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5 days in and I got what I honk is the initial break out. I got 2 cysts on my hairline and a few nodules across my forehead. I haven't broken out on my cheeks or chin, at least not yet! I'm just leaving them alone, I've applied some aczone at night to keep redness down. My skin isn't dry yet and neither are my lips. I've been applying Burt's Bees chapstick and Vaseline religiously to prevent the dryness from coming on. My skin is still pretty oily. I'm on 20mg day for the first 2 weeks and then I'll be up 40mg. My back has experienced a bit of dryness and no new breakouts!