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If TCAs are ineffective or not tolerated, selective serotonin reuptake inhibitors (SSRIs) may be considered
doi: 10.1177/0004563214557678 Summary Keywords carnitine, breast cancer, women, metabolites, risk assessment Citation Zhang J, Wu G, Zhu H, Yang F, Yang S, Vuong AM, Li J, Zhu D, Sun Y and Tao W (2022) Circulating Carnitine Levels and Breast Cancer: A Matched Retrospective Case-Control Study
2014;349:g5226 5
doi: 10.1039/d1fo02172a 46 GnzelD.YuA
You can also look for vitamin C derivatives like magnesium ascorbyl phosphate, which are gentler on sensitive skin