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Cutaneous acneiform eruptions are a side effect of many medications, including vitamin B12 therapy. However, reports of vitamin B12–induced acne are rare. We present a 67-year-old woman with a new diagnosis of pernicious anemia who developed a sudden acneiform eruption on the face after treatment with high-dose vitamin B12. Other medications that have been implicated in drug-induced acne include but are not limited to steroids, antibiotics, immunosuppressants, biologics, and vitamin B1 and B6. The pathogenesis is likely due to a transcriptome change in Propionibacterum acnes, the organism responsible for acne vulgaris. Cessation of the offending agent leads to a regression in symptoms.

Find ways to create a calm environment, ensure hormonal abundance, release endorphins, and connect with your partner during each phase of labor. Learn positions, relaxation techniques, pressure points, massage techniques, and breathing designed for all stages of labor and delivery & pushing. Learn to identify signs of fetal malposition, prodromal labor, and productive & powerful pushing options. *This class is pay per couple, please only register yourself. One partner is automatically allowed. *

This class gives you a wonderful guide to help you learn about the basics of taking care of your new infant. A self-study program designed to help new parents transition to parenting right in the comfort of their own home. Soothing techniques, safe sleep guidelines, diapering, bathing and feeding are just a few of the topics covered in this instructional online course. Useful tips and resources will give you confidence as you build your parenting skills.