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Seek urgent medical attention if you experience signs of a severe allergic reaction (facial swelling, difficulty breathing), widespread rash, blistering, or symptoms of skin infection such as increased redness, warmth, pus, or fever

a medication recommendation is never guaranteed

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So there's lots of different reasons why this just is a natural path for people before or after

For example, missed doses, inconsistent lifestyle habits, medication intolerance, or inadequate dose titration may contribute to stalled progress