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If the patient is a tested athlete, be explicit It is prohibited under WADA as an S0 unapproved substance, and it is explicitly listed on the NCAA banned substances list

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It contains a powerful retinoid (vitamin A derivative) primarily prescribed by dermatologists to treat severe, treatment-resistant nodular or cystic acne that has failed to clear with other therapies like oral antibiotics or topical treatments.Because isotretinoin is a high-potency medication with strict safety regulations, it should only ever be taken under direct medical supervision. How It WorksIsotretinoin targets the root causes of severe acne simultaneously by:Shrinking sebaceous glands to dramatically reduce oil (sebum) production.Preventing clogged pores by normalizing how skin cells shed.Decreasing inflammation and limiting the growth of acne-causing bacteria.Preventing permanent physical scarring and deep tissue damage. Standard Usage GuidelinesAdministration: It must be swallowed whole with waternever crushed, split, or chewed.Take with Food: For maximum absorption, take the capsule during or immediately after a main meal containing some healthy fats (like milk, yogurt, or oil).Duration: A typical therapeutic course spans between 16 to 24 weeks