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I have been taking Accutane twice a day for 3 months now (starting on my 4th month). I haven’t been taking my morning pill with food because I don’t eat breakfast. However, I always take my second pill after dinner. I have seen minimal results so far. If I start taking my first pill with a tablespoon of peanut butter or something high in fats, how long will it take to see results? Did I waste the last 3 months by not eating with it? 

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I don't think it really matters, to be honest. And so does my derm. I've been on it for 3 months, and I've taken it with food, without it, and within different hours each day, and I don't have the feeling it's not working as intended.

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