Side effects Injection-site pain or swelling Headache Nausea or vomiting Dizziness Mild skin rash or itching Precautions and Warnings Pregnancy Breast Feeding Driving Alcohol Other General Warnings You have any liver or kidney problems
Published 2025 Oct 1
Risks listed by the department The advisory enumerates specific risks associated with unauthorized or counterfeit products, including: containing too much, too little, or none of the active ingredient containing unlisted, dangerous or unknown ingredients containing contaminants such as solvents, heavy metals, particles, or microbials being poorly or incorrectly labelled, or improperly manufactured or stored Health Canada adds that unauthorized injectable products carry additional risks such as infections due to lack of sterility, allergic reactions, and other serious negative outcomes due to contamination, improper handling, or unsafe administration
Moore wants patients reliably pooping daily before she introduces long-term hormonal or metabolic agents
Advanced or Resistant Cases: For patients with stubborn or dermal melasma unresponsive to standard treatments (approximately 1520% of cases), supplements may be considered a last resort intervention