Because of the wide variety of choices within each one, and the amount of player's choice as to what exactly you get from each one, they should be built with adjustments. We weren't able to build a form or other option that would simplify things. In the Permanent Adjustments table on the Personal tab, you can add one or both of the skill point adjustments to provide the extra skills, and then create a sanity journal entry to record the SAN loss.
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