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This is not a gap awaiting the next paper it has been explicitly acknowledged in the primary review literature for over four decades

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Indian skin is genetically more prone to: Hyperpigmentation Tanning Melasma Post-acne marks Therefore, treatments must be carefully customized

10.1016/0029-7844(96)00119-6 Obstet

At our clinic, weve observed that acne related to testosterone therapy usually begins within the first 1-2 years after starting treatment