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Gopal Grandhige evaluates progress at regular intervals and adjusts dosing or duration as needed, ensuring that each patients protocol remains aligned with their healing trajectory

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A: Introduce tretinoin slowly, starting with lower concentrations, applied sparingly once or twice a week, and gradually increasing as tolerated

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Because it stimulates the central nervous system, bupropion may cause anxiety or restlessness in sensitive individuals

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Instead, it acts as a biological assist that makes lifestyle changes more sustainable

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Estimated risks and guidelines for management

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