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Description
The Cost of CuttingBy: Paul A. Ruggieri M. D. Why is surgery so expensive? Surgeon Paul A. Ruggieri reveals little known truths about his professionand the hidden flaws of our healthcare systemin this compelling and troubling account of real patients, real doctors, and how money influences medical decisions behind the scenes. Even many well informed patients have no idea what may be contributing to the cost of their surgery. With up to date research and stories from his
By: Paul A. Ruggieri M.D.Why is surgery so expensive?
Surgeon Paul A. Ruggieri reveals little-known truths about his profession—and the hidden flaws of our healthcare system—in this compelling and troubling account of real patients, real doctors, and how money influences medical decisions behind the scenes. Even many well-informed patients have no idea what may be contributing to the cost of their surgery. With up-to-date research and stories from his practice, Ruggieri shows how business arrangements among hospitals, insurance companies, and surgeons affect who gets treatment—and whether they get the right treatment. Pulling back the curtain from the hospital bed, he explains how to safeguard one’s own health (and finances), and how America can make surgery more affordable for all without sacrificing quality care.
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4.2 ★★★★★
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Product Reviews
★★★★★ 5
I like it
Makes my skin feel very soft. Moisturizes without making you greasy.
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Reviewed in the United States on May 30, 2026
★★★★★ 5
Good Product
Lo recomiendo excelente
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Reviewed in the United States on May 28, 2026
★★★★★ 5
Suavecito
Súper hidratante
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Reviewed in the United States on May 17, 2026
★★★★★ 3
Product came spilled
The product is fine. The packaging however came broken and the product had spilled all over the box.
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Reviewed in the United States on January 14, 2026
★★★★★ 1
No No No
I had the worst nightmare using the APLB Tranexamic Acid Niacinamide Lotion. I used this product consistently for about three weeks, hoping it would help with brightening and hyperpigmentation, but instead it completely damaged my skin barrier.
What started as mild irritation quickly turned into severe itching, redness, inflamed bumps, and intense skin sensitivity. Eventually, my skin developed dermatitis-like symptoms with painful inflammation, red rashes, and even slight bleeding in certain areas from constant irritation and scratching.
Instead of improving, this lotion made my skin look worse — angry, inflamed, textured, and extremely reactive. The itching was unbearable, and the red bumps took a long time to calm down.
If you have sensitive skin or are prone to eczema, contact dermatitis, or allergic reactions, please patch test very carefully before using this product. My experience was honestly terrible, and recovering my skin afterward took much longer than the three weeks I spent using it. (Still recovering after 2 months)
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Reviewed in the United States on May 28, 2026