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A patient's lack of understanding of clinical care instructions provided after a procedure and other aspects of health literacy have been linked to poor adherence to treatment, decreased patient safety, increased return to the emergency department, and lower levels of patient satisfaction

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In general, patients with moderate or severe acne tend to have overactive sebaceous glands that produce too much oil, which clogs pores, trapping bacteria in the pore, which then festers, creating painful blemishes