IT'S WORTH IT!!! I'm a 33yr old professional female. I've battled some level of acne since I was 12yrs old. On the pill (I believe) it would be contained, but I gained SO MUCH WEIGHT. I didn't realize it until I went off the pill and lost SO MUCH WEIGHT. To combat the breakouts I have done EVERYTHING!!! Benzaclin, Tretracyclin, Retina A, Neutrogena, Mary Kay, Clinique, ProActive (regular and extra strength), Oxy, Clarisonic products and the Mia, chemical peels (glycolic & salycylic), facials (at local spas as well as the Four Season), and Accutane 3 times. Some worked for a time - I have to say I'm a fan of Accutane, it always worked within 3 months, but acne always returned after about two yrs. However, my skin always looked so fabulous for that 2 yrs - but it always came back. I finally read about Spiro. (Last time (2.5 yrs ago) I went on Accut. my derm suggested this, but I was so set on Accutane (b/c I knew it worked) I didn't listen.) Once the acne came back I decided to look into it. I was really nervous about the "initial breakout" - I don't think it happened. I started at 50g 1x day. After 1.5 mos jumped to 100g 1x day - within ONE WEEK the resulft I've been seeking. Initially I noticed the "healing time" was shortened (on just the 50g), but the breakouts still came. Now, no breakouts. The hyperpigmentation seems to be lightening rapidly too. This stuff is great! I do have hormonal acne and my derm explained, if you breakout where a man would most likely wear a beard, spiro is for you.