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re:retin-A good or bad

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My derm wants me to use it too (as tretinoin/Avita cream). I am equally

apprehensive. He aknowledged the debate over risks vs benefits.

It theoretically promotes new capillary development. But he felt the

improvement in papules and pustules outweighed what he considered to be

a long term, theoretical and yet undocumented risk for increased

vascularization. Until the double blinded studies with 1000 patients

come in for a treatment, we won't really know for sure. When we try

really new therapies for any disease we can't expect to get assurances.

We are to some extent the experimental group and have to weigh the

risks ourselves. As a biologist,I have a tendancy to weigh in on the

side of a scientist specializing in microvascular physiology, like Dr.

Nase. I feel he has a perspective and depth of knowledge that would be

unfair to expect from a general dermatologist. However, I would like

to hear what the leading MD/rosacea specialists say about this therapy.

There must be some literature out there if dermatologists are

beginning to recommend it. Would have to read it all and feel better

about it to risk it right now.

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