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Ive used everything from eucerin to avene and high end brands. Wash my face 2 times a day. My diet is mainly fruit vegetables and meat, always drinking over 2 liters of water per day. Non of the spot treatments help- salicylic acid,tea tree oils, glycolid acid or mario badescuS drying creams.
you could always try the acne.org regimen?
https://www.acne.org/messageboard/topic/373710-the-final-result-no-more-acne/#comment-3578286