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Azelaic acid is safe for use in pregnant and breastfeeding patients and is generally well tolerated since the stinging and itching that follows its application fade in a few minutes
avoid rechallenge if serious outcomes or clear recurrence occurs
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Having actually run the studies on this and seen real patients, how much do you worry about the muscle loss component
Less water = more concentrated
Mild redness and itching typically peak at 24 to 48 hours and fade by day 3
The good news is that most common side effects are manageable and time-limited
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