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My daughter has acne and periodically she developed cysts on her chin that her dermatologist would have to inject. She was also on tetracycline but it didn't work that well and bothered her stomach. She had great luck with a TCM called AcnEase. She improved within a week or two. She has been pretty much pimple free for months, takes a small maintenance dose couple of tablets a day to remain pimple free. She has very fair skin and could not tolerate topical creams like retin-A. Plus she plays sports (soccer)and could not deal with the sun restrictions. I agree with the others greasy and spicy food definitely aggravated her acne. Hope this helps.