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It definitely takes effect right away. I noticed my skin was a lot clearer and less red only a day or two after treatment.
I had gotten acupuncture done about 3 times and during that time my skin looked a lot better.
But once I got back into school, I started breaking out. This might because of the stress, diet changes, etc. or the sudden stopping of treatment.
If you have the resources (ie money) and have tried a lot of things that didn't work, I definitely recommend checking this option out.
I got my acupuncture done when I was 15. It hurt at first but by the third session I was used to it. It took 10 sessions one per week. But after my skin was clear and has remained clear. This treatment has nothing to do with pimples, only ACNE. It regulates the immune system and hormones to help with acne.
Remember stay away from hot foods!