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I've quite literally tried everything

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I've tried it all. Diet (no gluten, dairy, sugar, you name it) for years, no luck. Antibiotics (doxycycline), no luck. I have fluctuated between phases of mild and moderate, to earlier more intense, cystic acne, but I've had it nonetheless for around 5 years. It kills me, and I need it to end. No one in my family has ever had acne. I have absolutely no acne anywhere on my body but my face, and have tried nearly every product on the market, harsh cleansers only seem to make it worse. help me please.

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