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moisturiser and lip balm are essential) Dry eyes (lubricating drops may help) Nosebleeds (from dryness inside the nose) Increased sensitivity to sunlight (daily SPF is a must) Temporary flare-ups (acne may worsen before improving) Less common side effects include: Muscle and joint aches Mood changes such as feeling low, irritable, or anxious Changes in liver function or cholesterol (monitored with blood tests) Hair thinning or changes in hair texture Headaches or blurred vision (rare but should be reported immediately) Most side effects improve or disappear once treatment ends, and with proper monitoring, they can be managed effectively