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Accutane While on Cycle

PersianBody19

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Hello all,

Anyone with experience with Accutane please chime in,

Background info: I am on cycle for the past 4-5 weeks (Test C 300mg & Primo 400mg weekly) then going back to cruise doses later on.

I have done a bunch of stuff under the books of acne management so please no advice on changing pillow cases lol

I have been dealing with ongoing pimples on my forehead/nose area/ or near my outer temples. However, it’s not a lot but it’s enough to where it pisses me off or I put my gf concealer on it because it is glowing red lol.

I have had this issue since even before the cycle but again it’s not a lot of acne like a teenager going through puberty lol. I have gone to my derm and talked with him about a separate issue and mentioned the acne and he brought up Accutane (but I have to get liver/lipid/chol checked monthly) and I would prefer him not knowing I am running gear.

So I am planning to just pick up some UGL Accutane and start with a moderate dose for a month or 2 and taper up for 5-6 months.

Anyone chime in on their experience with Accutane on cycle or off? What doses did you run it at, how long, any concerns etc?

Thanks
 
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PersianBody19

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Is it really that bad on the liver and lipids that I have to drop the cycle or wait till after?
 
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thelastnut

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10mg per day doesn’t change my lipids or raise liver values. 10mg per day will do wonders.
 
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JohnLuca

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I would recommend ordering from ExpressPCT if I were you, instead of a UGL. Very good and cheap pharma Accutane from India or the U.S.

UGL seems to have been a hit or miss for me. Non pharma Accutane degrades very easily, and thus is difficult to make pressed tabs from.

Stay hydrated, out of the sun, and use a very low dose. Around 10-20mg should suffice. Low and slow is better with this drug. Shit is hardcore. Made me feel awful.
 
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MikeAlstott

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@PersianBody19 hey man, I have a lot of experience with this and feel like we might have similar acne issues. It sounds like you have a mild to moderate case of acne. I’ve been on a few courses of Accutane in my time and it does work, but it takes time. Hear me out though.

Recently I had a doctor prescribe me a few months cycle of Doxycycline and it has essentially cleared me up (within the first month) with a light face wash and some Retin A (although I barely use the Retin A, it’s a good habit to get into to not only treat acne, but reduce aging of the face as well). I was tempted to run another cycle of Accutane, but honestly this is way better so far. The thing with Accutane is that you run the risk of becoming dry EVERYWHERE. I’m sure you can use a low dose like 10 mg a day and have minimal sides, but I never found that to be enough for my acne, especially at the start. I would say 5 - 10 mg a day maybe as a maintenance dose would be good. Basically, I’m not a fan of Accutane anymore because I hate feeling like my joints are dry and my body overall just feels “unoiled.” I also could just be paranoid or it could be placebo, but I feel like my overall mental wellbeing is not as good on Accutane. Everyone reacts differently.

I’ve used it all the way up to 80 mg a day on cycle I believe and I don’t think anyone needs anymore than that. I honestly feel like 40 - 60 mg a day is good enough. Run for at least a few months and then drop down to 5 - 10 mg a day and see what you can get away with for a while.

Also, the compounds you are running (namely Primo) can cause acne in some people. I know Primo causes acne with me – it makes me really oily. It’s possible that lowering your estrogen could aid the acne problem. There’s a lot of factors here and you need to dial them all in because it’s a tricky beast to tackle.

With all that being said: I highly recommend you try the Doxy before jumping on the Accutane train (use it as a last resort if none of this other shit works). It’s possible you just need to dial in estrogen or figure out how to manage the Primo better (if that’s even possible). Is it possible your DHT is very high combined with a normal-high estrogen level is giving you some acne problems? I don’t know, but it’s something to think about.

Hope this helps.
 
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Forthewin1123

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I am currently on cycle and taking 20mg daily of amino asylum Accutane and I habe a bunch on tje way from expresspct…
I started at 10mg a day for a week and then went to 20mg… 20mg is where I really saw progress… I’m about 90% clear… and I’m just about finished with 30ml 20mg/ml… I feel fine on cycle… ment test eq npp… I don’t habe blood work so all I can say is a feel fine …urine is fine …I’m taking nac…
Everyone is very hesitant to take Accutane… doctors prescribe all,day every day… at much higher doses alot of times… 10-20mg a day is like micro dosing… minimal negative effects other then the dry lips… that really sucks… I’m constantly putting Vaseline on my lips…
If you habe been fighting this for awhile and it’s a issue … get Accutane. It made me feel so much better when the acne cleared up…
 
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PersianBody19

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@thelastnut How long have you been taking 10mg a day for? did you up the dose at some point or only stay at that dose?
 
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PersianBody19

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@JohnLuca How long have you been taking the 10-20mg for? Did you start with 10mg for a month or 2 and go up to the 20mg or less?
 
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PersianBody19

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@Forthewin1123 How long have you been taking the 20mg for? if you about 90% cleared up, will you continue till 100% and drop it? or will you drop the dose for a few more weeks or so?
 
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Jay

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Just get some tretinoin. It’s the topical version of accutane minus the side effects. Works faster and better Makes your skin healthy as fuck looking too.
 
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PersianBody19

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@MikeAlstott

It does seem that you’ve been in a similar situation as I have, very interesting

About two months ago when I went to the Derm for the separate issue was when he gave me Doxy at 100mg twice a day (200mg a day), and this resolved my separate issue but not really the acne which I didn’t know the antibiotic could help that too lol. I’m going in next week for a revisit so I’ll probably ask for the retina cream too

I do believe you that it dries up your body and joints, as I’ve heard this from many other people as well. but at this point I’m willing to try it as the acne is not only annoying because as one goes away another comes in for replacement.

I did get my blood work a little over a month ago, my DHT was slightly elevated by 1point of the normal range (12-65ng/dl is normal mine was 66) and estro was elevated to 80pg/ml (normal was supposed to be under 39pg/ml).When I got the blood work though that was prior to taking my weekly AI (12.5mg aromasin) and Test (300mg), just so I can see what my “resting numbers” were at. I’m still taking my weekly AI consistently, so I’m not sure if I should double it like take it twice in a week and see what happens with the acne or if it’s not estro related at all? like if my resting estro is 80ng and I take my AI, then I would believe it should drop it to a slightly elevated range but not too elevated, so with that still cause acne? I’ve always liked the feeling of having a little bit higher estrogen because the water retention (makes me feel full) and my joints feel good, but if causes acne then I’ll just double the AI.

Basically I am in between on taking double the AI weekly (so instead of 12.5mg aromasin it would be 25) or start with accutane 20mg 1 month, 40mg 2months, taper down etc.
 
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Forthewin1123

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@PersianBody19 about 30 days roughly… and I’m gonna continue until my oil glands are fried up for good or tje acne is gone for good… my only side effect is dry lips… I’ll take that over now wanting to take my shirt off …
 
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MikeAlstott

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@Forthewin1123 the sad reality is that the oil glands will not remain oil free for good. Especially since of the compounds we are using. I remember this was discussed a while back with SouthernCompounding. And anecdotally, I’ve had the same thing happen. Eventually, the oil glands return. I even had this happen on my first run of Accutane, pre-steroids. Low dose Accutane will take a long time to accomplish total dryness.

@PersianBody19 I would definitely up the AI, at least to 2x a week. See if the acne gets better. Can start the Retin A (tretinoin is the generic name of the drug). Can get it in gel or cream form. Cream is easier to spread and apply. Gel evaporates quickly but can be good if you are maybe in a more humid climate and don’t want to feel all oily. It’s worth checking into the antibiotic for acne treatment. It sounds like the treatment you on was maybe for one week only?

The main thing is to get the estro down. If you decide to start the Accutane, I’d probably start at 20 mg a day. It might get worse before getting better too… Same goes for tretinoin. Monitor yourself with Primo. It might be your body doesn’t like it but who knows.

Just a few things to keep in mind. I know acne sucks, but Accutane can also suck, it’s also a godsend in a type of way. Use it if you must.
 
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Forthewin1123

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@MikeAlstott I didn’t read that anywhere and wasn’t aware.of.that… Mayne I can use other methods once I get it fairly undercontrol… I couldn’t make it better at all and I did everything… now it’s so much better … maybe once I get a little better and stable I can ease of the Accutane and use a topical on.top of my cleaning protocol and clean diet.to.keep.it under control… worth a shot I think.
 
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PersianBody19

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@MikeAlstott

I appreciate the reply, I am definitely going to start with upping the AI first before getting near a accutane. Also I’m definitely going to get the cream from the derm next week, I’ve been hearing a lot of good things about it so it sounds like a must.

How many weeks do you think it would take until I should start looking towards Accutane if the AI does not resolve it?
 
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MikeAlstott

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@Forthewin1123 yea, that sounds like a great plan. Tane is like a nuke. You bring it out and get everything under control. Take note on how you feel on and off tane. I bet you will feel a lot better off of it. It’s possible once you get the acne under control you could try something like 5mg a day. Or just use Tretinoin.

@PersianBody19 I’d definitely try tretinoin and use that long term as it provides an anti-aging effect. Accutane can be a good thing short term to get things under control. But it still all takes a bit of time. With tane and tretinoin, it can actually get a little bit worse before getting better so remember that. If I were you I would up the AI first (before trying the other methods) to at least 2-3 times a week and see if your acne makes improvements in a few weeks. If you notice an improvement and more dryness then you are probably on the right track. I’d also seriously consider the Doxy for acne. Like I said before, it could just be the Primo you are using if you never experienced this on just Test. If all else fails then might as well hop on the tane.
 
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BeatenCheeks

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I ran 80mg ED of pharma accutane while blasting and cruising on top of also drinking and my bloodwork was completely fine 1 month after I stopped taking it. I was also running 1200mg of NAC daily the entire time.
 
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