Sorry I have not posted any updates. I cannot believe I am on Day 58 of Aldactone - I started with 50 mg for the first 30 days and I found that I was too dehydrated. I read several reviews on acne.org and makeupalley.com and most ladies taking the medication decrease their dosage when the side effects are too harsh. So starting in month two I knocked my dosage down to 25mg. I had two large spots around my period on my left cheek and then one or two smaller spots on my right cheek. They have cleared up and perhaps that was my initial breakup.
I bought the book The Clear Skin Diet - it makes sense, eat clean, exercise and reduce stress will equal clear skin. I started last week and I have already see a difference. Loading up on Omega 3 rich foods, yoga and no dairy is making a big difference. My skin has not looked this good in awhile. I am going to stick to the diet for 90 days and see what I look like.
Acne is a on going battle for me but I will out grow it - everyone does.