Had my first doctors appointment yesterday and she's very happy with my progress. Since my initial breakout I haven't had too much going on (knock on wood), no unusual dryness or irritation, minimal chapped lips but nothing too bad. I do have about a million blackheads but my doc assured me that would resolve itself in time. She's keeping me on 40mg/day for the next 3 months and we'll re-assess when Im done that to see if I need to do another month. So far I wouldn't say I've seen a huge improvement in my face, but my back is looking better. Baby steps!