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post pill acne

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Hello there, I got off of birth control and spironolactone a year ago. My skin transitioned well and was flawless for the first 6 months. Then all hell broke loose and I have been dealing with hormonal cystic acne on my forehead ever since. I recently (4 months ago) went back on spiro and have seen little to no improvement. I am thinking of going back on birth control but am worried that will cause more acne due to hormonal changes. Anyone else have any experience with this? Has anyone gone off of birth control for a year and then back on and see positive results? Initial breakouts? Any info is helpful thank you so much!

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