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30Yrs Old N Stll Having Facial Outbreaks! Help

i dont know why but im stll having acne outbreaks but this one im going thru now is by far worse than any I've had n a while. I have 11 "knots" in my face neck and hair line. They started out like pimples and know they feel like dime sized knots that are flaky! I have bn to ten Dr's and what they give me makes my skin worse! My bd of 11yrs is askn wut hve I done n I'm like lost! Is it da Macs r pms? Is it da caffeine r wut? My skin is already blemished BAD n now this? I hve bn using acne free severe system, grandpa acne soap and acne stress control by neutrogena. Is it one of those? Sum1 plz help

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