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Hey man,
I would say yeah, go for accutane. I am 23 now and just finishing my 5th month on it. I didn't start getting acne until 19, then went on accutane it just before I turned 23. Only wish is that I did it sooner. I haven't had any breakouts in 3 months now. Antiobiotics only helped so much before accutane. My motto at this point is yolo