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How do you know when you're ready for second dose of Accutane?

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I took accutane roughly 8 years ago and from my understand most take it a second time. I had serve acne back then but I've noticed a few more pimples starting to pop up than usual. Starting to get the deep pimples that don't go away a couple days. What I'm getting now is no where close to what I once had but still can't stand little bumps popping up and not going away. In all honestly my skin was better shortly after accutane and gradually went down hill.

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