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: You must undergo baseline and monthly laboratory tests , including liver function and lipid checks, before a prescription is issued or refilled. : Use only accredited digital pharmacies that require

: In the U.S., patients must enroll in the iPLEDGE REMS program, which requires regular pregnancy testing and strict birth control measures for those who can become pregnant.

: A legitimate online purchase always begins with an evaluation by a licensed dermatologist or clinician (often via teledermatology services ).

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