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Im actually amazed that Ive managed to achieve this level of lift without the use of strategically placed dermal filler or any kind of facial surgery

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It is metabolized by the cytochrome P450 family (more specifically CYP2D6) to active metabolites such as endoxifen (4-OH-N-desmethyl-tamoxifen)

1996 Oct 25;52(8):1147-54

Hydroxynonenal adducts indicate a role for lipid peroxidation in neocortical and brainstem Lewy bodies in humans