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Back in college, Jennifer Meanley's dermatologist prescribed Accutane for her stubborn breakouts. The pills did the job, and for several years Meanley was in the clear. Over time, though, the large pimples on her cheeks and forehead came back. But she worried that she wouldn't have time for the monthly derm appointments and blood tests required of all patients who take the drug. Do-it-yourself dermatology is generally not a good idea, but taking anti-acne drugs without a doctor's supervision is especially dangerous. Isotretinoin has been associated with depression, elevated cholesterol levels, bowel diseases and liver damage—problems that could go undetected and untreated if you're not seeing a doctor.

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