First, the evidence is limited to draw a definitive conclusion: only four small or moderate sized RCTs were included, and the risk of bias is generally moderate
B.FriedmanD
For CII assessment, 20 l succinate (100 mM), ADP (10 mM), rotenone (10 M) and plasma membrane permeabilizer (10 nM) were added to port A, 22 l oligomycin (10 g ml 1 ) was added to port B and 25 l antimycin A (A0149
PMID 3053703
This leads to a visibly brighter and whiter complexion, addressing concerns like hyperpigmentation, dark spots, and uneven skin tone
158,161,164,165 However, activating multiple receptors may lead to more complex side effects, and in some experiments, dual and triple agonists have indeed shown more severe side effects