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But often medication is needed to help drive down very high LDL levels and keep them low

Alternatives and Complementary Options Topical Ingredients Niacinamide Azelaic acid Alpha arbutin These can help brighten skin and reduce pigmentation when used consistently

These enter the lymph, deliver fatty acids to adipose and muscle via lipoprotein lipase, and only then reach the liver as chylomicron remnants for further processing into diverse lipid classes and lipoproteins

, 3-5

There's retinol (beloved by dermatologists for minimising acne and fine lines), kojic acid (which experts recommend for treating hyperpigmentation and dark spots) and the interesting-sounding epidermal growth factors, touted as the natural skincare alternative to Botox