Anti-aging revelation

Dermatologist Reveals the Real Reason Your Wrinkles and Neck Lines Keep Getting Worse — and Why Your Serums Stopped Working: “Cortisol.”

After 22 years and 15,000+ patients, she discovered why so many women over 35 are aging faster than their biology says they should — and built a 28-day, 4-step protocol that replicates a $3,000 MedSpa package at home, for a fraction of the cost.

Dr. Christine Rousseau
By Dr. Christine Rousseau
Board-Certified Dermatologist · August 2026 · 9 min read

"I watched a patient break down in my chair because she'd spent $14,000 on skincare in two years and her skin was getting worse. That's the day I realized everything I'd been taught about anti-aging was incomplete."

— Board-Certified Dermatologist, 22 years of practice

She sat across from me with tears in her eyes.

A 43-year-old marketing executive. Mother of two. She'd come in with a printed spreadsheet — an actual spreadsheet — of every skincare product she'd purchased in the last 24 months.

$14,237.

Prescription retinol. Medical-grade vitamin C. A $340 Japanese moisturizer a beauty editor had recommended. Peptide creams. Collagen supplements. Hydrating masks she wore religiously every Sunday night.

Her routine was flawless.

Her skin was getting worse.

"I don't understand," she said, her voice cracking. "I'm doing everything right. Why do I look five years older than I did two years ago?"

I didn't have an answer for her. Not yet.

But sitting in that treatment room, looking at this woman who had done everything the skincare industry told her to do — and watching her skin deteriorate anyway — something shifted in me.

Because she wasn't the first.

She was the hundredth.

If This Sounds Familiar, Please Keep Reading

If you've spent hundreds — or thousands — on anti-aging products that promised the world and delivered nothing…

If your wrinkles seem to have appeared "overnight," as if your face aged five years in one…

If you've looked in the mirror after a full night's sleep and still look exhausted…

If your neck and chest are aging visibly faster than your face — and you've quietly stopped wearing V-necks…

If products that used to work for you suddenly don't seem to do anything at all…

If you've taken a collagen powder for months and honestly can't tell whether it did anything…

What I'm about to share will explain exactly why.

Not another ingredient to try. Not another routine to add. The actual reason — the hidden biological mechanism — that's making your skin age faster than it should.

And the 28-day protocol that's already reversing it for thousands of women.

22 Years. 15,000 Patients. And I Was Wrong About the Most Important Thing.

I've been a board-certified dermatologist for over two decades. I've treated celebrities, executives, surgeons, teachers, nurses, stay-at-home moms. I've seen every skin type, every concern, every budget.

And for most of my career, I believed what the industry taught me: that aging was primarily driven by UV damage, genetics, and product choice. That if a woman used the right active ingredients in the right order, she could dramatically slow visible aging.

Then I started noticing a pattern I couldn't explain.

Some patients — like the woman with the $14,000 spreadsheet — were doing everything right and aging rapidly. Others were doing almost nothing and maintaining gorgeous skin into their 50s.

The difference wasn't their products. It wasn't their genetics. It wasn't their SPF compliance.

The difference was their stress levels.

The women aging fastest were the ones carrying chronic stress — demanding careers, family responsibilities, financial pressure, health anxieties. The ones lying awake at 2 AM with their minds racing. The ones holding tension in their shoulders from morning to night.

And the women aging slowest? Many of them had simplified, low-stress lifestyles — regardless of their skincare routine.

I started tracking this informally across my patient base. The correlation was impossible to ignore.

So I did what any obsessive clinician would do.

I dug into the research.

And what I found made me furious.

The Hidden Cause Nobody Told You About: Your Stress Hormones Are Dissolving Your Collagen

Collagen Destruction Mechanism

Here's what 22 years of medical school, dermatology residencies, and industry conferences never taught me:

Chronic stress doesn't just make you feel older. It structurally ages your skin from the inside — at a rate no topical product can overcome.

The mechanism is devastating in its simplicity.

When you're chronically stressed — from work deadlines, family responsibilities, financial anxiety, the news cycle, even just the relentless pace of being a modern woman — your adrenal glands flood your body with a hormone called cortisol.

Short bursts of cortisol are normal. But you're not experiencing short bursts. You're marinating in it. Days. Weeks. Months. Years.

And here's what that does to your skin:

First, cortisol activates enzymes called MMPs (matrix metalloproteinases) that break down your existing collagen — the protein that keeps your skin firm, plump, and smooth. Your body's own stress response is dismantling your facial scaffolding.

Second, cortisol suppresses fibroblasts — the cells that produce new collagen. So you're losing collagen faster AND replacing it slower. It's like your body is draining a bank account while the deposits are frozen.

Third — and this is the part that should genuinely frustrate you — cortisol slows the shedding of dead skin cells, which normally turn over on a 28-day cycle. They pile up. They form a thick, stubborn barrier on the surface of your skin.

And that $120 serum you've been applying every night?

Most of it is sitting on top of that barrier. Oxidizing. Evaporating. Washing down the drain.

Your products aren't bad. They can't get in.

"My patient wasn't wasting money on bad products. She was pouring good products onto a cortisol-hardened wall that wouldn't let anything through — while cortisol dismantled her collagen from the other side. She was being attacked from both directions."

This explained everything.

Why women under chronic stress can look a decade older than their biology says they should. Why two women the same age can look 15 years apart. Why products stop working even when the formula hasn't changed.

It was never about the products. It was always about the cortisol.

And the $60 billion skincare industry? They have zero incentive to tell you this — because the solution isn't another cream.

Why Everything You've Tried Has Failed (It's Not Your Fault)

Once I understood the cortisol mechanism, I went back through every common anti-aging approach with fresh eyes. And one by one, they all fell apart:

  • Retinol / Retinoids — Can stimulate modest collagen production, but struggle to keep pace with the rate of breakdown cortisol-activated MMPs are causing. Plus, retinol causes irritation and sun sensitivity. It's bringing a garden hose to a house fire.
  • Vitamin C Serums — Antioxidant protection is real, but vitamin C oxidizes on the surface of the stress wall before it penetrates. Most of it is wasted.
  • Botox — Paralyzes muscles. Does not rebuild a single collagen fiber. Does not improve skin quality. And costs $800–$2,400/year. Forever.
  • Fillers — Adds synthetic volume. Zero healing. Risks of migration, lumps, "overfilled" look. Dissolves in 6–18 months. Nothing changes underneath.
  • Facials & Spa Treatments — Feel wonderful. Address surface hydration and exfoliation. Cannot reach the dermis where collagen loss is happening.
  • Collagen Powder On Its Own — This one surprised me. The research on hydrolyzed collagen peptides is genuinely solid — multiple randomized, placebo-controlled trials show measurable gains in skin elasticity and hydration. But taken alone, you're delivering building material to a construction site where cortisol has fired the crew and locked the gate. Supply without signal. That's why so many women take collagen for six months and see "maybe a little" difference.

Every one of these approaches fails for the same reason: none of them addresses both sides of the problem at once — the signal that tells your skin to rebuild, and the raw material it needs to actually do it.

So what does work?

I knew the answer — because I'd been using it in my treatment room for years. And so has every elite MedSpa in Beverly Hills, Manhattan, and Seoul.

We just never told you about it.

The Protocol We've Been Using on Celebrity Clients (And Why You've Never Heard of It)

Celebrity Anti-Aging

In my practice — and in every high-end clinic I've trained at — there's a specific protocol reserved for patients who need serious collagen rebuilding. Not maintenance. Rebuilding.

It's the protocol we use on actresses before press tours. On executives before board presentations. On brides before their weddings.

And it works because it attacks the problem from four completely independent directions at once — three that force your skin to rebuild, and one that finally gives it the raw material to rebuild with.

1

Red Light Therapy (The "Boss" Inside-Out Trigger)

This is the core of the entire protocol. Clinical-grade red light penetrates deep into the dermis layer. It bypasses the surface entirely to energize your cellular mitochondria. That boosts your ATP energy, driving your fibroblasts to produce fresh collagen from the inside out. It is the heavy-lifter that rebuilds the tissue.

2

The Dermaroller (The Physical Amplifier)

Dermaroller micro-needling

To amplify the red light's effects and break through the cortisol "stress wall," you roll tiny micro-needles across your skin. This triggers your body's natural wound-healing response. Your body immediately sends a rush of fresh blood, oxygen and repair signals to the area to rebuild your structural scaffolding. Once a week is all it takes.

3

PDRN Active Collagen Serum (The Deep-Tissue Fuel)

PDRN Salmon DNA Serum

Applying "PDRN Active Collagen Serum" directly after dermarolling — and right before you put on the Red Light Mask — is the holy grail. Because the micro-channels are open, the serum absorbs dramatically deeper than it ever could on intact skin, feeding your skin the DNA building blocks it needs while the red light goes to work.

4

Multi-Type Collagen Peptides (The Internal Supply Line)

Multi-Type Hydrolyzed Collagen Peptides — Types I, II, III, V & X

Here is what steps 1–3 actually do: they signal. They shout at your fibroblasts to build. But a signal is worthless if there's nothing to build with — and under chronic cortisol, there usually isn't. Hydrolyzed collagen peptides are the delivery truck. They're pre-cleaved into di- and tri-peptides small enough to survive digestion and reach your skin through the bloodstream, where they both supply the amino acid pool your fibroblasts are starving for and act as a build signal in their own right. And because this is a multi-type formula — Types I, II, III, V and X — you're covering the full architecture: Types I and III make up roughly 90% of your skin's dermal scaffolding, Type V binds them together and controls fibre thickness, and II and X support the cartilage and connective tissue holding everything up underneath.

A single session of this protocol at my clinic runs $500–$800. A full package: $3,000–$5,000. Celebrity clients spend $15,000–$30,000 per year maintaining it.

For 22 years, this technology has been locked behind clinic doors and medical-grade price tags.

I believed it should stay there. I was wrong.

See the at-home system that replicates this protocol ↓

View the 28-Day Wrinkle Retreat Camp + 4 Protocol Enhancers →

Then I Found the At-Home System That Changed My Mind

Six months ago, a colleague sent me a device to evaluate. She said women in her online community were reporting results she'd only seen from in-office treatments.

I was skeptical. I've seen a hundred "at-home devices" — most of them are underpowered toys that produce zero clinical benefit.

But when I opened the box, something was different.

It wasn't one gadget. It was an entire protocol.

The Wrinkle Retreat 2.0 by Solara Paris included every component of the 4-Step Collagen Trigger — the same mechanisms I charge $500+ per session for in my treatment room:

A clinical-grade LED face mask delivering 630nm red light. A dedicated neck and chest extension — addressing the two areas most at-home devices completely ignore. A PDRN Active Collagen Serum. Two precision derma rollers (0.25mm for the delicate eye area, 0.50mm for the face). And a full pound of Multi-Type Hydrolyzed Collagen Peptides — Types I, II, III, V & X — the internal supply line that almost every at-home device on the market leaves out entirely.

That last one is what made me sit up.

Every other home device company sells you the trigger and forgets the raw material. It's like handing someone a hammer and expecting a house. This was the first box I'd opened where somebody had clearly thought the whole mechanism through.

I tested the wavelength output with my clinic's spectrometer. The numbers were legitimate. These weren't decorative LEDs. They were therapeutic-grade.

So I did what I do with everything: I tested it.

I Gave It to 12 Patients First. Here's What Happened.

I selected 12 patients — all women between 36 and 58, all with signs of stress-accelerated aging, all of whom had been frustrated by topical-only approaches.

I ran them on a structured 28-day schedule — what we now call the 28-Day Wrinkle Retreat Camp — and then kept them going.

When I handed them the system, they were hesitant. Before they even started, they voiced the exact same concerns you are probably having right now:

What My Patients Were Worried About — Before They Started
"Won't rolling needles on my face hurt? I'm terrified of damaging my skin."

This was the most common fear, and I completely understand it. The 0.25mm and 0.50mm needle lengths are designed for gentle, superficial stimulation — not the aggressive 1.5mm+ depths used in-clinic. It feels like a prickly massage. No bleeding, no raw skin, no downtime. The slight pinkness fades within minutes. And because you only do this once a week, your skin gets a full seven days to complete its repair cycle before you ask it to do anything again.

"Won't applying serum on freshly rolled skin cause burning or a breakout?"

If you applied a harsh Vitamin C or Retinol — yes, it absolutely would. But PDRN is not that. It's a soothing, anti-inflammatory repair agent derived from salmon DNA — the same ingredient used as a premium injectable in Korean aesthetic clinics. It doesn't sting. It calms. Every patient in my group reported that the serum settled the mild flush from rolling almost immediately.

"Doesn't stomach acid destroy collagen before it ever reaches my skin?"

This was my own objection for years, and it's the right question to ask. Whole collagen — from bone broth, from gelatin, from a steak — does get broken down into generic amino acids. Hydrolyzed peptides are a different animal. They're enzymatically pre-cleaved into di- and tri-peptides that survive digestion intact, appear in the bloodstream within about an hour of a dose, and have been measured accumulating in skin tissue. That's precisely why the peer-reviewed elasticity and hydration trials all used hydrolyzed peptides rather than gelatin. The hydrolysis is the whole point.

Once they were reassured, I taught them the exact sequence, frequency and dosing that gets the most out of the system:

The 28-Day Solara Paris Wrinkle Retreat Camp

Four steps. Under a minute of active effort on most days.

1
Prep & Stimulate (Derma Roll) — 0.25mm around the eyes, 0.50mm across face, neck and chest. Opens micro-channels and triggers the wound-healing response. Once per week. Pick your day and keep it — consistency beats intensity.
2
Nourish & Repair (PDRN Serum) — Apply immediately after rolling, while the channels are still open, for dramatically deeper absorption. Every rolling day, plus nightly on mask nights if you like.
3
The Main Event (LED Mask & Neck Piece) — The "Boss" step. Red light drives the serum deeper and independently triggers collagen production across face, neck and chest. 3–5 times per week, 10–20 minutes. Drop to 1–2 times weekly for maintenance after the camp.
4
Rebuild From Within (Collagen Peptides) — One scoop stirred into coffee, tea, or water. This is the raw material every other step is calling for. Every single day, without exception. Dosing below.

Your Daily Dose

Under 35
1
scoop daily
maintenance & prevention
35 and over
2
scoops daily
active rebuilding
Rebuild Window
3
scoops on rolling day
+ the day after

Why the split? Collagen loss accelerates sharply from the mid-thirties as estrogen begins to decline and cortisol exposure accumulates. Under 35, one scoop a day is enough to keep the supply line topped up. From 35 onward, you're not maintaining — you're rebuilding, and rebuilding costs more raw material.

But the dose that actually separates the women who get dramatic results from the women who get "nice" results is the third one.

The mistake almost everyone makes

The 48-Hour Rebuild Window

Here's what I watched happen with my first patients: they'd roll, apply the serum, do the mask — and then take their normal collagen dose the next morning like nothing had happened.

That's a wasted opportunity, and it's the single biggest error I see.

When you dermaroll, you deliberately open a repair response. For roughly 48 hours afterwards, your fibroblasts are working at their highest output of the entire week, laying down fresh tissue as fast as they can. That is the one window where your body's demand for Type I, III and V collagen spikes hardest — and it is the exact window most women under-supply.

So we changed it. On rolling day and the day immediately after, the dose goes up.

→ Derma-rolling day: 3 scoops.
→ The day after: 3 scoops.
→ Then back to your normal 1 or 2.

You're handing the repair crew Types I, III and V at the precise hour they're calling for them. Same tools. Same effort. Considerably more finished structure at the end of it.

Your Week, On Repeat — 4 Times

Sunday shown as rolling day. Pick whichever day suits you.

Sunday
Derma roll → PDRN serum → LED mask & neck piece 3 scoops
Monday
Rest the skin. No rolling. 3 scoops
Tuesday
LED mask & neck piece, 10–20 min 1–2 scoops
Wednesday
Free day — mask optional 1–2 scoops
Thursday
LED mask & neck piece, 10–20 min 1–2 scoops
Friday
Free day — mask optional 1–2 scoops
Saturday
LED mask & neck piece, 10–20 min 1–2 scoops

That's it. Four weeks. Four rolling sessions. Daily collagen. Everything else is sitting on the sofa with a mask on.

The results came faster than I expected.

Week 1: 11 of 12 patients reported visibly improved radiance and reduced morning puffiness. The "grey, tired" look was lifting.

Week 2: After the second rolling session and the second loading window, skin texture began changing measurably. Two patients independently reported that someone had asked them what they were "doing differently."

Weeks 3–4 (end of camp): All 12 showed improvement in skin texture. Fine lines around the eyes and forehead were visibly softer. Three patients reported wearing open necklines for the first time in over a year.

Week 8: The structural changes became undeniable. Nasolabial folds had softened. Forehead grooves were less prominent at rest. One patient — a 53-year-old nurse who works nights — told me her skin looked better than it had in a decade.

Week 12: I took comparison photos. The difference was visible to anyone. Not subtle. Not "maybe." Clear improvement across every zone — face, eyes, neck, and chest.

The woman with the $14,000 spreadsheet? She was patient #4.

At her check-in, she cried again. But this time, they were different tears.

"This is the first thing that's ever actually worked," she said. "Because it's the first thing that gave my skin something to build with."

Visible Results

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Patient Result 1
Patient Result 2
Patient Result 3
Patient Result 4

What Other Women Are Experiencing

★★★★★
"After 3 weeks my husband looked at me across the dinner table and said 'You look really good lately. Like, really good.' He NEVER notices anything. I did the full 28 days exactly as written. Mask, roll on Sundays, 3 scoops Sunday and Monday. This is the first skincare investment that actually paid off."
— Michelle T., 44 ✓ Verified
★★★★★
"I was spending $400 every 3 months on Botox and another $150/month on facials. This system paid for itself after skipping ONE Botox appointment. And honestly? My skin looks healthier now than it ever did with Botox. Botox froze my face. This actually improved it."
— Rachel M., 41 ✓ Verified
★★★★★
"I bought this for the neck extension. NOTHING ever worked on my neck. Not the $200 cream, not the patches. After 6 weeks, I wore a V-neck to my daughter's graduation. I didn't tug at my neckline once. That freedom is everything."
— Sandra K., 53 ✓ Verified
★★★★★
"As a nurse working night shifts, my cortisol is through the roof. My face aged 10 years in 3. I'd taken collagen powder before and felt nothing. The difference here is the timing. Rolling once a week and then loading 3 scoops for the next two days is a completely different experience. Forehead lines are softer and my chest texture has improved."
— Diana R., 38 ✓ Verified

Why I'm Recommending This to Every Patient — And How You Can Start Your 28 Days

I never thought I'd recommend an at-home device over in-office treatment. My livelihood depends on patients coming to my treatment room.

But I'd rather lose a client to an effective home protocol than keep charging her $500 a session for something she can do herself, every single week, for a one-time investment.

The Wrinkle Retreat 2.0 by Solara Paris is the only at-home system I've tested that delivers all four collagen triggers in one kit — the light, the mechanical stimulation, the topical repair agent, and the internal supply line most companies leave out entirely.

And right now, they're offering something that makes the value genuinely absurd:

Strictly Limited Availability

The 28-Day Wrinkle Retreat Camp

Claim the Complete 4-Step Cortisol-Repair System today to unlock the full protocol — and we will include the 4 Protocol Enhancers at no additional cost.

Complete Wrinkle Retreat System
Here is exactly what you get today:
Wrinkle Retreat 2.0 LED Face Mask
Included
Neck & Chest LED Extension
Complete System
Multi-Type Hydrolyzed Collagen Peptides (I, II, III, V & X) · 1 lb
$66.99Free
PDRN Active Collagen Serum
$39.01Free
0.25mm Under-Eye Derma Roller
$22.00Free
0.50mm Face Derma Roller
$22.00Free
Total Enhancer Value

$150 INCLUDED FREE

Wrinkle Retreat 2.0
Face only
$299
  • LED Face Mask
  • All 4 Protocol Enhancers
  • Collagen Peptides · 1 lb
  • No neck & chest coverage
Choose Face Only
Most patients choose this
Wrinkle Retreat 2.0 Complete
Face + Neck & Chest
$399
  • LED Face Mask
  • Neck & Chest LED Extension
  • All 4 Protocol Enhancers
  • Collagen Peptides · 1 lb
Choose Complete →

$100 covers the two zones that age fastest, respond slowest, and give your age away first. If you're going to do the 28 days, do all three zones.

$150 Protocol Enhancers included while stock lasts
Start My 28-Day Camp →
✓ Free Shipping ✓ 120-Day Guarantee ✓ 4 Enhancers Included

⚡ Protocol Enhancer allocations are limited to current stock.

✓ Covered by a Full 120-Day Money-Back Guarantee

Run the camp, then keep going for 120 days. If you don't see meaningful improvement in your wrinkles, skin firmness, or texture — return it for a complete refund. No hoops. No forms. The guarantee exists because the overwhelming majority of women who follow the protocol never want to send it back.

The Way I See It, You Have Two Choices

Choice one: You can close this page and continue with your current routine. The cortisol doesn't stop. The collagen loss continues — 1–1.5% per year naturally, more with stress. Your creams keep sitting on the surface. Six months from now, you'll be six months older with deeper wrinkles, less collagen, and the same frustration.

A year from now, you may be looking at $3,000+ in clinical laser treatments or $2,000+ annually in Botox just to undo what's accumulated — while your neck and chest keep quietly giving away your age.

Choice two: You start the 28-Day Wrinkle Retreat Camp this week. Four rolling sessions. A scoop in your morning coffee. Ten minutes on the sofa with a mask on. Within 2–3 weeks, you start seeing the changes. By the end of the camp, other people start noticing. Keep going, and by week 12 you look in the mirror and see someone you recognize.

Not a frozen face. Not a filled face. Your face — rebuilt from the inside out, with the material it needed all along.

The cost of this system is less than a single Botox session. Less than two months of the serums that can't get through your stress wall. Less than one laser treatment at a dermatology clinic.

And unlike all of those, it works on the actual problem.

Start My 28-Day Camp →

⭐⭐⭐⭐⭐ Rated 4.9/5 from verified buyers

Common Questions

Should I get the Face-Only or the Complete system?

If your budget allows, take the Complete. Your face is one-third of what people actually see. The neck and chest have thinner skin, fewer oil glands and less structural support — they age faster and respond more slowly, which is exactly why they're the first place a good face gets contradicted. For $100 more you treat all three zones with the same protocol. The Face-Only option exists because a smaller start is better than no start, and you can add the extension later.

How much collagen should I actually take?

Under 35: 1 scoop daily. 35 and over: 2 scoops daily. On your derma-rolling day and the day immediately after, go to 3 scoops — that's the 48-hour rebuild window, when your fibroblasts are working hardest and your demand for raw material peaks. Take it any time of day, hot or cold. It's unflavoured and dissolves completely.

How quickly will I see results?

Most women notice improved radiance and reduced puffiness within 2–3 weeks. Structural changes — softened wrinkles, improved firmness — typically become visible between weeks 4–8 with consistent use. Skin continues improving as collagen accumulates over time.

Why only roll once a week?

Because the repair response takes time to complete. Rolling more often interrupts the rebuild you just triggered, and the skin never gets to finish. One session a week, followed by two high-dose collagen days, produces better structure than three rushed sessions. This is the mistake I correct most often.

Is it safe? Does it hurt?

Non-invasive and comfortable. Red light therapy has been used in clinical settings for decades. No UV radiation, no heat damage, no downtime. The derma rollers may cause mild tingling for 30–60 seconds. If you're pregnant, nursing, taking photosensitizing medication, or have a fish or shellfish allergy (the peptides are marine-derived and the serum contains salmon DNA), check with your doctor first.

Why apply serum BEFORE the mask?

Micro-channels from dermarolling are freshest immediately after rolling, when absorption is at its peak. Apply serum while they're open, then the LED drives ingredients deeper while stimulating its own collagen response. This is the exact sequence used in professional treatments.

Why a full system instead of just a face mask?

Because three of the four steps are signals and only one is supply. Light, needling and PDRN all tell your skin to rebuild; the collagen peptides are what it rebuilds with. Run the signals without the supply and you cap your own results — which is precisely what happens with every device sold on its own.

What if it doesn't work for me?

Full 120-day money-back guarantee. Use it consistently for 120 days. If you're not satisfied, complete refund. No hoops. The guarantee exists because the overwhelming majority never return it.

Every day you wait is another day of cortisol-driven collagen loss.

Your 28 days can start tonight.

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This is an advertisement and not an actual news article, blog, or consumer protection update.
Results depicted are illustrative and may not reflect typical results. Individual outcomes vary.

*Disclaimer: The information provided on this site is for educational purposes only and does not substitute for professional medical advice. "Dr. Christine Rousseau" is a pen name used by our brand to protect the privacy of the contributing dermatologist. These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease. Consult your physician before starting any supplement, particularly if you are pregnant, nursing, or have a known allergy to fish or shellfish.

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