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Common side effects for topical corticosteroids include skin atrophy (thin and fragile skin with reduced elasticity), skin blood vessel changes (e.g., spider veins), change in skin color, stretch marks, swelling, dry skin, burning sensation, local irritation, rash, redness, itching, thinning hair or excessive hair growth, infections and allergic reactions

L-carnitine is especially relevant for people on keto and fasting, where fat burning is the main source of energy, but it is no miracle cure

Furthermore, this formulation may interact with other medications, including topical steroids, antibiotics, and antifungals

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