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As you can see in the post-treatment photo, the patient has smoother cheeks, better skin quality, lifted jowls, and less visible facial lines

doi: 10.1104/pp.123.1.335 11 BartoliC

Hence the phenotypic spectrum of these conditions has been expanded to include individuals with a distinctly milder presentation of primary speech disorder

a ROS, reactive oxygen species

In summary, while small observational uses of alpha-lipoic acid in pregnancy have not reported acute problems, the absence of comprehensive safety data means ALA is not routinely recommended for pregnant or lactating women