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If skin symptoms appeared or worsened following dose escalation, discussing with the prescribing provider whether to maintain the current dose longer before further titration, or whether a temporary dose reduction might be appropriate, could be considered
If its purging, it should only make pre-existing microcomedones come to the surface faster, so if youre breaking out in places where you dont normally experience breakouts, its likely that the product is wrong for you
If youre gone for an extended time without it, talk to your doctor about how to restart safely, especially if you were still ramping up