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Nothing surface will help hormonal acne. It is from our hormones!!! We have a gene in our family that causes cystic acne. No amount of cleaning my skin or eating the right thngs will help. The accutane took most of the oil, but nothing for my testerone that causes cystic acne. Spiro is a androgen blocker (testerone blocker). That is what Spiro does. It is used to block the too much male hormone that some of us has. It is a miracle for me. It took 5 months on 200mgs to clear me of all acne. My skin glows now. I am down to 150 mgs and no change, but I would not go under 100. It won't work for me. If you are tired, the key is water. lots of it. Some say that dehydration causes the tired feeling and lack of sleep from getting up in the night to pee pee does too. Never take Spiro after 3:00 in the day. That works for me. Your body will adjust. The results are amazing. I am in a dream come true state when i wake up and see my poreless perfect skin.

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