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Dermatology is also a common field covered by large online telehealth marketplaces like Lemonaid Health, GoodRx, and Teladoc, and because acne is so closely linked to hormonal fluctuations, many online sexual health providers like Hers, Favor, and PlushCare will provide birth control prescriptions for acne flare-ups (along with a few other topical medications)

Look for COAs from recognized analytical laboratories, not in-house results printed on the vendor letterhead

Only adjust if well tolerated and temporary, always under medical guidance

Rodent studies raised thyroidcell flags decades ago, but human data have not shown a comparable risk

My doctor told me its fine, dont worry about it because its very common. Ive heard this over and over again, she says

Positive effects are weight loss and lowered blood sugar