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Acne Returningpost Accutane

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I have been on isotretinoin (accutane) for 6 months. My dose went from 40 to 60 to 20 mgs and I totally cleared. My derm wants me to take 10-20mgs a day for 6 more months to maintain but soon as I have started on 10mgs only after taking 20 for about a month ive started getting little pimples around my mouth and slightly blocked pores again. Its not even been a full week on only 10mgs. I don’t know what to do, my derm said I can use 20 again if anything returns but I feel so defeated I’m not even off it and its slightly returning. Obviously nothing like it was but still 

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