"i have to tell you i have struggled with acne since i was 13. i&#039;m 34 now and am clear and happy. it took about 60 days before i noticed a difference, it&#039;s wonderful. my side effects are larger tender breasts, not such a big deal, and i have gained weight. i&#039;ve always been small and i&#039;m at 118 now my biggest, but i think i can deal with it. love the clear face to much to go off the pill. i suppose if i continue to gain weight i&#039;ll look for other acne options."