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I had weight loss surgery in July of 2017 which kick started hormonal cystic acne. My face was really bad. It was painful and embarrassing and nothing worked. OTC acne products burned my face, prescription antibiotics from my dermatologist destroyed my stomach and the topic treatments barely worked. With time, my hormones balanced out and my acne improved but a patch of cystic acne would easily last about 6-8 weeks. I tried black draw out salve which is a home remedy for acne and no change. My friend suggested witch hazel and my brother suggested tea tree oil. I found this and went for it. I'll say that the size of the bottle is ridiculously small and it'd be great to have the option of purchasing a larger bottle. I've gotten 3 of this same one at TJMAXX for $3.50 which has been great but honestly, I'd gladly pay full price because my skin is finally clear!! I use this twice a day with an exfoliating cotton round (from walmart) after washing my face with soap and warm water. I'm amazed at how much my skin has improved in just a couple of weeks. If you suffer from acne, this may be a game changer for you too!