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Others find no difference

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Shirazi agree that azelaic acid is generally gentle enough and safe to use with other ingredients like vitamin C, AHAs, BHAs, and retinoids

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In the clinical trials, he added, We did find that a couple of our patients reported suicidal ideation, but it seemed to be related to life events occurring. However, Grunvald pointed out that semaglutide trials excluded patients with history of suicidal behavior, so they may be underestimating the risk. Still, the trials showed far lower rates of suicidal thoughts or behaviors than reported in the overall U.S