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Some people don't...you might get lucky. I had some ib, but it wasn't as bad as they made it seem...I started in applying it gradually, first twice a week, then 3x, then 2 days on, one day off, and worked up that way. Any time I felt it was getting overwhelming, either with the purging or sensitivity/dryness, I just took a night off to let my skin "catch up". I also used some bp cleanser and spot treatments. Good luck!