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Studies show both tretinoin and combination therapy work on darker skin, but the risk is irritation that can leave more pigment behind

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These are not the same measurement system, and converting between them requires knowing your vial concentration

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In a pediatric clinical trial, there was one episode of serious suicidal ideation in a QSYMIA-treated patient requiring hospitalization and pharmacologic treatment [see Warnings and Precautions (5.2)] more patients treated with QSYMIA versus placebo reported adverse reactions related to mood (e.g., depression, anxiety) and sleep disorders (e.g., insomnia) [see Warnings and Precautions (5.4)]

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