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Hey. I had acne since I was in high school and now I’m 19 (still with acne.) I’m not sure how to treat this but I can provide pictures. I think I have a combination skin so. 

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I also had the same problem since hs. I thought it was just hormones. But my doctor said it's possibly due to poor microcirculation. I tried having microcirculation therapy using medical grade carbon dioxide. I'm noticing improvements in my skin! I still have them acne scars, but who knows, if i go through with the therapy, it might clear out!

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