Soooo I haven't posted in a while because I am on vacation. I am definitely seeing improvements. Every day gets better. I had a tiny initial break out last week. But I think that combining topicals with the sprio has helped tame the initial break out. I am still taking the BCP every day, and 50mg of spiro every night. As far as topicals go, I use epiduo every other day. I find this has been working better than the aczone. I will add pictures soon.