So I have been off my birth control and using my iud for about 7 months now, because of this I have experienced a steady breakout since then. Before I switched my skin was very clear and I was using minocycline 50-100 mg a day depending and acanya at night. Recently my derm upped my minocycline to 100 mg twice a day and added spironolactone 25 mg as well as adapalene 1% topical cream. So far I've seen some small improvement but I still have two very large painful cysts on my forehead as well as some deep scaring on my cheeks. My plan now is to go on a 5 day juice fast after Christmas to help detox and increase vegetable and vitamin consumption. I also will be meeting with my derm on the 30th and intend to talk about either increasing my current medications or else switching to accutane. Hoping to return with positive news!! But with the bf out of town for a week and nothing else going on it will be a good few days to hang out at home makeup free and ensure I'm getting enough water and complete my cleanse.