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Helios

Guys also need Roaccutane - Helios and Jizan merged log

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Day 0

Hey Everyone!

Today I phoned up the hospital to get my blood test results and I was given the green light to start Roaccutane (1mg/kg/day). Seems like there's lots of girls keeping accutane logs. Well, guys also need accutane :)

I've had acne for nine years and I've tried lots of things to get rid of acne, here's few of them:

Topical Antibiotics (erythromycin, clindamycin) - moderate/severe acne A very, very bad idea. I don't know what was the dermatologist thinking. It is well known that topical antibiotics alone are a no-no as is the best way to grow resistant bacteria on your skin. And resistant bacteria means more trouble dealing with them in the future. If your dermatologist prescribes topical antibiotics make sure you use them in combination with benzoyl peroxide, this is how the resistance can be prevented. It has been around 6-7years since I last used topical antibiotics and I still have erythromycin and clindamycin resistant bacteria on my skin (had it tested a year ago). Yes, they should eventually go away. But it's better not to get resistant bacteria in the first place. Oh, btw - topical antibiotics didn't help me at all.

Acne.org Regimen - wash + use benzoyl peroxide + moisturise. (later on Differin in addition to this) - moderate/mild acne This works, it made my skin reasonable clear, but there are some serious disadvantages. Firstly, benzoyl peroxide bleaches everything. Basically, all the clothes I've destroyed while using it make it the most expensive acne treatment of them all. Secondly, no matter what I did, the treatment was irritating. No, let me correct that. In order for it to work I had to use BP twice daily. And no matter which moisturisers I used, it was too irritating.

Actually I used it for few years. My skin had ups and downs but wasn't that bad apart from reoccuring redness. Also, I couldn't use it on my back as it would bleach my clothes even more.

Doxycycline 50mg up to 200mg + Differin + Skinoren - mild acne Worked really, really well. The only problem was the presence of small, non-inflammed white bumps which eventually got infected and turned into pimples.

Then doxy stopped working. Upped the dosage. Worked really, really well. Then stopped working. Upped the dosage again. And so on.. Until I had reached the max dosage and had to switch to a different antibiotic.

Lymecycline (Tetralysal 300) + Differin + Skinoren -moderate/mild acne Somewhat works. The small white bumps were an increasing problem so I started using Differin twice daily which made it slightly better. Nevertheless, I had quite a bit of breakouts and kept asking my GP for a stronger retinoid so I was referred to a dermatologist.

It took like a minute for my dermatologist to decide that I should take Roaccutane. To be honest, I was a bit surprised because my acne is not that bad. Nevertheless, I completely agree with her decision because I think it's the best shot of getting rid of acne and those white bumps for good.

Last week I stopped using everything except skinoren for my skin to recover and to get rid of lymecycline that's still in my body. I've been washing my face with a face wash containing salicylic acid, and I've been moisturising using a moisturiser that also has SA in it. I think this has prevented my skin from getting massively worse, however, it is slowly getting worse and worse every day.

Now all I have to do is take my first Roaccutane dosage. Feel free to comment and ask any questions either about roaccutane or any of the previous treatments I've tried. I'll do my best to answer and give you good advice.

Oh, and wish me luck! :D

Edited by Helios

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Also, I've done some extra reading and here's what I am planning to do to make this roaccutane ride as pleasant as possible:

Lots of lip balm from day one. I will use vaseline (just because I have it already) and if it's not enough, I will switch to something better.

Lots of face moisturising from day zero, actually. Once it starts peeling like hell, it's a bit too late. The earlier you moisturise, the better. I have body shop for men maca root energetic face protector with SPF 15, which I don't really like that much, but I might as well use it. Then I will switch to Neutrogena Ultimate Moisture Day Cream. I've used it before, it's a bit pricey, but it's really good. And before bedtime I will use Nivea Soft intensive moisturising cream. It has Vitamin E and Jojoba oil in it. Good stuff :)

Lots of body moisturiser from day one. I read it might prevent some of the side effects - eczema etc. I will use Dove Proage beauty body lotion (using up old supplies). I will switch to Garnier bodysensitive anti-dryness restorative moisturiser, which, imo, is excellent.

Drink lots of water. Supposedly might lessen the dryness and eye dryness too. I wear lenses so I hope to avoid eye dryness and continue wearing my lenses. Any advice on that? And it also means less alcohol to avoid dehydratation.

Vitamin E. There are some reports showing weak evidence that Vit E could alleviate the side effects of roaccutane. On the other hand, the only serious trial I managed to find, concluded that Vit E doesn't make it better. It actually might make it worse. I did some extra research and found that Vit E can be beneficial in certain (non-accutane related) scenarios, so I decided to take a high, but not extremely high dosage of Vit E - 400IU. What do you think? What is your experience with Vit E?

Fish Oil. From what I researched, it should be good for preventing changes in your blood tests. In addition, I remember one of my derms saying that fish oil is good for skin because it replaces the 'usual skin oil' and moisturises the face. Anyway, I hope that it might relieve the dryness a bit. Also, when taken with accutane it should aid it's absorption. Roaccutane is fat soluble after all.

Eye drops. If I feel even the slightest dyness. Once again, I would be interested in hearing how other contact lenses wearers coped with Roaccutane :)

Face wash. Simple kind to face moisturising face wash in the mornings. It's not excellent, once I am done with it I will probably buy something else. And garnier pure deep clean foam wash in the evening. I know that salicylic acid will add up to the irritation. My logic behind this is that it might help get rid of the flakes (if any) and that the additional night time moisturiser should take care of the dryness. Also, the zinc it contains could be good for skin.

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But if viteman E aleviates the dryness - surely that counterparts taking such a dangerous medication. The idea is that it drys you out.

Edited by Macbeth

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Hey there!

I just started Isotretinoin today. I was thinking maybe we could both feed this topic, as two males following a Accutane regime. What do you think?

DAY 1

First dosage of Isotretinoin. I'm nervous but happy that it's finally started. I was also surprised that the medication isn't too expensive. Without insurance, it came to 65 dollars for month's supply at 60mg per day.

Skin is alright. My acne gets worse sometimes, but these last weeks haven't been so bad.

So I'm using Neutrogena Lip moisturizer and Tea tree oil moisturizer from the Body Shop for face. It's what I usually use regularly, so for the time being, I won't be switching unless necessary.

My next appointment at the dermatologist is in 4 weeks, including bloodwork. Hope everything goes well until then.

I also researched the Accutane and Alcohol issue. I don't think it will be a problem cause I usually don't drink much, but I suppose a beer or two once a week shouldn't be too bad. I will however discuss it with my dermatologist as he never mentionned it to me, but it says on the prescription not to take alcohol, the reason being (if my research is right) the effect it can have on the liver.

Cheers, hope to keep in touch!

Jason,

CANADA.

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Hey Jason!

That's a great idea! I'll update the title after I post this :)

I also researched the Accutane and Alcohol issue. I don't think it will be a problem cause I usually don't drink much, but I suppose a beer or two once a week shouldn't be too bad.
Edited by Helios

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Hey guys.

I just started yesterday so I will be following you since we will be on the same track. I'm glad to finally be on it (I'm a girl so I had to go through a month of ipledge). Helios I totally know what you mean about benzoyl peroxide and bleaching everything out. I had an unfortunate incident involving a cleanser with benzoyl and some brand new green towels that are now tye-dye green and yellow. It even started to bleach out my hair around my hair line. Not cool. lol.

Also on the alcohol thing the only thing I have read is in relation to female patients. Basically it's an issue of lowered inhibitions under the influence of alcohol and not using a second form of birth control(I think I read that in my ipledge book). There could be more to it though, I don't know.

Anyway good luck on both your regimens. :surprised:

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I was just wondering have you every tried Dan's products :doh: The reason why I'm asking is because I'm using them and their great :clap: and you said your tired of your acne so why not give it a shot its totally worth the money. I'm using his products for the rest of my life, because it keeps my skin silky soft and beautiful :dance:

Hey!

Yes I have. I used Dan's BP for few years and it is the best BP I have ever tried :)

However, it made my skin quite sensitive and it bleaches everything! Really, I do not know how others put up with it. Sometimes it felt as if I bleached everything I touched. How can you have a gf or bf if you constantly have to keep a distance not to bleach the better part of you? ;) lol

That and the fact that my dermatologist told me that long term use of BP is not really good, especially with my skin type, made me decide to try something else. And now, after a year of oral antibiotics, I am on accutane. I hope that this will make my skin silky and soft without bleaching anything! ;)

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DAY 3

Skinometer:

Lips: Normal

Facial Skin: A bit oily, as usual

Acne: Mild, one new cyst, right under the bottom lip... Argh!!

So I just took my third dose of Clarus, a generic brand of Isotretinoin. I haven't noticed any side effects yet, which is great. I'm sure it'll come eventually.

I went to the pharmacy, to find myself a facial moisturizer with an SPF of at least 15. I've never had a sunburn, I guess because of my skin tone, but my dermatologist and pharmacist insisted I get a cream that had sunscreen in it with spring around the bend (tomorrow actually) and summer just after that (I can't wait).

I've been using Lip Medex, a lip salve from Blistex. It's medicated with menthol and camphor, so it should do the job. But I wonder if in the long run, the menthol and camphor won't be bad for my lips. I also have Neutrogena Lip Moisturizer with SPF 15. I might use that instead and switch to the medicated stuff if need be.

Oh, and I have to say the Isotretinoin capsules are perfect to swallow. I hate big pills, and these are tiny and go down easy with their form and gel like capsule.

So glad it's Friday... I'm moving to a new appartment, so it'll keep my mind off of all the accutane research I've bombarded my brain with.

Cheers!

Jason.

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Day 4

Skinometer:

Lips: Slightly dry

Facial Skin: Oily

Acne (face): Mild/None

Redness: Mild/Moderate

To be honest, I don't get how this works. Last time I tried stopping taking antibiotics or using anti-acne topicals, I had a break out within few days. Now I haven't been taking antibiotics or using differin for over a week already and there's no massive break out or anything. I am not complaining, though! :)

It might be that Skinoren (azelaic acid) works quite alright as a maintenance therapy. On the other hand, I've been using it for a while already and I haven't noticed it fighting acne very well.

However, my face is a bit red today. So I guess I will have to cut down on using skinoren and SA face wash. Fingers crossed my skin stays clear. I like it that way ;)

Have a great Friday everyone!

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Day 3.5

Knock knock.

Who's there...

Dry skin is here.

Oh sh#t...

Bummer, evening after Day 3, after I take my shower, I notice my skin is flaking off already on my face, accompanied by a slight headache. Not sure why, and can't connect it to the meds, but it's still there. I'm drinking water to catch up on my H2O intake and popped an Advil to help out cause it's getting late and I want to go to bed soon.

No skinometer tonight, but will update tomorrow, day 4.

Cheers,

Jizan

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Day 5 (morning/afternoon)

Skinometer:

Lips: Slightly dry

Facial Skin: no clue, let's wait until the evening

Acne (face): Mild/None

Redness: Mild

Dryness: Mild Flaking

Now I've got it too - dryness and mild flaking around mouth. MOISTURISE!

Edited by Helios

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DAY 5

Skinometer:

Lips: A little dry, not bad.

Facial Skin: Good, but now moisturizing regularly with Cetaphil facial moisturizer with SPF 15

Acne (face): Mild (My cysts are going down...)

Redness: Mild

Dryness: Mild Flaking

Beautiful Sunday!

Hi everyone,

Day 5 of my Clarus treatment (isotretinoin). I'm now officially moved in with my partner. Woo hoo! It's been the easiest move I've done so far, mostly because I own very little stuff.

So anyways, let's talk about the real stuff, ACNE!

I've been suffering from acne since 10th grade.. Started being really normal, then when I started 12th grade, it became bad, not as in a lot of pimples, but I started getting cysts, especially on the jaw line, cheeks, and nose bridge. I was prescribed the usual antibiotics, went to Minocycline in 2009, then stopped because I had a blocked salivary gland, which dimishes saliva production because it is enflamed. It still is, months after the fact.

So anyways, discouraged, I switched to Tea tree oil products from the Body Shop, especially their Facial wash, and their exfoliant... I went to Montreal last year at a spa and the specialists there told me not to exfoliate with grit cleansers, the type that contains beads or pieces of whatnot.. It irritates the skin and can INCREASE sebum production and inflammation of the cysts and the acne already active on my skin.

Other tip, I started shaving with an electric shaver, a good quality one, not those cheap ones you buy on TV or at WalMart for 40 dollars. Invest! Razor Blades cost a fortune anyways!

So anyways.. I still use tea tree products and green clay for a facial mask. It's the best thing around that green clay (or in french: Argile Verte) It's in powder form and should be available in most natural product stores. ** If anyone wants to find out where to find this stuff, let me know! **

So my skin is actually pretty good today! It's even toned, still full of red scars from past acne, and I have a few active cysts (4), but it's a good day today. I invited a few friends for Brunch, it's 10am here, so a perfect time of day to have breakfast after a few cups of coffee.

Cheers friends! I'd love to hear from you!

Jason,

CANADA

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DAY 6

Skinometer:

Lips: Cracking up... sensitive and a bit painful...

Facial Skin: Good, but now moisturizing regularly with Cetaphil facial moisturizer with SPF 15

Acne (face): Mild

Redness: Mild

Dryness: Mild Flaking

So today is Monday. Beginning of the new work week and I'm have no motivation whatsoever to work. It has nothing to do with Accutane, just has everything to do with my upcoming weekend where I'll be travelling to the capital city, Ottawa for meetings and seeing old Vancouver Olympic friends and colleagues.

My bottom lip cracked today.. bled a little. Mostly because I got a cyst just below it and it's drying up... Lipbalming every 30 minutes or so.. it helps. The cyst is actually going away.. it's a lot less prominent.

Nothing much else to report. Just took my Accutane dose for the day.

Cheers!

Jason.

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Day 8

Skinometer:

Lips: Moderately dry

Facial Skin: Normal (no oil! :) )

Acne (face): Mild/None

Redness: Mild/None

Dryness: None

Sooo... I've been really busy lately and thus I haven't really had time to update my log :P

My skin has been quite good. After I stopped using Skinoren and salicylic acid face wash (went for one without any acne fighting ingredients) my skin has calmed down. The redness is somewhere between mild and none.

And the slight flakiness I had is also under control, thanks to my Neutrogena moisturiser (amazing stuff).

So the redness is almost gone, flakiness is gone and acne is also almost gone. I can just repeat what I said earlier that I am amazed that going off antibiotics didn't result in a skin disaster ;)

The lips have become properly dry and now I am applying vaseline constantly. Also, there is something strange on the inside (?) of the lip... I mean the part which is against the front teeth. It's not really dry, but a bit hmm... strange there. But it doesn't bother me.

The skin on my back is changing, however, it's more or less the same it was before (mild acne).

No problems with joins or whatsoever even though I am doing moderate exercise (some tennis + jogging).

And no problems with wearing lenses either (knocks on wood). I am keeping eyedrops nearby anyway.. just in case.

Edited by Helios

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Hello, gents - thanks for checking out my log earlier Helios. Wishing us all a relatively smooth ride and clear skin at the end.

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Day 8

Skinometer:

Lips: Moderately dry

Facial Skin: Normal (no oil! :) )

Acne (face): Mild/None

Redness: Mild/None

Dryness: None

Sooo... I've been really busy lately and thus I haven't really had time to update my log :P

My skin has been quite good. After I stopped using Skinoren and salicylic acid face wash (went for one without any acne fighting ingredients) my skin has calmed down. The redness is somewhere between mild and none.

And the slight flakiness I had is also under control, thanks to my Neutrogena moisturiser (amazing stuff).

So the redness is almost gone, flakiness is gone and acne is also almost gone. I can just repeat what I said earlier that I am amazed that going off antibiotics didn't result in a skin disaster ;)

The lips have become properly dry and now I am applying vaseline constantly. Also, there is something strange on the inside (?) of the lip... I mean the part which is against the front teeth. It's not really dry, but a bit hmm... strange there. But it doesn't bother me.

The skin on my back is changing, however, it's more or less the same it was before (mild acne).

No problems with joins or whatsoever even though I am doing moderate exercise (some tennis + jogging).

And no problems with wearing lenses either (knocks on wood). I am keeping eyedrops nearby anyway.. just in case.

Surprised to hear the redness disappeared after you stopped using salicylic acid (Aspirin masks?), I won't be using them anymore and see if my skin gets better too...

My derm. told me to use eye drops 3 times a day, you might want to start applying them already to try to prevent the side effects in an early stage? Won't hurt I guess...

Good luck and keep in touch! Will be checking your log every now and then

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Day 19

Skinometer:

Lips: Dry

Facial Skin: Non-oily

Acne (face): Mild/None

Redness: Mild

Dryness: Mild flaking now and then

Back: dry-ish, mild acne, worse than it was a week ago

I've been traveling a bit, thus, I had no time for acne.org :) I must admit that it feels great not having to think about acne (and carrying all those gels with me) while being abroad. Imo, taking few pills once a day and using plenty of moisturiser to fight acne is as easy as it gets.

Everything has been alright. Dry lips and skin flaking a bit, that's all. After I changed my deodorant brand, I got a nasty armpit rash. I have never had something like this before. To be fair, it is well known that accutane might make you more prone to skin irritation and infections, so it might be that. But I am blaming the deo, I should've continued using the one I usually use :P Now I am applying cream with fucidic acid and corticosteroid and it seems to be getting better. I hope it will be completely gone by the day after tomorrow.

No backpains, dry eyes, mood changes or whatsoever.

My backacne is a bit worse now. I guess it's part of the process.

Hope you all had a great weekend and happy Easter!

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Day 20

This is not fun - a bunch of side effects has hit me today :(

Firstly, I've got these weird red bumps on the back of my hands. I guess I will have to start using hand moisturiser..

Then, there are lots of bumps on my skin. As if something would be surfacing... What is it exactly? Few days ago I noticed that blackheads/sebcious filaments on my nose had risen 'above the skin level' and I thought something like: wow, this means my nose is clearing up! Now, there are bumps on the rest of my skin and I am not so happy about it. I think that they cannot be really seen from distance, though.

The armpit rash seems to be disappearing quickly.

Now all I can hope for is not to have new surprises tomorrow when I wake up :P wish me luck ;)

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After I changed my deodorant brand, I got a nasty armpit rash. I have never had something like this before. To be fair, it is well known that accutane might make you more prone to skin irritation and infections, so it might be that. But I am blaming the deo, I should've continued using the one I usually use :P Now I am applying cream with fucidic acid and corticosteroid and it seems to be getting better. I hope it will be completely gone by the day after tomorrow.

Dude, I read this in the morning and I put on a different brand of deo on this morning too (Without realising). I'm now experiencing the same thing as you lol, my armpits are so itchy DX

Happy Easter to you too! (Yeah I know, I'm late)

Edited by acnechemist

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DAY 21

Skinometer:

Lips: Chapped lips

Facial Skin:Normal

Acne(face): Mild

Redness: None

Dryness: Minimal

Happy (late) Easter everyone!

Same with Helios, I was in Ottawa the past week, and haven't been very "connected" for lack of a better term. Weather has drastically changed and it has affected my skin. I started using my Cetaphil SPF moisturizer because the UV index has also drastically augmented the risk of sunburn.

I'm finally getting the hang of my dry lips. I found a product called CERALIP by La Roche Posay, a French pharmaceutical cosmetics company. It's 13 dollars CDN per tube, but well worth it. The lips are painful, and I also find that a cloth soaked in cold water brings down the pain alot. I also haven't been picking at my lips as much.

Not much else to report as of yet.

@HELIOS: I've been getting those red bumps on my hand last week, it went away gradually after a week or so. I just moisturized as usual, and it went away eventually. Good luck with that.

Have a great week, and anyone can comment on this board. It's always nice to hear from other people...

Jason.

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Dude, I read this in the morning and I put on a different brand of deo on this morning too (Without realising). I'm now experiencing the same thing as you lol, my armpits are so itchy DX

Oh, be careful. My rash is now 99% gone, but now I am scared to use deo again. I need deo, really, otherwise I sweat (surprise, surprise), but what if I get some kind of skin reaction again? :ninja:

@HELIOS: I've been getting those red bumps on my hand last week, it went away gradually after a week or so. I just moisturized as usual, and it went away eventually. Good luck with that.

Have a great week, and anyone can comment on this board. It's always nice to hear from other people...

Thanks for advice, moisturizing helps - my hands got back to normal within two days. :)

Yeah and to all the readers out there - comment and just say hi, we'd love to hear from you :)

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Day 23

Skinometer:

Lips: Dry, sometimes a bit painful, but easy to manage, though.

Facial Skin: Non-oily (oh, I just LOVE this), fragile

Acne (face): Mild/None

Redness: Mild (I am used to it anyway)

Dryness: Mild flaking

Back: dry-ish, mild acne

The side effects I experienced on ~day 19 are gone now. I hope it will not happen again :)

There's nothing much to report. My skin doesn't feel dry and it's not oily either (I love it). The skin around mouth is peeling in the mornings, though. But after using moisturiser it's fine. And it stays fine all day long, so maybe I've found a brand that actually delivers the promises made on the product packaging (thank you, dear Neutrogena for this fancy, all day moisturising soy based formula that actually works ;) ).

My skin has become thin and fragile. So picking spots (or imperfections) is a no-no. Good thing I had learned to suppress the spot picking habit before I went on accutane.

I know I said it like three minutes ago, but I will repeat myself just in case if someone missed that -

dear readers, comment and just say hi, we'd love to hear from you :)

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Day 23

Skinometer:

Lips: Dry, sometimes a bit painful, but easy to manage, though.

Facial Skin: Non-oily (oh, I just LOVE this), fragile

Acne (face): Mild/None

Redness: Mild (I am used to it anyway)

Dryness: Mild flaking

Back: dry-ish, mild acne

The side effects I experienced on ~day 19 are gone now. I hope it will not happen again :)

There's nothing much to report. My skin doesn't feel dry and it's not oily either (I love it). The skin around mouth is peeling in the mornings, though. But after using moisturiser it's fine. And it stays fine all day long, so maybe I've found a brand that actually delivers the promises made on the product packaging (thank you, dear Neutrogena for this fancy, all day moisturising soy based formula that actually works ;) ).

My skin has become thin and fragile. So picking spots (or imperfections) is a no-no. Good thing I had learned to suppress the spot picking habit before I went on accutane.

I know I said it like three minutes ago, but I will repeat myself just in case if someone missed that -

dear readers, comment and just say hi, we'd love to hear from you :)

Yeah, make sure not to pick anything, I try not to but when I do, it ends up bleeding DX Gotta resist hehe...

Btw, if you take pictures of yourself, you can see the progress over a period of time! When I look at pictures from 2 months ago, I can definitely tell my skin looks a lot better now, it's very motivating! So if you sometimes don't feel like continuing with accutane anymore (Like I do XD) you can look at your pictures :P

Anyways, all the best!

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I am waaaaay to lazy to take daily pictures. So I am trying to make some weekly. So far I've made two :P But I will make some more. Seeing progress feels sooo good after all ;)

So far I've got no problems with motivation, fingers crossed it stays this way. I found the irritation BP (and its ultimate bleaching power) much more annoying. Oh, the things we're ready to do to fight acne.. ;)

Edited by Helios

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I've been reading both of your logs but never post! Good luck to both of you, it seems you've got the ins and outs of accutane all covered.

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