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doi:10.1111/j.1532-5415.1996.tb01389.x
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The initial outbreak of herpes can be particularly intense, with many individuals experiencing flu-like symptoms, including fatigue and muscle aches, which are not typically associated with acne
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Signs of hormone imbalance, such as decreased body or facial hair, underdeveloped testes, and breast enlargement, may also be noted during physical exam
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