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2nd course of accutane?

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I took the full course of accutane for 6 months, this was about 1.5 years ago. My acne never went fully away, instead it just shifted from my forehead and cheeks to my chin and around my chin, and changed from whiteheads to cysts. It has been coming back bad as of late and I'm afraid with every new pimple I get I am just going to have another scar to deal with. I'm considering another course of accutane, what do you guys think? Will I get a break out and a peeling skin and really dry lips the 2nd time around or are symptoms much more subtle the 2nd time around?

I'm 5'8 140 pound male, I was on the 2 pill a day acutane, pretty good dosage as I remember, but that was so long ago.

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