Acne on TRT, accutane cause erectile dysfunction

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My dosage was 20mg ED, but now I use 20mg EOD and it seems a little bit helpful, also increase prop and HCG dosage. Still not same as before, but better. I was on accutane 10 years before, and it was dramatically good for my acne, but 10 years later it comes to me again, not as bad as it was before 10 years ago, but bad.. also I try every thing to help my acne, diet without milk, eggs, carbs, with low and high PUFAs, but nothing helps. A little bit helpful was saw palmetto, high dosage zinc and spearmint, but not fixed my acne, and also saw palmetto act bad on libido. My diet was so restricted that I loose 10kgs, and I still get acne, If I eat normal I get much cystic acne all over my body(face, chest, back, head). Due to such a restricted diet, I think I have developed a deficiency of various vitamins and trace elements, so I have no other way just to try accutane again. I read that postaccutane effect can be reduced with lithium supplementation(still didin't try it), and proviron (if problem is with DHT). I don't think there's some magical toxic thing going on that can't be fixed, it's probably going to be a mess with the dopamine or DHT system.
Try a high dose b5.
 
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