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I also see patients unintentionally overcorrect by reaching for aggressive exfoliants or high-strength actives too quickly, which can further disrupt the barrier. Topically, Puza recommends switching to a ceramide-rich moisturizer applied in the morning and at night, not just when the skin feels dry

Another common response during this initial period is loss of appetite, which may feel unusual if youre not used to changes in hunger cues