which may take years to emerge

"Management of Papulopustular Rosacea and Perioral Dermatitis with Emphasis on Iatrogenic Causation." J Clin Aesthet Dermatol , vol

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I remembered one review where the buyer said that he's tried some carnitine products that made him smell fishy, but a particular brand did not

Lande RG, Gragnani C