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  1. After close to 10 years of fighting this crap, I finally figured out my acne triggers. For the longest time, we (derm and I) thought it was hormonal, so I tried spiro, antibiotics, etc. Then one day I bought some silicone-free hair conditioner (Tresseme Naturals) and started using that with my husbands shampoo (which happened to be Target's brand of Head and Shoulders) and within a month, not only had I cleared up totally, but I wasnt getting any new pustules. Since this worked for me,