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I started getting severe cystic acne after I turned 22 and have battled it for years. I tried absolutely everything, the problem was definitely hormonal, so it makes sense to target hormones, no oil or bacteria. I take 50mg 2x a day and LOVE spironolactone. The first few days were a little weird but the side effects go away after 2-3 days. Just stay hydrated, the medicine is really very mild. My hormonal cystic acne improved almost immediately but then did have a milk breakout at 2 months. Now 3 months in and it is truly wonderful!! Keep with it! It works wonders on hormonal acne. I now have no cystic acne or acne otherwise. If your acne is hormonal this is the treatment! I also love not having to feel bloated all the time (no water weight).

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