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What is spiro??

I have really bad jaw acne. I am 28 moved to Hawaii where its really humid and now only on my jawline and slightly on the chin has gone crazy. I do know that i am always super sweaty here my face is oily. I just started taking a birth control two months ago to help my skin but no difference. Also my doc just put me on doxycycline and retin a. If you could give me some info on it that would be awesome also how are the side effects and reactions you have had??

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