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The current American Academy of Dermatology position published in 2010: Current evidence is insufficient to prove either an association or a causal relationship between isotretinoin use and inflammatory bowel disease in the general population

If a patient has underlying medical conditions, is pregnant or breastfeeding, has unrealistic expectations, or if I don't believe the potential benefits outweigh the uncertainties, I will recommend alternative treatment options instead." In many ways, yes

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