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The baldness is just genetic, and if it causes hair loss its usually temporary it'l grow back after you stop taking it, think of it like chemotherapy since accutane is also used to treat some sorts of cancer as i remember reading somewhere. The biggest impact it does to anything with your bones really is just occasional joint pain. I took my first course at 16 at 2 40mg pills a day, (and second course at 30mg 2 times a day (17)), i was 5'7" then and i am 5'10" (18) now so no i don't believe it affected my growth in any way. Hope this helps and good luck!