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[16] [18] During lactation, ascorbic acid is excreted in breast milk, and excessive maternal intake could theoretically affect the infant

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Existing mental health or life circumstances Depression, anxiety, chronic stress, poor sleep, relationship difficulties and other significant life changes may occur alongside treatment

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Medically, this condition is known as melasma

Less common but more severe side effects include pancreatitis, gastroparesis, bowel obstruction, gallstone attacks, and bile duct blockage