"i took this pill for 4 years and have a really bad cystic acne. then my doc prescribed me ortho levora to stop it. i was amazed that it cleared my face. however, when i stop it it comes back. well, i had a pretty bad diet and do not exercise so probably it contributes to the cystic acne lesions. now, i exercise 5-6 times per week and diet is straight (no fast food, any types of sweet beverage- even juice or gatorade-, no fried stuff, salty food, and etc.)  now, i can get off levora without having any problems with cystic acne. weight gain wise i did pack a lot of pounds when i first taking it. well, i was eating unhealthy so it must be the culprit not the birth control itself. if anyone complains gaining weight on this you are eating too much."