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When used with exfoliants or retinoids, they produce micro-tears and irritation

PLoS Pathog 11:e1004720 Su B, Wang X, Zheng L, Perry G, Smith MA, Zhu X (2010) Abnormal mitochondrial dynamics and neurodegenerative diseases

Important issues to review include nausea, vomiting, constipation, diarrhea, reflux, hydration status, protein intake, muscle preservation, diabetes medications, gallbladder symptoms, kidney function, history of pancreatitis, thyroid and family history considerations, and long-term maintenance strategy

When Metabolic Boost is a Better Fit If your main complaint is slow metabolism , energy crashes , hard to lose weight , poor circulation , or low stamina , Metabolic Boost may be a better match