In general, we try to accommodate the prescription that people request; however, we may have seen something in your history that prompted us to choose another treatment plan. This may be because you have stated you have an allergy to a particular product that may result in a cross-sensitivity or that the medicine you requested may be too strong to start if you haven't used these active ingredients before.
Please note that our primary objective is to do no harm first and help you improve your skin. Sometimes, it's better to go slow and steady rather than very aggressive initially, so we don't cause any irritation. Requesting a particular ingredient or medication will not guarantee you receive that medicine as final decisions are up to your physician's discretion.