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A real consult covers medications (especially blood thinners, isotretinoin history within six months, recent or planned dental work, autoimmune flares), pregnancy and breastfeeding status, allergies, prior cosmetic history with photos if you have them, and your goals articulated in your own words rather than ticked off a checklist
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154,155 PTEN is an ASD risk gene located on chromosome 10q23 that encodes a lipid specific for phosphatidylinositol (3,4,5)-triphosphate (PIP3), which is a negative regulator of PI3K/AKT/mTORC1 signalling upstream of TSC1/TSC2, resulting in symptoms of ASD