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I had pretty mild acne in high school but nothing more than a few pimples that I could treat with over the counter medication. I went on birth control and my skin got out of control. I went to college with the absolute worst acne I have ever seen. My face was literally covered and I picked at it all the time. It was a mess. I was prescribed Atralin at night and Acanya in the morning. My skin started clearing up in about a month and within two months it was about 50% better. After about 3-4 months on the product my skin made a complete turn around and my marks are faded. Thank God for this skin care regime. I can finally go outside without make up and I am so much more confident.