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To state the obvious - a dermatologist is the best person to take advice from on this. Internet opinions are mostly just noise and not always well informed.
It's only obvious to one who believes everything an "authority figure" says.
I took Accutane in high school. It would dry out my lips so bad.
I remember my dermatologist describing acne as a "disease".
Naturally, I believed him...when I was in high school.
What makes more sense to me now is that acne is caused by what we put into our bodies. There are certain harmful substances that the liver and the kidney cannot filter out. So the harmful substances are sent out of the body through the skin. This is what causes acne.
As an adult, if I start getting acne, I know it's because I've been eating certain processed foods. When I stop, the acne goes away.
Drug company-controlled medical schools set the agenda on what is a "disease" and what is a cure. Doctors are trained to prescribe drugs.
There is no way in hell I would ever take dangerous drug like Accutane again.
I do not believe that a lack of Accutane in my body is what causes acne.