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If appropriate, youll receive a personalized plan that may include: Weekly injections (with in-office instruction or guided at-home use) Nutritional guidance Progress tracking and follow-ups Ongoing monitoring and dose adjustments As your body changes, we can also incorporate complementary treatments such as skin tightening to support overall results

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A further mechanistic consideration is whether the pomegranate extract may have influenced plasma TMAO concentrations partly through its effect on the absorption of L-carnitine in the small intestine, rather than solely through inhibition of microbial TMA production