Just wanted to add an update... I am still clear!! I have a small teeny pimple on the side of my face, but this is the week before my period is supposed to be. If that is seriously the only breakout I'm going to get, WOW. I am so impressed! This just keeps getting better and better. I LOVE SPIRO. I'd represent Spiro for free, just because of the HUGE impact it has had on my life. Seriously, I did not take it for years because I was scared of the initial breakout. Man, if I took this two years ago, my life would be a lot different. I really encourage women to try this.. It saved me!