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Ingredients Water, L-carnitine 12%, acid (citric acid), sweeteners (sucralose, acesulfame K), preservative (potassium sorbate), flavour, colour (sunset yellow FCF**) Directions Drink 1 serving of L-carnitine 3000 once a day 20 minutes before your workout or other physical activity

It is commonly seen in individuals with darker skin tones due to higher melanin levels, and can present as uniform or patchy pigmentation

Finally, reduction of other risk factors, such as blood pressure and cholesterol, should also be considered and appropriate medications offered