Providers and consumers should realize that isotretinoin is a potent drug with the potential to cause birth defects and reserve its use for severe recalcitrant nodular acne. Isotretinoin is not for use in mild forms of acne and should not be shared among family members.
Most orbital motorways (or beltways) are purpose-built major highways around a town or city, typically without either signals or road or railroad crossings. In the United States, beltways are commonly parts of the Interstate Highway System. Similar roads in the United Kingdom are often called orbital motorways.
US 40 is a limited access highway from the I-80 junction to its intersection with Utah State Route 32 (SR-32), about 13 miles (21 km) south of Park City. From there, the road takes a generally southerly course to Heber City. In Heber City, there is an intersection with SR-113. One mile later, US 189 splits off.