Tele-Health Consent

Last Updated: January 30, 2025

DO NOT USE THIS SERVICE FOR EMERGENCY MEDICAL CONDITIONS OR NEEDS. IF YOU ARE CURRENTLY EXPERIENCING A MENTAL HEALTH OR OTHER MEDICAL EMERGENCY, IMMEDIATELY CALL 911.
If you are considering suicide or thinking about taking an action that may cause harm or danger to you or to others, you must immediately call 911. If you are considering suicide, we urge you to call the National Suicide Prevention Hotline at 1-800-273-TALK (8255).

Only use our service if you’ve read this information and subsequently made an informed decision that our service is right for you. If you have any questions, please send us a message through our help center at careteam@doctorderm.com.

 

Introduction

DoctorDerm, operated by Aucuria Inc. (“DoctorDerm,” “we,” or “us”), provides telehealth services that allow patients to connect with licensed healthcare providers remotely. This Telehealth Consent Policy outlines the terms under which you agree to receive medical consultations and treatment via telehealth. By using our telehealth services, you acknowledge that you have read, understood, and agreed to the terms of this policy.

What Is Telehealth?

Telehealth involves the delivery of healthcare services through electronic communication technologies, including video calls, phone consultations, secure messaging, and digital health platforms. These services enable remote diagnosis, treatment recommendations, prescription fulfillment, and patient education. While telehealth can be a convenient alternative to in-person medical visits, it also has certain limitations that you should understand before proceeding.

Nature of Telehealth Services

By using DoctorDerm’s telehealth services, you acknowledge and agree that:

  • Telehealth services involve an evaluation of your medical history and symptoms by a licensed healthcare provider.
  • Your provider may determine that telehealth is inappropriate for your condition and refer you to an in-person medical consultation.
  • The healthcare provider’s advice is based on the information you provide, and any inaccuracies in your disclosures may affect the care you receive.
  • The standard of care provided via telehealth is intended to be comparable to that of an in-person visit, but it may not be a complete substitute for traditional healthcare in all cases.
  • Prescriptions may be issued if deemed necessary and appropriate by your provider, in compliance with state and federal regulations.
  • Telehealth services are not for emergencies. If you are experiencing a medical emergency, call 911 or seek immediate medical attention.

Potential Risks of Telehealth

While telehealth offers convenience and accessibility, there are some potential risks, including:

  • Delays in care due to technical failures, such as poor internet connectivity or software malfunctions.
  • A lack of direct physical examination, which may result in missed diagnoses or incomplete assessments.
  • Unauthorized access to your personal health information due to security breaches, despite our efforts to implement robust privacy protections.
  • Variability in state laws regarding telehealth and prescription fulfillment.

Patient Responsibilities

By using DoctorDerm’s telehealth services, you agree to:

  • Provide complete and accurate health information, including medical history, symptoms, allergies, and current medications.
  • Use a secure, private environment to participate in telehealth sessions to ensure confidentiality.
  • Follow all treatment recommendations and instructions provided by your healthcare provider.
  • Acknowledge that telehealth is not a substitute for emergency medical care.

Privacy & Security

DoctorDerm follows strict privacy and security protocols in compliance with applicable laws, including the Health Insurance Portability and Accountability Act (HIPAA). Your medical information will be stored securely and shared only as necessary for your treatment or as required by law. For more details, please refer to our Privacy Policy.

Insurance & Payment

  • Telehealth services provided by DoctorDerm may or may not be covered by your insurance plan. You are responsible for verifying coverage with your insurer.
  • If telehealth services are not covered by insurance, you agree to pay the applicable fees for consultations and treatments as outlined in our pricing policies.

Consent to Treatment

By using DoctorDerm’s telehealth services, you confirm that you:

  • Understand and agree to the terms outlined in this Telehealth Consent Policy.
  • Acknowledge the potential risks and benefits of telehealth.
  • Consent to receive medical evaluation and treatment via telehealth technologies.
  • Understand that you may withdraw your consent and discontinue telehealth services at any time by notifying DoctorDerm.

Contact Information

If you have any questions or concerns about this Telehealth Consent Policy, please contact us at:

By continuing to use our telehealth services, you confirm that you have read, understood, and agreed to the terms of this policy.

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PATIENT DRUG EDUCATION

  • DOCTORDERM PRESCRIPTION CREAM


    Compounded Drug
    ● This prescription was specifically compounded in our pharmacy for you at the direction of your prescriber.
    ● Compounded medications are not FDA-approved but include active ingredients sourced from FDA registered facilities.
    ● If you notice any changes in its appearance, color, or consistency, please contact us or your prescriber immediately before using the medication.
    ● For any questions about this compounded medication, ask your health care provider or pharmacist. We prioritize the quality and safety of compounded medications and are available to address your concerns.

    Active Ingredients
    Your compounded product may contain one or more of the following ingredients:
    Azelaic Acid (pronounced ay-zuh-lay-ik as-id) is used to help clear pores of bacteria, reduce inflammation caused by acne and rosacea while evening out skin tone.
    Clindamycin (pronounced klin-da-mye-sin) is used to help slow and stop the growth of bacteria on the skin and control acne.
    Dapsone (pronounced dap-sown) is used to help stop the growth of bacteria on the skin and reduce inflammation.
    Ivermectin (pronounced ai-vr-mek-tn) used to help reduce facial redness and inflammation caused by rosacea.
    Niacinamide (pronounced nye-a-sin-a-mide) is a form of vitamin B3 used to help with skin brightening and smooth your overall skin texture.
    Oxymetazoline (pronounced ak-see-meh-tuh- zow-leen) is used to narrow blood vessels under the skin to reduce facial redness caused by rosacea.
    Tretinoin (pronounced truh-ti-now-in) is a retinoid used to help reduce the appearance of wrinkles, fine lines and oil production.

    Before using this medication, talk to your health care provider if you:
    ● Have high sensitivity to the sun or spend a lot of time in the sun.
    ● Have eczema, as this product may cause irritation.
    ● Have a glucose-6-phosphate dehydrogenase deficiency (G6PD).
    ● Have higher than normal levels of methemoglobin in your blood (methemoglobinemia).
    ● Have a history of heart disease or blood pressure problems. heart attack, stroke, and/or blood vessel or blood flow problems.
    ● Have a history of Raynaud’s syndrome, Buerge disease, or Sjogren’s syndrome.

    Use in pregnancy:
    ● Do not use this medication if you are pregnant or breastfeeding and your medication contains Tretinoin, Dapsone, Oxymetazoline, and/or Ivermectin.
    ● Tell your health care provider if you are pregnant, plan on getting pregnant, or if you are breastfeeding.

    Use in children and adolescents:
    ● Do not use in children under 12 years of age.

    Interactions with this medication:
    There are products that may interact with your medication that can change its effectiveness and increase the risk for serious side effects. Before starting this medication, talk to your health care provider for more details about how this medicine might interact with other products and if you’re using any of these products:
    ● Other topical medications or OTC products.
    ● Medicated, abrasive or drying soaps, cleansers and cosmetics.
    ● Oral dapsone.

    This is not a complete list of possible interactions. It is important to keep a list of all products you currently use and talk to your health care provider before adding anything new to avoid potential interactions. Ask your health care provider or pharmacist for more details about how this medicine might interact with other products.

    What to know while using this medication
    Common side effects:
    The most common side effects in adults include:
    ● Increased sun sensitivity.
    ● Skin irritation, redness, or blisters at the site of application.
    ● Skin dryness, itching, and peeling.

    Serious side effects:
    Stop using this medication and talk to your health care provider or seek medical attention right away if you develop:
    ● Signs of a severe allergic reaction such as:
    ● Swelling of the mouth, throat, and/or tongue.
    ● Swelling of the eyes.
    ● Swelling of the hands and/or feet.
    ● Difficulty breathing or swallowing.
    ● Itchy skin.
    ● Raised, red skin rash.
    ● Diarrhea or bloody diarrhea.
    ● Colitis, or inflammation of the colon.
    ● Signs of hemolytic anemia, a breakdown of red blood cells, such as:
    ● Back pain, fever, and/or shortness of breath.
    ● Dark brown urine.
    ● Yellow or pale skin.
    ● Tiredness or weakness.
    ● Signs of methemoglobinemia such as:
    ● Grey or blue lips, nail beds, or inside of your mouth.
    ● Worsening rosacea.
    ● Acute angle closure glaucoma.
    ● Signs of blood pressure problems, such as dizziness, confusion, headache, chest pain, or shortness of breath.
    ● Swelling, pain, cramps, weakness, or ulcers in your legs.

    These are not all of the possible side effects of this medication. Call your health care provider if you have side effects that worsen or do not go away. You may also report side effects to FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch

  • FINASTERIDE & MINOXIDIL TOPICAL


    Compounded Drug
    ● This prescription was specifically compounded in our pharmacy for you at the direction of your prescriber.
    ● Compounded medications are not FDA-approved but include active ingredients sourced from FDA registered facilities.
    ● If you notice any changes in its appearance, color, or consistency, please contact us or your prescriber immediately before using the medication.
    ● For any questions about this compounded medication, ask your health care provider or pharmacist. We prioritize the quality and safety of compounded medications and are available to address your concerns.

    Active ingredients
    Finasteride (pronounced fuh-na-str-ide) is used to help reduce hair loss and support hair growth.
    Minoxidil (pronounced muh-naak-suh-dil) is used to stimulate blood flow to hair follicles and promote hair regrowth.

    What to know before taking this medication
    Do not use this medication if you:
    ● Are or suspect you may be allergic to any of the ingredients in this compounded product.
    ● Are pregnant or suspect you may be pregnant.

    Things to know before taking this medication:
    ● Finasteride may affect prostate specific antigen (PSA) lab results. If you are planning to get a PSA test, please discuss with your health care provider that you are using finasteride.

    Use in pregnancy:
    ● Do not use during pregnancy or breastfeeding. There is a high risk this medication may cause fetal harm.
    ● Tell your health care provider if you are pregnant, plan on getting pregnant, or if you are breastfeeding.

    Prevent unintentional exposure to topical product:
    Unintentional exposure of this topical product to others can be dangerous, especially to children and pregnant women. Prevent this by taking the following precautions:
    ● Wash hands immediately after application.
    ● Avoid contact with unwashed or unclothed application sites in person’s using this topical product.
    ● Before skin-to-skin contact, wash area where topical product was applied.
    ● If exposure occurs, cleanse the skin with soap and water.

    Interactions with this medication:
    There are products that may interact with your medication that can change its effectiveness and increase the risk for serious side effects. It is important to keep a list of all products you currently use and talk to your health care provider before adding anything new to avoid potential interactions. Before starting this medication, talk to your health care provider for more details about how this medicine might interact with other products.

    What to know while taking this medication
    Serious side effects:
    Stop taking this medication and talk to your health care provider or seek medical attention right away if you develop:
    ● Signs of a severe, life-threatening allergic reaction such as:
    ● Swelling of the mouth, throat, tongue, eyes, hands and/or feet.
    ● Difficulty breathing or swallowing.
    ● Itchy skin or raised, red skin rash.

    Common side effects:
    The most common side effects in adults include:
    ● Skin redness, or dryness at site of application.
    ● Irritation at site of application
    ● Initial hair shedding.
    ● Hair texture changes.

    These are not all the possible side effects of this medication. Call your health care provider if you have side effects that worsen or do not go away. You may also report side effects to FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch

    How to use this medication
    How much do I use?
    ● Use this medication exactly as prescribed. Your health care provider will tell you how often to use this medication.

    How do I use this medication?
    ● Topical use : Wash your hands with warm water and soap before and after application. This medication is for use on the skin only. Do not get it in your eyes, nose, mouth, or other mucous membranes. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water. Use as directed by your health care provider.

    What if I miss a dose?
    ● If you missed a dose, use it as soon as you remember and use your next dose at your regularly scheduled time.
    ● If it is almost time for your next dose, skip the missed dose and use your next dose as scheduled. Do not use double of your prescribed dose.

    What if I take too much (overdose)?
    ● If you think you may have taken more than the prescribed dose of this medicine, call the poison control helpline at 1-800-222-1222 or seek medical care right away.

    How to store / dispose this medication
    How do I store this medication?
    ● Store at room temperature in a cool, dry place away from heat and direct sunlight.
    ● This product is flammable. Keep away from open flames, sparks, smoking or any source of ignition.
    ● Keep all drugs in a safe place and away from children and pets.

    How do I dispose of this medication?
    ● Do not throw away unused or expired drugs.
    ● Do not flush down the toilet or pour down the drain unless you are told to do so by your health care provider.
    ● Check with your pharmacist if you have questions on the best way to throw away your medication. There may be take-back programs in your area.
    ● Hazardous – dispose of properly.

    Caution: Hazardous Drug
    ● This medication includes components classified as hazardous drugs, which may cause adverse health effects if not used as directed by your prescriber.
    ● It is important to follow the directions given to you by your prescriber and practice safe handling procedures to ensure safe usage.

    Consumer Information Use and Disclaimer
    ● This medicine was prescribed for your condition. This product is only to be used by the person for whom it was prescribed. Do not use it for another condition or give the medicine to others.
    ● This document provides a summary of information about your medication and does not contain all possible information about this medication. This information does not endorse any treatments or medications as safe, effective or approved for treating a specific patient. It does not provide specific medical advice or replace guidance from your health care provider or pharmacist who prescribed or prepared the medication.
    ● If you have any questions or concerns, or want more information about your medication, talk to your health care provider or pharmacist.

    Pharmacy Information Curexa Pharmacy East 3007 Ocean Heights Ave Egg Harbor Township, NJ, 08234 Curexa Pharmacy East II 236 E. Jimmie Leeds Road Galloway, NJ, 08205 Curexa Pharmacy West 1343 N Colorado St, Suite 109 Gilbert, AZ, 85233 Phone: 855-927-0390 http://www.curexa.com

  • EFLORNITHINE CREAM


    Compounded Drug
    ● This prescription was specifically compounded in our pharmacy for you at the direction of your prescriber.
    ● Compounded medications are not FDA-approved but include active ingredients sourced from FDA registered facilities.
    ● If you notice any changes in its appearance, color, or consistency, please contact us or your prescriber immediately before using the medication.
    ● For any questions about this compounded medication, ask your health care provider or pharmacist. We prioritize the quality and safety of compounded medications and are available to address your concerns.

    Active Ingredients
    Your compounded product may contain one or more of the following ingredients:
    Azelaic Acid (pronounced ay-zuh-lay-ik as-id) is used to help clear pores of bacteria, reduce inflammation caused by acne and rosacea while evening out skin tone.
    Clindamycin (pronounced klin-da-mye-sin) is used to help slow and stop the growth of bacteria on the skin and control acne.
    Dapsone (pronounced dap-sown) is used to help stop the growth of bacteria on the skin and reduce inflammation.
    Ivermectin (pronounced ai-vr-mek-tn) used to help reduce facial redness and inflammation caused by rosacea.
    Niacinamide (pronounced nye-a-sin-a-mide) is a form of vitamin B3 used to help with skin brightening and smooth your overall skin texture.
    Oxymetazoline (pronounced ak-see-meh-tuh- zow-leen) is used to narrow blood vessels under the skin to reduce facial redness caused by rosacea.
    Tretinoin (pronounced truh-ti-now-in) is a retinoid used to help reduce the appearance of wrinkles, fine lines and oil production.

    Before using this medication, talk to your health care provider if you:
    ● Have high sensitivity to the sun or spend a lot of time in the sun.
    ● Have eczema, as this product may cause irritation.
    ● Have a glucose-6-phosphate dehydrogenase deficiency (G6PD).
    ● Have higher than normal levels of methemoglobin in your blood (methemoglobinemia).
    ● Have a history of heart disease or blood pressure problems. heart attack, stroke, and/or blood vessel or blood flow problems.
    ● Have a history of Raynaud’s syndrome, Buerge disease, or Sjogren’s syndrome.

    Use in pregnancy:
    ● Do not use this medication if you are pregnant or breastfeeding and your medication contains Tretinoin, Dapsone, Oxymetazoline, and/or Ivermectin.
    ● Tell your health care provider if you are pregnant, plan on getting pregnant, or if you are breastfeeding.

    Use in children and adolescents:
    ● Do not use in children under 12 years of age.

    Interactions with this medication:
    There are products that may interact with your medication that can change its effectiveness and increase the risk for serious side effects. Before starting this medication, talk to your health care provider for more details about how this medicine might interact with other products and if you’re using any of these products:
    ● Other topical medications or OTC products.
    ● Medicated, abrasive or drying soaps, cleansers and cosmetics.
    ● Oral dapsone.

    This is not a complete list of possible interactions. It is important to keep a list of all products you currently use and talk to your health care provider before adding anything new to avoid potential interactions. Ask your health care provider or pharmacist for more details about how this medicine might interact with other products.

    What to know while using this medication
    Common side effects:
    The most common side effects in adults include:
    ● Increased sun sensitivity.
    ● Skin irritation, redness, or blisters at the site of application.
    ● Skin dryness, itching, and peeling.

    Serious side effects:
    Stop using this medication and talk to your health care provider or seek medical attention right away if you develop:
    ● Signs of a severe allergic reaction such as:
    ● Swelling of the mouth, throat, and/or tongue.
    ● Swelling of the eyes.
    ● Swelling of the hands and/or feet.
    ● Difficulty breathing or swallowing.
    ● Itchy skin.
    ● Raised, red skin rash.
    ● Diarrhea or bloody diarrhea.
    ● Colitis, or inflammation of the colon.
    ● Signs of hemolytic anemia, a breakdown of red blood cells, such as:
    ● Back pain, fever, and/or shortness of breath.
    ● Dark brown urine.
    ● Yellow or pale skin.
    ● Tiredness or weakness.
    ● Signs of methemoglobinemia such as:
    ● Grey or blue lips, nail beds, or inside of your mouth.
    ● Worsening rosacea.
    ● Acute angle closure glaucoma.
    ● Signs of blood pressure problems, such as dizziness, confusion, headache, chest pain, or shortness of breath.
    ● Swelling, pain, cramps, weakness, or ulcers in your legs.

    These are not all of the possible side effects of this medication. Call your health care provider if you have side effects that worsen or do not go away. You may also report side effects to FDA at 1-800-FDA-1088 or http://www.fda.gov/medwatch

    How to use this medication
    How much do I use?
    ● Use the medication exactly as prescribed. Your health care provider will tell you how often to use this medication.

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Gentle Exfoliating Daily Cleanser

This hydrating, sulfate and paraben-free cleanser removes makeup, oil, and impurities and gently exfoliates dead skin cells, while the cream base prevents moisture evaporation from the skin’s surface resulting in a smooth, radiant complexion.


Hydrate, Exfoliate, Radiate — All in One Step

Instant Glow

See a smoother, brighter complexion after the first wash.

Dermatologist-Crafted

Backed by science, safe for daily use.

Clean Formula

Sulfate-free, paraben-free, cruelty-free.

Cleanse & Exfoliate

Removes impurities while gently renewing skin.

  • Formulations:

    Water/Aqua/Eau, Glycolic Acid, Cetyl Alcohol, Sorbitol, Sodium Hydroxide, Steareth-21, Butylene Glycol, Phenoxyethanol, Potassium Cetyl Phosphate, Xanthan Gum, Ethylhexylglycerin, Palmitic Acid, Panthenol (Pro-vitamin B5), Disodium EDTA Glycolic Acid 10.0%, Sorbitol, Panthenol (Pro-vitamin B5)

  • How & Why It Works

    It contains Glycolic Acid 10% to remove dead skin cells from the skin’s surface effectively and helps prevent moisture loss from the skin’s surface, resulting in a more radiant complexion.

  • How to Use

    Apply cleanser over dry skin, avoiding eye area. To remove, rinse with warm water and pat dry. Can be used twice daily or as otherwise directed.
    Glycolic Acid 10%, Pro-vitamin B5, Sorbitol

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Dewy Daily Moisturizer

This lightweight, oil-free moisturizer effectively hydrates the skin without adding oil or shine, creating visibly radiant and clear skin. In addition, robust, naturally soothing antioxidants protect the skin, and ceramides prevent dryness and irritation while reducing the appearance of redness. Niacinamide reduces the appearance of enlarged pores and improves the skin’s texture.


Silky Smooth. Soft Glow. All Day Comfort.

Brighter Skin Daily

Glycolic acid smooths texture and boosts radiance.

Hydration That Lasts

Cream base prevents dryness after cleansing.

Safe for Sensitive Skin

Sulfate-free, paraben-free, dermatologist-approved.

Hydration + Exfoliation in One Step

Cream base locks in moisture for a soft, radiant finish.

  • Formulations:

    Ingredients:

    Niacinamide (Vitamin B3), Saccharide Isomerate, Euterpe Oleracea (Acai) Fruit Extract, Salix Alba (Willow) Bark Extract, Aloe Barbadensis Leaf Extract, Camellia Sinensis (Green Tea) Leaf Extract, Ceramide NP, Phytosphingosine, Ceramide AP, Ceramide

    EOP Ingredients:

    Water/Aqua/Eau, Ethylhexyl Stearate, Glycerin, Niacinamide (Vitamin B3), Cetearyl Alcohol, Sodium Acrylates Copolymer, Saccharide Isomerate, Glyceryl Stearate, PEG-100 Stearate, Euterpe Oleracea (Acai) Fruit Extract, Lecithin, Sodium PCA, Salix Alba (Willow) Bark Extract, Aloe Barbadensis Leaf Extract, Camellia Sinensis(Green Tea) Leaf Extract, Sodium Lauroyl Lactylate, Ceramide NP, Phyto- sphingosine, Ceramide AP, Cholesterol, Xanthan Gum, Carbomer, Ceramide EOP, Ethylhexylglycerin, Phenoxyethanol

  • How & Why It Works

    It is a lightweight, oil-free, and fragrance-free formula that effectively replenishes and hydrates the skin. It has 3 ceramides that hydrate, replenish and restore the skin by mimicking the skin’s own natural moisturization.

  • How to Use

    Apply a generous amount to the face, avoiding eye area. Allow to absorb before applying additional product. Use twice daily or as otherwise directed.

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Clear Defense Daily Sunscreen

The Clear Defense sunblock contains an innovative blend of active ingredients, including non-nano zinc oxide, the most comprehensive physical sunblock available, and Knotweed extract, which has been shown to prevent damage from infrared radiation. This fast-absorbing SPF also features a high level of Niacinamide to promote a smoother, clearer complexion.


Advanced Formula That Shields Your Skin from Morning to Night

Dermatologist-Crafted

Medical-grade sunscreen crafted for professional-level protection.

Long-Lasting Defense

Advanced UV filters keep working when ordinary sunscreens wear off.

Skin-Perfecting Care

Niacinamide reduces redness and evens tone while you protect.

Clear, Lightweight Finish

No white cast, no greasy residue. Just smooth, protected skin.

  • Formulations:

    Ingredients:

    Zinc Oxide 12.0%, Octinoxate 7.5% INGREDIENT HIGHLIGHTS Niacinamide (Vitamin B3), Tocopheryl Acetate (Vitamin E), Polygonum Aviculare Extract (Knotweed Extract), Sodium Hyaluronate (Hyaluronic Acid)

    Inactive Ingredients:

    Water, Cyclopentasiloxane, Niacinamide (Vitamin B3), Oleth-3 Phosphate, Octyldodecyl Neopentanoate, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Polyisobutene, PEG-7 Trimethylolpro- pane Coconut Ether, Glycerin, Tocopheryl Acetate (Vitamin E), Polygonum Aviculare (Knotweed) Extract, Sodium Hyaluronate (Hyaluronic Acid), Disodium EDTA, Sodium Hydroxide, Citric Acid, Phenoxyethanol, Ethylhexyl- glycerin, Polyglyceryl-3 Polydimethylsiloxyethyl Dimethicone, Triethoxysi- lylethyl Polydimethylsiloxyethyl Hexyl Dimethicone, Triethoxycaprylylsilane

  • How & Why It Works

    For this sunscreen, recommended skin types include acne, combo, oily. This fast-absorbing SPF also features a high level of Niacinamide to promote a smoother, clearer complexion.

  • How to Use

    Apply to face & neck, avoiding the eye area. Wait at least 15 minutes before sun exposure, or as directed by a physician. Reapply after prolonged exposure, physical activity, perspiration or contact with water.

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