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Users stopping retinoids frequently report rapid regression of benefits within 4-8 weeks including increased breakouts sometimes exceeding pre-treatment levels (retinoid rebound), accelerated fine line reappearance approaching or surpassing baseline, skin texture deterioration returning to pre-treatment roughness, and psychological dependency from dramatic visible decline creating pressure for continuous use despite side effect burden

This pattern of accelerating improvement is consistent with the hair growth cycle new follicles need multiple growth cycles to produce visible improvement

Forearm rotation with the wrist maintained in ulnar deviation may also elicit pain or a wrist click