The blue light of the laptop screen was the only thing illuminating Leo’s face at 2:00 AM. He leaned in closer, his eyes scanning a gray-market pharmacy website that looked like it hadn’t been updated since 2008.

The road to clear skin was going to be longer than a "Buy Now" button promised, but at least he knew he’d be around to see the results.

But as he looked at the checkout page—requesting a wire transfer to an offshore account—a memory surfaced. It was his cousin, Sarah, a nurse, who had once warned him that "buying health in a cardboard box from a stranger is a gamble with your liver."

Accutane wasn't aspirin. It was a sledgehammer. He thought about the side effects—the potential for extreme mood swings, the way it could mess with his enzymes if not monitored by a professional. If something went wrong with a mystery pill from a mystery site, there was no "undo" button.

He looked at the price: $120. Then he looked at the grainy photo of the pills. They didn't even have a manufacturer's logo.

"No prescription required," the banner screamed in neon green. "Genuine Isotretinoin. Fast Global Shipping."

With a heavy sigh, Leo closed the tab. The desperation was still there, but the fear of a permanent mistake was louder. He opened a new window and typed: Dermatologists with sliding scale fees near me.