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The TMAO topic is not without controversy
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An enzyme called tyrosinase is needed to create melanin (the pigment that causes the brown spots) and while several other skin lightening agents work to inhibit the synthesis of tyrosinase itself (like vitamin C or licorice), arbutin lets tyrosinase be and rather hinders the melanin-forming activity of the enzyme
En cuanto a opciones farmacolgicas aprobadas, la lisdexanfetamina (Vyvanse) es actualmente el nico medicamento aprobado por la FDA especficamente para el tratamiento del trastorno de atracones moderado a severo en adultos
