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Even though each website said there would be a teleheath call with a physician, Johnson never met one-on-one with a doctor

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Hilary Baldwin, Medical Director of the Acne Treatment and Research Center, has noted in published commentaries that "off-label use of spironolactone in women is generally well-tolerated, but the drug's potassium-sparing effect means any co-administered agent that touches renal or electrolyte physiology deserves a second look." Her commentary appeared in a 2021 Journal of Drugs in Dermatology review

3 Department of Drug Sciences, University of Pavia, Pavia, Italy