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I'm not an expert, but I'll share the little bit I know.
I agree with others that you might want to look at some other inside possible causes. It could be a hormonal or thyroid imbalance or food allergies or something. I'd look into all these different sorts of things, ask around and find out what feels right to you. I think when you hit on the right thing, your inner voice will help you know it. Personally, I don't know a lot about this kind of stuff, but I know for some of my loved ones, when the usual treatments didn't cut it, maybe it's time to look at other possible causes. Their problems weren't acne specific, but their solution involved cutting out gluten and improving their hormone balance in a natural way.
As far as surface treatments go, I also have acne, not too severe, but I have been to a dermatologist and found him completely useless. I've also tried proactive, tea tree oil and other products like that and they all just make me break out worse and turn my skin red. I think they are just too harsh. My best solutions have come from a really great eshthetician. She gave me all organic products that are very soothing and gentle on my skin and she also made diet recommendations. My skin always looks and feels better after our monthly appointments and when I'm really good about my daily regimen, my skin just looks great. I don't know where you are located, but if you are anywhere near Baltimore, I'd recommend going to her. She is really good with problem skin. Her name is Shelly and the spa is called ReNew Organic Day Spa (it's in Hampden - for all you Hons, go treat yourself to a facial and a massage).
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