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The product may use a different salt form

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(1) Before and After: The Efficacy of Azelaic Acid Research Studies and Clinical Trials Available in strengths from 12% to 20%, it is considered a well tolerated treatment regardless of the concentration of azelaic acid meaning it is suitable for sensitive skin

The prescribing information for most of these medications specifies the abdomen as an approved injection area without explicitly restricting the region to below the navel