"i&#039;ve always had mild teenage acne since middle achool and nothing worked. i finally decided to go to the dermatologist to get rid of my acne once and for all. once i got the prescription i was told to avoid dairy. i was so nauseous every day throwing up at school for a week straight. but other than extreme nausea and occasional vomiting within 2 months of diligent pill taking 95% of all my facial, shoulder, chest, back, and cystic acne has cleared. other than take with food and dairy or prepare for some side effects this has worked wonders. highly recommend."