Hmmm. It's tough, and I sure don't know much about it. Accutane worked for me 30 years ago, but I think I was just lucky. Right now I'm taking my daughter to an esthetician after we got frustrated with the dermatologist's treatments (the derm was great just the treatments did not work). An estetician costs a lot, so I would definitely make sure you research to find a good one if you decide to try that. The one thing that you don't mention is whether you have tried eliminating dairy. I know a lot of people say that works and our esthetician says it helps 75% of her clients. My older daughter had only mild acne, but she was lactose intolerant, so never used much dairy while my younger daughter loves milk, so it makes me wonder if they both got the same bad genes and it was the dairy that made the difference. Anyway, I hope you find something that works for you.

How are you applying the BP? I'm just now, at 36 years old and having dealt with acne for over 20 years, realizing that I should have been applying BP to the whole area of my face that I get acne. For me, that's my chin and around my mouth, much like yours looks. Last month I started applying the BP all over my chin, even where I don't have any zits, and it's made a huge difference. Prior to this I only ever used it as a spot treatment

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supernaturalacnetreatment.com
by Richard Wolfstein
very simple and natural healing

start healing from inside
drink buttermilk or kefir 1 cup a day at evenings
do test for parasites at doctors office
this is best home remedy
1 teaspoon of whole black peppercorn and swallow with help of water and eat something right away
check you stool
do for 5 days at noons