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Nerve Block-Assisted Intradermal Injection of Tranexamic Acid, Vitamin C, and Glutathione for Melasma: A Split-Face Comparative Study | Aesthetic Plastic Surgery | Springer Nature Link

Other studies reported lactic acidosis and increased alanine levels, it is highly recognized that high concentrations of lactate can inhibit mitochondrial respiration and disbalance the redox equilibrium (Oliveira et al., 2005)

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These include local irritation or redness at injection sites, mild headaches or dizziness, and occasional fatigue or nausea