I had what my dermatologist referred to as the worst cystic acne he's ever seen. Over 400 cysts on my lower back and shoulders. No exaggeration. Used europeanabolic's acnotren, started at 20mg per day, felt the dry lips within 2 days, oiliness of my skin markedly reduced within 4 days, dry genitals randomly during my 3rd month but that went away on its own. Bumped every 30 days to 40mg, then 60, then 80, then backed down to 20mg. Every last cyst was gone during the 60mg month. I still get an occasional whitehead on my back but never any cysts. Will probably continue to run 20mg until the end of this summer. Liver enzymes are normal and I used osta-rx during the first two months. On the plus side, skin on my face looks incredible now. I didn't get any acne there, but the pores have all shrunk and my forehead and nose and cheeks look extra smooth. Recommend EA's accutane.