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back acne - help

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I have tried everything to get rid of back acne - short of accutane. I have only developed acne on my back in my late 30's. I am now almost 40 and it is worse than ever. Now I also have scarring to deal with. I am very discouraged and it is very embarrasing. I have tried every cream around and several antibiotics. One prescription wreaked havoc on my stomach so I am hesitant to go that route again. I am thinking of trying grapefruit seed extract and head and shoulders (from posts that I have read). Please help!

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