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  1. try a dietary regime first, see if that can clear you, instead of diving right in at the deep end, then if that doesn't work go for accutane, it may be tough in the beginning but stick to it the results are life changing
  2. Duac removes almost 100% of bacteria in the blemish and on the skin's surface but is not very good for cysts or bumps under the skin, it should clear all normal blemishes but will not be as effective as retin-A for under the skin blemishes.
  3. Well I would use "La Roche Posay", it's very good and doesn't as far as I know, have any negative effects.