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Common ingredients include: Methionine an essential amino acid involved in fat metabolism Inositol a polyol involved in cell signalling Choline supports liver function and fat transport L-carnitine facilitates fatty acid transport into mitochondria Vitamin B12 often added to lipotropic formulations These injections are sometimes marketed as "fat-burning shots" or "skinny shots" and are frequently offered by private aesthetic clinics and wellness centres

2 While emotional distress may be directly related to the perception of chronic noise in the ears, 9 tinnitus may also interfere with normal sleep patterns, which could eventually contribute to cognitive and emotional problems

Dosing at 9am one week and 6pm the next

Larger injection volumes create more pressure in the subcutaneous tissue, which can cause more discomfort and a higher chance of lumps or the medication leaking back out

4a and Supplementary Table 1a)