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Accutane Low dose but long term

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I live near cleveland ohio. I can't find a dermatologist willing to do low dose/long term accutane and if u if I did I'm unsure my insurance would cover long term accutane. If anyone here knows of a dermatology I can try to do this with plz let me know. Or any other way I can get low dose accutane. I've tried it all. 2 accutane courses with relapse. My last course was 120mg/day. My first was 40mg/day. Chem peels. Antibiotics topical and pill. Adapalene. Etc. 1 affirm laser treatment. Tried it all.

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