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In: Combs, G.F., Spallholz, J.E., Levander, O.A., & Oldfield, J.E., ed

Lipotropic injections may cause local injection site reactions including pain, redness, swelling, or bruising

Methylglyoxal, whose formation can reach 3 mg/kg body weight/day [230], is a glycating agent, forming mainly arginine-derived hydroimidazolone adducts, DNA adducts, and isomeric imidazopurinones [231]