Well, I am one of those unfortunate examples of someone who had fabulous results from Accutane that only lasted 4 months post treatment. My acne is back and I am so sad about it. I'm learning to kind of accept I have it again but it's taken me three months to accept it So my question is, I have an appointment on Friday to talk about possibly trying a second round before my skin starts to get worse (already getting some superficial (hopefully) scarring all around my mouth and chin). However I want to try and find some reasons for this incessant, persistent acne and want to know any underlying issues before starting my second treatment so once I am done I can focus on my issues to hopefully finish this battle of acne I have been dealing with for nearly 12 years. So I really think I have a vitamin D deficiency, because I very often break out in the winter. However, I have been taking Vitamin D supplements for over two months and although it has helped, a bit, my acne is no where near done. I also want to check my Thyroid levels, I used to have severe hypothyroidism when I was younger but it resolved itself for several years, so I would like to make sure it's still okay. In relation to a thyroid test, I want to have my hormone levels checked just to see if my levels are off. I need some real experts now to give my tips as the whether or not these tests should be run. Also what other tests should I consider. I am really wanting to get to the core of this awful disease, I need to be done with this battle once and for all. Any help is appreciated!! Truly! I will get my insurance March 1st so I'm hoping when I go to get my blood work for Accutane I can also have some other panels run. I am not on birth control right now but will be in a few weeks (have to if I want to start Accutane... I know the drill) Anyways thanks so much in advance Remember to stay strong, stay happy, and this too shall pass.

It should also be mentioned that I eat super duper healthy! I know someone will bring that up and I have NO concerns that mine is diet related. I haven't eating bread/gluten/yeast for over a year now, I eat VERY little dairy like maybe a teaspoon of half and half two to three times a day, I eat TONS of vegetables (carrots, asparagus, lettuce, celery, mushrooms, avocado (EVERYDAY, I love them) and a decent amount of fruits. I eat grapes, blueberries, apples the most. I drink tons of water and recently (last month or so) been drinking green tea.