So I normally NEVER write reviews or make comments about much. I have to tell you, that before taking this gel I was very skeptical because I've seen so many doctors, dermatologists, estheticians, and nothing has helped. I sort of went to this as a last resort, because I have tried everything. I have tried Minocycline, Benzoyl Peroxide, Spironolactone (which helps) any and all over the counter products ranging from scrubs, to washes, to harsh ointments for my skin. I am taking Spironolactone currently, and using the gel right now as well. I started back in January of this year, and in the beginning, it was pretty tough. I read reviews about this stuff and was hesitant at first because of what I was reading. If you're anything like me and suffer from cystic breakouts, whiteheads, and blackheads... this is a MUST. At the beginning of the treatment, my skin got really red and agitated. Now you must know, my skin is sensitive, to begin with. I broke out in red and painful to the touch patches on my neck, tops of my eyelids, and around my mouth. It hurt to touch my face, to wash my face, to apply lotion... and at times my skin would burn, sort of like a sunburn if you will. That lasted about 5 days, and the redness started to go away, thank god!! Now in the first week or two, when your skin is used to the treatment, you will get what is called a "purge" breakout. Which, for me, wasn't that bad... nothing I'm not used to. My skin was dry, so make sure to use a fragrance-free moisturizer. I used Cerave, which worked great for me! After the first couple of weeks, I could visibly see results! Slow results, but I saw the results. The first couple of weeks were bumpy, and hard to accept because of the way my face looked... but it is worth it. I am now on month 4, and I literally only break out when I am due for my menstrual cycle... and its usually 1 or two pimples. I CAN DEAL WITH IT!! It even lightened up my dark spots from previous breakouts; IT IS A MUST USE TREATMENT!!Read More Read Less