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when to increase dose?

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I'm just into my third month of two 40 mg a day, and I'm suddenly getting a few zits again. It feels like the side effects have tapered off, too. Does this mean I need to go to a higher dose? I really noticed a big improvement for the first two months. At least the zits seem to resolve/heal faster than before. How did any of your docs decide to up your dosage? I weigh 138 lbs and am a female 5'7". Please let me know if you increased your daily dosage.

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