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La Roche-Posay Lipikar AP+M Triple Repair Moisturizing Cream (formerly Lipikar Balm AP+) is clinically shown to reduce dry . rough skin and provide 48 hour hydration. Formulated with dermatologist recommended ingredients including La Roche-Posay Prebiotic Thermal Water . Ceramide-3 . Shea Butter . Glycerin . and Niacinamide. Its triple action helps rebalance the skin microbiome . restore the skin’s protective barrier and replenish the skin’s lipids to provide daily relief for dry skin.