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This act of creation brought into existence a specific 13-cis retinoic acid isomer that possessed the unique properties needed to permanently alter the course of severe acne, representing a brilliant fusion of chemical science and medical need. The choice depends on acne type, severity, and patient preference. How Much Does It Cost To Go On Accutane No hassle. Isotretinoin’s unique chemical structure allows it to bind to specific receptors and induce lasting changes in sebaceous glands, a mechanism that standard vitamin A cannot replicate.

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