So I have been using saw palmetto for about one month and a half. Last week I usually break out like crazy because it was the week before my period but I only got small ones and two medium sized ones. It looks better than it has in a long while. I just got a prescription for 25mg of spiro but after reading reviews I am scared to try it because I have a wedding in 5 months and do not want my face to get really bad instead of better....I am thinking of trying the saw palmetto a little longer to see how well its really helping....idk what to do I am afraid of the "worse before it gets better" crap that I have seen people on spiro experience. My derm said she usually doesn't see it. I guess I am just not sure what to do because I could be on to something with the saw palmetto and don't want to mess it up..ugh I just dont want a big zit on my wedding day!