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how well the medicine is working.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A clinic offers one standard acne treatment to every patient","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/treat","host":"aad.org","quote":"While the goals are the same for each patient, there is no one-size-fits-all acne treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Isotretinoin is offered without any questions about your physical or mental health","scope":"treatment_type","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/safety","host":"aad.org","quote":"Before prescribing isotretinoin, dermatologists ask questions about the patient’s physical and mental health.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"Isotretinoin is offered with no medical tests before it is prescribed","scope":"treatment_type","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/safety","host":"aad.org","quote":"If everything looks OK, the patient must get a few medical tests.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F4","text":"The doctor does not discuss risks or side effects before you decide","scope":"treatment_type","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/side-effects","host":"aad.org","quote":"If this medication is an option for you, your dermatologist will talk with you about the risks, benefits, and possible side effects and answer questions you may have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F5","text":"A doctor offers isotretinoin without asking about medicines, vitamins, and herbal supplements","scope":"procedure","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/safety","host":"aad.org","quote":"They ask what medicines, vitamins, and herbal supplements the patient takes.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Thoughts of suicide while taking isotretinoin","urgency":"emergency","general":false,"source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/safety","host":"aad.org","quote":"There have been reports of patients developing depression, seeing and hearing things that are not real, and having thoughts of suicide while taking isotretinoin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Seeing and hearing things that are not real","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/safety","host":"aad.org","quote":"There have been reports of patients developing depression, seeing and hearing things that are not real, and having thoughts of suicide while taking isotretinoin.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Severe stomach or bowel pain","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/safety","host":"aad.org","quote":"Severe stomach or bowel (intestines) pain","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"Yellowing of skin or eyes","urgency":"contact_clinic","general":false,"source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/isotretinoin/safety","host":"aad.org","quote":"Yellowing of skin or eyes","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have a large cyst or nodule that needs removing","name":"Acne cyst removal","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/severe-acne","host":"aad.org","quote":"Your dermatologist can use a few different techniques to remove a large cyst or nodule.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"topical-therapy","name":"Topical therapy (e.g., retinoids, benzoyl peroxide, topical antibiotics, azelaic acid)","how_it_works":{"text":"Acne medicines are applied to the skin as creams, gels or lotions","source":{"url":"https://www.nhs.uk/conditions/acne/","host":"nhs.uk","quote":"Acne medicines you put on your skin (topical) usually come as a cream, gel or lotion.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"oral-antibiotics","name":"Oral antibiotics (usually with topical agents)","how_it_works":{"text":"Taking an antibiotic reduces the redness and swelling of acne","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/severe-acne","host":"aad.org","quote":"Taking an antibiotic can reduce the redness and swelling of acne.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"hormonal-therapy","name":"Hormonal therapy (combined oral contraceptives, anti-androgens)","how_it_works":{"text":"Hormonal medicines help manage hormone levels that contribute to acne","source":{"url":"https://www.nhs.uk/conditions/acne/","host":"nhs.uk","quote":"manage hormone levels that contribute to acne, such as the combined pill","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"oral-isotretinoin","name":"Oral isotretinoin","how_it_works":{"text":"Isotretinoin is a potent medicine that attacks every cause of acne","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/severe-acne","host":"aad.org","quote":"This is a potent medicine that attacks all four causes of acne—bacteria, clogged pores, excess oil, and inflammation (redness and swelling).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"topical-therapy","name":"Topical therapy (e.g., retinoids, benzoyl peroxide, topical antibiotics, azelaic acid)","how_it_works":{"id":"H1","text":"Acne medicines are applied to the skin as creams, gels or lotions","source":{"url":"https://www.nhs.uk/conditions/acne/","host":"nhs.uk","quote":"Acne medicines you put on your skin (topical) usually come as a cream, gel or lotion.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Mild to moderate acne, often first-line.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"No downtime; irritation may occur early."},{"id":"oral-antibiotics","name":"Oral antibiotics (usually with topical agents)","how_it_works":{"id":"H1","text":"Taking an antibiotic reduces the redness and swelling of acne","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/severe-acne","host":"aad.org","quote":"Taking an antibiotic can reduce the redness and swelling of acne.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Moderate to severe inflammatory acne, for limited periods.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"No downtime."},{"id":"hormonal-therapy","name":"Hormonal therapy (combined oral contraceptives, anti-androgens)","how_it_works":{"id":"H1","text":"Hormonal medicines help manage hormone levels that contribute to acne","source":{"url":"https://www.nhs.uk/conditions/acne/","host":"nhs.uk","quote":"manage hormone levels that contribute to acne, such as the combined pill","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected women with acne.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"No downtime."},{"id":"oral-isotretinoin","name":"Oral isotretinoin","how_it_works":{"id":"H1","text":"Isotretinoin is a potent medicine that attacks every cause of acne","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/severe-acne","host":"aad.org","quote":"This is a potent medicine that attacks all four causes of acne—bacteria, clogged pores, excess oil, and inflammation (redness and swelling).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Severe, nodular, scarring or treatment-resistant acne under specialist supervision.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"No downtime; requires monitoring."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"You have a large cyst or nodule that needs removing","name":"Acne cyst removal","source":{"url":"https://www.aad.org/public/diseases/acne/derm-treat/severe-acne","host":"aad.org","quote":"Your dermatologist can use a few different techniques to remove a large cyst or nodule.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"passport_validity","audience":"uk","volatile":true,"text":"The passport must have an expiry date at least 3 months after you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"medicines","audience":"all","volatile":false,"text":"Carry prescription medication in its original packaging, along with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging, along with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V3","item":"prescriptions","audience":"us","volatile":false,"text":"Medications that require a prescription in the United States also require a local doctor's prescription in Spain","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Medications requiring prescriptions in the United States also require a local doctor’s prescription in Spain.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"ghic","audience":"uk","volatile":false,"text":"A GHIC or EHIC is needed to get medically necessary state healthcare in Spain","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Spain, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V5","item":"hospital_payment","audience":"all","volatile":false,"text":"Private hospitals usually require payment or proof of insurance or funds before admitting a patient","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Spain.html","host":"travel.state.gov","quote":"Private hospitals usually require payment or proof insurance or funds before admitting a patient.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/spain/health","host":"gov.uk","quote":"Dial 112 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","brazil","colombia","czech-republic","dominican-republic","egypt","hungary","india","japan","malaysia","mexico","poland","republic-of-korea","romania","switzerland","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.71,"count":52,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":"<p>Medication therapy for acne in Spain typically costs from _op_780_price_from_ to _op_780_price_to_. Total expenses depend on the treatment type, clinic location, and necessary diagnostic tests. In the US, similar treatment plans cost around _price_compare_US_average_ on average. Patients can find savings of approximately _price_percent_discount_%. Standard care usually includes specialist consultations, personalized prescriptions, and follow-up monitoring.</p>\n\n<ul>\n<li><strong>Dermatologist consultations:</strong> Private in-person visits in cities like Barcelona or Madrid usually cost between $80 and $150.</li>\n<li><strong>Prescription medications:</strong> Oral antibiotics or retinoids typically range from $10 to $20 per pack at local pharmacies.</li>\n<li><strong>Topical treatments:</strong> Specialized acne gels, azelaic acid, or medical-grade serums generally cost between $15 and $40.</li>\n<li><strong>Combined clinical therapies:</strong> Adding chemical peels or laser sessions typically increases the session price by 50% to 100%.</li>\n</ul>\n\n<p><strong>Bookimed Expert Insight:</strong> Spain offers exceptional value for acne patients seeking world-class expertise. Clinics like Centro Médico Teknon feature specialists with over 45 years of experience, such as Dr. Camps Fresneda. Choosing a high-volume center in Barcelona ensures access to advanced laser technologies and Mohs surgery if needed. For international patients, many clinicians are JCI-accredited and accustomed to coordinating care for travelers from the US and UK.</p>","faq":[{"q":"How does the process for starting Isotretinoin work in Spain?","a":"<p>Starting Isotretinoin (Roacutan) in Spain requires a mandatory dermatologist prescription following a formal clinical assessment. The process involves initial blood panels to check liver function and lipids, along with strict monthly pregnancy testing for female patients. Most courses last 6 to 8 months under medical supervision.</p> <ul> <li><strong>Specialist care:</strong> Treatment must be managed by a dermatologist-led team for safety monitoring.</li> <li><strong>Mandatory testing:</strong> Patients require blood panels every 3 months to monitor medication impact.</li> <li><strong>Pregnancy protocol:</strong> Women must use reliable contraception and test monthly during the course.</li> <li><strong>Timeline:</strong> A typical course duration spans 6 to 8 months of outpatient therapy.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spanish dermatologists often utilize lower dosing compared to North American protocols. This helps reduce severe side effects while maintaining efficacy. Data shows many specialists recommend pausing treatment from June to September. This avoids the extreme Spanish summer sun which can cause severe skin sensitivity.</p> <p><strong>Patient Consensus:</strong> Patients find the process robust but manageable without the complex IPledge system used in the US. Maintaining a heavy daily moisturizing routine is essential to combat the high medication potency.</p>"},{"q":"What prescription medications are used for acne in Spain?","a":"<p>Prescription acne medications in Spain include oral isotretinoin, topical retinoids like tretinoin and adapalene, and systemic hormonal treatments. Dermatologists regularly prescribe oral antibiotics such as doxycycline or minocycline alongside specialized topical gels containing azelaic acid, benzoyl peroxide, or clindamycin for moderate to severe cases.</p> <ul> <li><strong>Topical retinoids:</strong> Adapalene and tretinoin brands like Retirides effectively target cellular turnover.</li> <li><strong>Hormonal therapy:</strong> Doctors prescribe spironolactone or oral contraceptives to manage adult hormonal acne.</li> <li><strong>Antibiotic options:</strong> Oral doxycycline and topical clindamycin reduce inflammation and bacterial growth.</li> <li><strong>Specialized acids:</strong> Azelaic acid application is standard for treating both acne and hyperpigmentation.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While prescription rules vary by region, Spain's pharmaceutical market offers unique over-the-counter alternatives like the Biretix line from Cantabria Labs. Patients often find these advanced formulations as effective as clinical retinoids without requiring a formal consultation during short stays.</p> <p><strong>Patient Consensus:</strong> Patients report that while prescription enforcement is stricter in cities like Madrid, specialized treatments like Retirides remain affordable and high-quality. Many suggest checking availability beforehand due to periodic stock shortages of popular retinoid brands.</p>"},{"q":"How do I get acne medication in Spain?","a":"<p>Acne medication in Spain is available via pharmacies for over-the-counter products or through licensed dermatologists for prescription treatments. Mild cases utilize topical creams, while moderate to severe acne requires a consultation at private or public clinics for oral antibiotics or intensive retinoid therapy.</p> <ul> <li><strong>Pharmacy access:</strong> Pharmacies marked with green crosses dispense benzoyl peroxide and salicylic acid without prescriptions.</li> <li><strong>Specialist consultation:</strong> Stronger treatments like isotretinoin or hormonal therapy require a certified medical dermatology visit.</li> <li><strong>Local brands:</strong> Look for Spanish-produced brands like ISDIN or Cantabria Labs at reputable pharmacies.</li> <li><strong>Cost savings:</strong> Treatment in Spain ranges _op_780_price_from_ to _op_780_price_to_, saving patients up to _price_percent_discount_%.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks 4th globally for dermatological requests, largely due to high-tier private networks like Hospital Ruber Internacional. While pharmacies provide basic gels, private clinics in Barcelona and Madrid offer faster access to advanced hormonal or laser therapies. This bypasses long wait times for specialized acne interventions standard in public systems.</p> <p><strong>Patient Consensus:</strong> Patients recommend pairing local retinoids with non-comedogenic SPF 50+ sunscreen to handle the intense Spanish sun. Many advise checking major local retailers like Primor for discounts on dermocosmetic brands often sold at higher pharmacy prices.</p>"},{"q":"Do I need to see a doctor for acne, or can the pharmacist help?","a":"<p>Pharmacists in Spain can effectively treat mild acne with over-the-counter options like benzoyl peroxide or Biretix Gel. However, you must see a dermatologist for persistent, painful cysts or scarring. Specialists like Dr. Camps Fresneda in Barcelona offer advanced retinoid therapy and laser treatments.</p> <ul> <li><strong>Mild cases:</strong> Pharmacists provide salicylic acid washes and advice for initial breakouts.</li> <li><strong>Severe symptoms:</strong> Deep nodules or painful cysts require specialized medical-surgical dermatology care.</li> <li><strong>Prescription access:</strong> Stronger retinoids like Adapalene are sometimes available through Spanish pharmacists' discretion.</li> <li><strong>Regulatory limits:</strong> High-concentration retinol over 0.5% now requires a doctor’s prescription in Spain.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> While pharmacists are accessible, Spain’s top dermatology centers offer unique regenerative options. Clinics like Hospital Ruber Internacional integrate ISO-certified quality with stem cell rejuvenation. This approach focuses on skin health beyond simple topical medications, helping to prevent long-term scarring.</p> <p><strong>Patient Consensus:</strong> Many patients find success using drugstore chains like Primor for discounts on pharmacy-grade skincare. You might find that while one pharmacy is strict, another in Madrid or Barcelona is more flexible.</p>"},{"q":"What are the most popular OTC products available in Spanish pharmacies?","a":"<p>Popular OTC products in Spanish pharmacies include flu remedies like Frenadol and globally recognized dermo-cosmetics. Most patients seek high-efficacy brands including ISDIN for sun protection, MartiDerm for vitamin C treatments, and Biretix for acne management. Pharmacists also frequently provide expert guidance for respiratory care and clinical skincare.</p> <ul> <li><strong>Acne care:</strong> Biretix and Peroxiben are lead options for non-prescription dermatological therapy.</li> <li><strong>Sun protection:</strong> ISDIN and Heliocare capsules dominate the market for medical-grade UV defense.</li> <li><strong>Cold relief:</strong> Frenadol is the most common remedy for seasonal respiratory symptoms.</li> <li><strong>Skin recovery:</strong> Xhekpon cream and Suavina balm are traditional, locally manufactured essentials.</li> </ul> <p><strong>Bookimed Expert Insight:</strong> Spain ranks 4th globally for medical requests on our platform, largely due to high-caliber dermatology. While many travelers seek OTC items, clinics like Antiaging Group Barcelona and Centro Médico Teknon provide advanced laser therapies for scaring. Professional acne medication therapy in Spain typically costs between _op_780_price_from_ and _op_780_price_to_, which is roughly _price_percent_discount_% less than US averages.</p> <p><strong>Patient Consensus:</strong> Many find Spanish pharmacists exceptionally well-trained for providing direct product recommendations without a doctor visit. Local favorites like Peroxiben are praised for being reliable and more accessible than similar clinical brands abroad.</p>"}],"h2":[{"text":"Comment ça fonctionne","kind":"content"},{"text":"Quel est le Coût pour votre Thérapie médicamenteuse pour l'acné en Espagne ?","kind":"content"},{"text":"Découvrez les Meilleures Cliniques pour Votre Thérapie médicamenteuse pour l'acné en Espagne : 4 Options Vérifiées et Prix","kind":"content"},{"text":"Aperçu de thérapie médicamenteuse pour l'acné en Espagne","kind":"content"},{"text":"Obtenez une évaluation médicale pour Thérapie médicamenteuse pour l'acné en Espagne : Choisissez le meilleur spécialiste dans le domaine","kind":"content"},{"text":"Histoires vidéo des patients de Bookimed","kind":"content"},{"text":"Avis sur Bookimed : Découvrez l'Expérience des Patients","kind":"content"},{"text":"Partager ce contenu","kind":"content"},{"text":"Faits clés : Thérapie médicamenteuse pour l'acné","kind":"content"},{"text":"FAQ de thérapie médicamenteuse pour l'acné en Espagne","kind":"content"},{"text":"Obtenez une consultation gratuite","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}