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10.1016/j.fitote.2014.03.018 29 GuevaraA

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acne proliferates within clogged pores, it triggers an immune response, causing inflammation

If you want to optimise your microneedling protocol: The data suggests that longer treatment duration (36 months minimum) and less aggressive session frequency (fortnightly rather than weekly) may actually produce better results than trying to do more, more often