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Other common patterns include acne that developed or worsened after stopping birth control, postpartum acne that persists beyond the expected recovery window, adult-onset acne appearing for the first time in the late 30s or 40s alongside other hormonal shifts, and breakouts that accompany PCOS symptoms such as irregular cycles, excess hair growth, or unexplained weight changes

"Identification of the synthetic cannabinoid-type new psychoactive substance, CH-PIACA, in seized material"