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In a randomized controlled trial (RCT), 60 overweight PCOS patients were treated with 250 mg of carnitine supplements for 12 weeks, while the control group received a placebo (110)

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Step 1: CO2 laser resurfacing for maximum skin surface remodeling Step 2 (46 weeks later): Sylfirm X series for deep collagen remodeling at a different depth (synergistic with CO2) Step 3: Facial balancing with structural filler cheeks, chin, jawline for immediate volumetric lift Step 4: Sculptra for long-term collagen building Step 5: Hyperdilute Radiesse for neck and dcolletage Internal support: Hormone optimization, GHK-Cu peptide therapy, NAD+ therapy rebuilding collagen from the inside while treating from the outside Maintain with: Annual Sylfirm X, quarterly Aerolase, biannual neurotoxin The Inside-Out Advantage Every external tightening treatment works better when the internal environment supports collagen production

Eligibility and prescriptions are based on provider evaluation