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Ann Neurosci 24: 82-89

While these individual cases have not yet consolidated into a class action, the growing number of claims could potentially lead to a class action in the future if a pattern of harm and insufficient warning is established across multiple cases

The "gradual decline" group (approximately 40-50% of users) represents modal experience where benefits slowly regress toward pre-treatment baseline over 4-8 months, typically affecting users who completed shorter treatment courses (2-4 months), used lower concentrations or inconsistent application, possessed moderate to severe baseline skin damage requiring ongoing support, maintained adequate but not optimal complementary skincare, experienced significant lifestyle stressors affecting skin health including poor sleep or high stress, and faced genetic or age-related collagen production limitations

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Alsaud et al

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