roaccutane journey uk

"I tried acne wonder drug Roaccutane—here's what it's actually like"

You may have heard of the infamous treatment, but what is taking it actually like? Five women share their experiences with Roaccutane

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You've likely heard of Roaccutane, the "wonder drug" that promises to potentially "cure" acne for the estimated 30,000 individuals a year that take it in the UK.

Despite its reputation as one of the best acne treatments , it's not without controversy. In 2020, it was in the press when two mothers shared their heartbreak after their teenage daughters lost their battle with depression . Both were taking the drug at the time, and both mothers, in part, blame Roaccutane. Telling Good Health their stories, they said: "We can't get our daughters back, but we can warn others about this drug."

Known for the possible debilitating physical and mental side effects, the treatment was linked to the deaths by suicide of ten people in 2019 alone, according to data from the Medicines and Healthcare Products Agency (MHRA) cited by The Guardian . As a result, the medicine regulator reopened an inquiry into the drug.

While a skincare routine for acne is a must and acne patches can be useful, for those suffering, Roaccutane is often seen as a shortcut to clearing up severe breakouts despite its side effects. For a more in-depth guide, we spoke to a medical expert for their take – plus asked people who have taken it to share their Roaccutane review for some first person insight into what taking it is like.

What is Roaccutane?

According to aesthetic and dermatology nurse Emma Coleman : "Roaccutane is otherwise known as oral Isotretinoin and is classed as a retinols drug. It was first approved as a treatment for severe acne by the US Food and Drug Administration (FDA) in 1982."

It comes in tablet form, rather than as, say, a Roaccutane cream, and is also sold under the brand names Rizuderm and Reticutan in the UK, according to the NHS .

What does Roaccutane promise to do?

Roaccutane is an acne treatment drug but, due to its success rate, is widely thought of as the acne-curing drug—despite the fact that, as with any treatment, success varies from person to person.

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The drug isn't the easiest to get prescribed; Emma shares that "there are very strong guidelines and limitations surrounding the prescription process." If a person approaches their doctor about their acne for the first time, is below the age of 12 years old, or doesn't have severe enough acne, they won't get a referral.

If you do have teenage or adult acne (i.e. you're over the age of 12), you are eligible. However, you cannot take Roaccutane if you are pregnant (or think you may become pregnant) or breastfeeding , or have certain other medical conditions. 

What are the side effects of taking Roaccutane?

Women who have started their period are required to take a pregnancy test every month while taking Roaccutane, as one of the most serious potential side effects of the drug is teratogenicity—or stunted physical growth and development for unborn babies, Emma tells us. 

"There's evidence that 50% of pregnancies spontaneously abort during Roaccutane therapy, and of the remainder, about half of the infants are born with cardiovascular or skeletal deformities," she adds.

Serious, rarer side effects listed here affect fewer than 1 in 1,000 people and include (but are not limited to): becoming anxious, aggressive, or violent; bloody diarrhoea; yellowing of the skin or whites of the eyes; or sudden changes to your eyesight, including not seeing well at night, for example.

The NHS says that a doctor or 111 should be called if any of these serious side effects are experienced. More common side effects, affecting more than 1 in 100 people, include the following. 

• Dry skin, eyes, nose, or lips
• Skin issues such as rashes and mild itching
• Sore or dry mouth or throat
• Aches and pains of the muscles or joints 

But are the potential negative mental side effects underplayed? Marie Claire spoke to four women to get their Roaccutane review—as well as one woman who refused the drug outright because of the risks.

Ages and details were correct when this article was first published in 2020

"Roaccutane wasn't right for me; I'll live with the side effects for the rest of my life"

Kerri, 28, architectural technologist.

"I reluctantly went on Roaccutane in 2016 after trying an assortment of treatments. After six years of trying various methods— the pill and creams, to name a few—dermatologists told me that I had to go on Roaccutane because nothing else would work. At first, I refused as I was aware of the side effects, but I wanted help.

"I knew there was a chance I could get a combination of physical, emotional, and mental side effects. I didn't think clear skin was worth that, but the skin professionals made me feel like it was my last resort. My skin was awful and my self-esteem was worse, so thought I had nothing to lose.

"After taking Roaccutane for six months, luckily I didn't experience any serious mental side effects, but there were plenty of debilitating physical ones. They started during my second month of treatment. My skin became terribly dry – it physically hurt to make expressions and eat at times. It was cracked and flaky and you could see it peeling off my face throughout the day.

"I also experienced nosebleeds, a few every week for a couple of months. I had to leave lectures on a regular basis, which was embarrassing and made me even more self-conscious. My eyes were also unbearably dry and I had to use eye drops throughout the day.

"While on Roaccutane, you become more susceptible to sunburn and sun damage. I went on holiday during the last month of treatment and, even though I was very careful, I developed a large number of moles throughout the following months. I now have to have annual mole checks and am considered at high risk for skin cancer . I can't help but blame the Roaccutane for this.

"Aside from being embarrassed and self-conscious of my nose bleeds and dry skin, I didn't experience mental health issues while taking it. Seeing my skin clearing was a relief and made me happier and more optimistic at the time.

"In hindsight, Roaccutane wasn't right for me as my acne didn't stop when I finished my course of treatment. I've been struggling with acne ever since and I will live with the side effects for the rest of my life (eyes and moles).

"Now that I'm older with more knowledge, I will not give in so easily if they recommend Roaccutane again. I believe there are plenty of tests that can be done to try and identify the problem before trying to fix it with what they believe to be a 'one pill fixes all' treatment."

"I still get spots, but they're more normal now. I'd recommend Roaccutane to a friend"

Vicki, 21, student.

"I started Roaccutane aged 17 after years of trying creams, antibiotics, ointments, and pretty much every other acne treatment on the market. My older sister had been on it a few years before, so I always knew it would be an option for me if all else failed.

"My dermatologist made me very aware of all of the side effects. They are extensive, so it’s important that people know what they’re signing up for ahead of time. Given that I had seen my sister go through the process, I felt very aware of what was to come. For me, I thought it would be worth it if it would clear up my acne.

"I was on Roaccutane for four months. I experienced extremely dry skin for pretty much the entire process. My face and lips were the worst, but my whole body was also much drier than usual. This was by far my worst side effect as it was very uncomfortable on a daily basis. I was able to manage it using moisturiser, however. In addition to this, I did experience body aches throughout which I found prevented me from exercising as normal. Finally, I had nosebleeds very regularly which they warn is a potential side effect.

"A major warning is the increased risk of serious sunburn. This should not be taken lightly. I spent a day doing community service gardening in the sun whilst on Roaccutane. I left having burnt my face. This sunburn developed into a full blistered area on my chin which ultimately led to scabbing which lasted for about 3 weeks. I found this very difficult.

"Although I experienced negative physical side effects, I didn't experience any form of depression while on the medication. However, I did find it very mentally taxing to have such dry and uncomfortable skin. For me, my acne got worse before it got better, which I found did affect my mood. It is a tough process to go through in the sense that you can’t really cover your acne during it. Before Roaccutane, I was very self-conscious of my skin but could cover it with foundation. The dryness of my skin meant that wearing makeup was much harder than before. I found this mentally tough as, for a while, my skin looked worse than ever and I couldn’t cover it. Especially when I sunburnt my skin, I felt down.

"I do still get spots but now it’s more normal, as opposed to before when I had acne breakouts all over my face. I would recommend Roaccutane to a friend. However, I'd make it clear that it’s very taxing and warn them not to go into it lightly. You have to persevere and keep the end result in mind."

"I struggled with depression pre-Roaccutane; my side effects were worth the end result"

Orla, 24, student.

"I had clear skin up until I was 18, then I started to get typical teenage acne – if there is such a thing! I was prescribed various treatments over the years, including tetracycline, erythromycin, and doxycycline, to little or no effect.

"I was first on Roaccutane for seven months between 2015 and 2016. I thought I knew what side effects to expect, but some did take me by surprise. I suffered from dry skin predominantly on my ears and nose, which added to the negative impact that the drug had on my mental health as I was very self-conscious about it. It was impossible to cover the dry patches, and makeup only drew more attention.

"The strict rule regarding contraception and avoiding pregnancy made me more conscious than usual of the need to use protection during sex . I have never had issues with drawing blood, so the only negative aspect of the monthly blood workups was that I couldn’t do any strenuous activity beforehand. I only became aware of this when my liver function tests came back elevated, which was unusual, but my dermatologist speculated this could be due to my gym session and hockey training on the day of my blood test.

"My second course of Roaccutane lasted 10 months, starting in the summer of 2019. During both courses, one of the worst side effects was that my lips would crack and bleed due to being so dry. This was particularly the case immediately upon waking up in the morning. I found that La Roche Posay Cicaplast Baume Lèvres, £7.50 at Lookfantastic , works wonders, and I always had a tube on my person during the second round. To minimise overnight dryness I applied a thick layer of Epaderm, which really improved the state of my lips in the morning. I also used this on my nose and ears overnight.

"I was already struggling with recurrent depression and anxiety when I started Roaccutane, and so I was careful to keep track of my mental state during the course. My GP increased my dose of Sertraline following a medication review to account for the effect Roaccutane had on my existing condition.

"I would recommend Roaccutane to a friend, as I truly believe the side effects to be worth the end result. But anyone contemplating the drug should be sure to thoroughly research it first and have plenty of the best moisturiser ready to go."

"It's not as bad as I thought it would be, but a lower dose has helped"

Lily, 21, student.

"I began my treatment on 1st June 2020. I had been referred to the dermatologist by my doctor back in December, so it took a long time to actually start the treatment on the NHS (I was going to go private, but got the letter through the post just as I started looking into private options).

"My acne has been off and on for about five years. I would say I started noticing it at the start of sixth form, maybe. I used acnecide (I think) from over the counter and prescribed creams from the doctors, which sort of kept it at bay but never really got rid of it. I have also been on two rounds of lymecycline antibiotics, which, in my opinion, did nothing. It was only until my third year of university that my skin got really bad, which I just assumed was alcohol and the uni lifestyle. I then went on the pill (Gedarel) to sort it out but had to come off it as it really affected my mood, so went back to the doctor, who then referred me to the dermatologist.

"I think I was a bit skeptical going on Roaccutane, as many people around me at school and growing up had been on it and had warned me of the side effects, such as dry skin and potential mental health issues. But I did go through all of these with the doctor before deciding to go through with the treatment.

"I am currently on my third month out of seven of the treatment. The most severe side effects have been dry, cracked lips and general skin dryness. I am also suffering from joint and muscle pain. I wasn’t really aware of this side effect coming into the treatment. I was really enjoying running during lockdown, but I’ve had to reduce high-impact exercise as the drug dries out my joints and I find running quite painful now – which is actually very annoying. My periods are much more painful than normal, which I also wasn’t particularly aware of before starting.

"When deciding whether the treatment was right for me, I was slightly concerned about the risk of mental health problems, due to past history of low mood and depression. My doctor decided to put me on a lower dose of 40mg a day over seven months, rather than a higher dose over a shorter period of time. I think this is working for me, as I don’t feel the treatment has affected my mood or noticed any other mental health issues.

"Apart from the constant need to apply lip balm and sore legs when I wake in the morning, it is actually not as bad as I thought it would be. The side effects listed with the treatment seem to be never-ending but, thankfully, I've only suffered from a few. I think the timing that I started my treatment was ideal, as being at home and away from uni has enabled me to track how I actually feel, without the stresses of work and deadlines. I also think it’s been easier as I’m not going out and drinking as much, – something I would be doing at uni – which is encouraged as the drug can damage your liver.

"Over the last week, I have finally started to see my skin clearing up. I think because I’m on a lower dose it's taken longer to notice a difference, but I’m looking forward to hopefully having clear skin in the future."

"It seemed like a big leap for the Plan B treatment option"

Alexandra, 25, pr exec.

"I have suffered with mild acne since my teenage years, however, around 10 months ago it got much worse and quite painful. I went to the doctor for advice on treatment and was prescribed Acnecide 5% (benzoyl peroxide). I was further told that if this didn’t work in a month or two, they could put me on Roaccutane.

"This seemed like a big leap for the Plan B treatment option. When I said, in no uncertain terms, that I didn’t want to go on it, they accepted this. Instead, the doctor said that they’d focus on the first course of treatment. Thankfully, I responded well to Acnecide and have stuck with that.

"I don’t clearly remember being made aware of any potential side effects. I was told that I would be monitored if I was put on it, but nothing about the side effects. I believe I asked about them (I had an inclination to what they could be, but wanted to hear the medical point of view). I was told that people respond to it in different ways and that it would be monitored.

"Doctors weren't clear about how serious these side effects can be, which surprised me. I knew it must be clear from my medical records that I had a history of depression and anxiety. I've been on medication for it for a while and still am. I just found considering Roaccutane pretty surprising. It made me question whether I was being too over-cautious, but I didn’t want to risk anything that could hinder my mental wellbeing.

"I can’t pinpoint specifically where my knowledge [about Roaccutane] came from. I think being at an all-girls school and having older girlfriends meant I knew that it could have damaging side effects. I was especially apprehensive about mood swings, or it making you feel depressed or anxious.

"As I have always been quite cautious of anything that may affect my wellbeing, it always stuck in the back of my mind. As I read more, I noticed the narrative that, although not fully researched, Roaccutane could have quite strong side effects. I coupled the two together and decided it just wasn’t worth the risk."

Ally Head is Marie Claire UK's Senior Health, Sustainability, and Relationships Editor, nine-time marathoner, and Boston Qualifying runner. Day-to-day, she works across site strategy, features, and e-commerce, reporting on the latest health updates, writing the must-read health and wellness content, and rounding up the genuinely sustainable and squat-proof gym leggings worth *adding to basket*. She's won a BSME for her sustainability work, regularly hosts panels and presents for events like the Sustainability Awards, and saw nine million total impressions on the January 2023 Wellness Issue she oversaw. Follow Ally on Instagram for more or get in touch.

By Jenny Proudfoot

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The Roaccutane Diaries: I went on the controversial drug as a last resort for my acne, here's what happened month by month

By Sophie Thompson

“Ew, my skin is so bad right now!". There are no words more infuriating than these to hear from your friend who developed a single spot overnight, especially when you’ve spent the majority of your early adult years seeking out a cure for your acne .

Acne, especially adult acne, is a very taboo subject in a world where Instagram filters and skin-smoothing apps are so easily accessible, and despite 80% of British 11-30-year-olds suffering from the condition at some point, using a blur to get rid of those pesky spots is something even I’ve fallen victim to using.

The closest thing to a cure there is available right now is controversial drug Isotretinoin (AKA Roaccutane), but four years of antibiotics, topical creams , toothpaste, and not being comfortable taking my makeup off in front of anyone later, I was willing to give it a go.

Roaccutane works by decreasing sebum production in the skin (blocking acne-causing chemicals), but for patients and dermatologists alike, is a last resort due to its bad reputation of extreme side effects including dry, fragile skin, aching muscles, increased risk of liver inflammation (requiring monthly blood tests throughout the treatment), and even links to depression and suicide.

In 2019, The Medicines and Healthcare Products Regulatory Agency statistics show that there were 12 deaths recorded by people who had been prescribed Roccutane for their acne, 10 of these were suicides.

The figure is up from five fatalities the year before, and is the highest since the statistics were first recorded in 1983.

But despite doctors being aware of the issue, scientific studies have so far not been able to actually prove that Roaccutane causes psychiatric changes or suicidal thoughts.

However, it's been deemed as one of the most effective drugs in treating acne, having a 95% success rate in clearing up acne in four to six months and around 70% of those who take it say they never suffer from acne again.

The MHRA has said the safety of isotretinoin is kept under continuous review in the UK and across Europe. The NHS says the drug is only recommended for severe cases of acne that have not responded to other treatments.

Naturally then, getting your hands on the drug isn’t easy, requiring a GP’s referral to a skin specialist at your hospital dermatology clinic, blood tests, pregnancy tests (due to risk of birth defects) and exhausting every other treatment possible. Once prescribed, it can take up to a year to complete the course, but 9/10 people will never have their acne return, and for me, this was the motivation to end my skin troubles once and for all, and share how I get on if it’s something you’re considering…

(Obviously, this is my personal experience with Roaccutane and the side effects/experience differs for everybody.)

Month 1 of Roaccutane

Regardless of the five-page document listing all the potential side effects of taking Roaccutane, no amount of nosebleeds or joint tenderness could waver my excitement that I'm officially en route to the glass skin of my dreams.

By Ana Serrano

By Danielle Sinay

By Charley Ross

That being said, the process of getting here wasn't easy. My parents were supportive but weren't happy about my decision and understandably worried about what might happen - since the links between Roaccutane and depression are widely talked about.

I also went through a number of blood tests and peeing in cups to check my liver function, had a serious mental health intervention, and even got my consultant's mobile number in case I had a total freak out about a bizarre symptom at 2am.

As a 21-year-old going into this, my biggest concern was how much I had to cut back on my drinking habits. Getting the response "DAMN GIRL" from my consultant when I told him how much I sip on a night out told me everything I needed to know when it came to partying - and five drinks during one night out per month was my limit. Ideally you should avoid drinking completely during the treatment, but let's be real here, that just wasn't going to happen.

Starting out on 20mg (the lowest dose) was by no means smooth-sailing for a first-timer. The first two weeks my skin got a lot worse and I found myself feeling even more self-conscious and doubling up on heavy-duty foundations. Thankfully after around 14 days, things started clearing up, and already after one month, my skin is the closest it's ever been to spot-free.

As for side effects, let's make one thing clear: THEY DO NOT LIE ABOUT DRY LIPS . I've formed a very close relationship with Carmex, and my lips crack and bleed virtually every time I smile (so I guess having a valentine is off the cards this year) - not cute. I've called my mum approximately four times (and counting) about a mysterious itchy rash covering my hand, but if that's as far as my problems stretch, I'm already counting myself pretty lucky.

My mood is a lot more easily irritable - the slightest inconvenience prompts me to have a dramatic all-guns-blazing-crying meltdown, which is extremely ironic given that my eyes are so dry I have to apply artificial tears three times a day. But on the plus side, I might win an Oscar. Despite my valiant attempt at Dry January, I caved and went out a couple of times, and because of the drug's blood-thinning, my tolerance to alcohol has dropped dramatically. After three drinks it felt like I'd been drinking all day, which for my bank account = good, but my social acceptance...not looking so cool.

Despite a rollercoaster month (who likes January anyway?), things are looking promising, and I can't wait to see what rogue side effect gets thrown at me next.

Beauty must-haves undergoing month one of Roaccutane:

EOS visibly soft lip balm, £6.50 (to help soothe dry lips)

The Ordinary Niacinamide 10% + Zinc 1% 30ml, £5.00 (to help with scarring)

Month 2 of Roaccutane

My dose has doubled, the side effects have doubled and I'm beginning to understand the woes of other sufferers that take to online forums to share their experiences.

Don't get me wrong, it's by no means unbearable. But since taking a jump from 20mg to 40mg, things have gotten pretty intense. My lips are still dry and bleed multiple times a day (who knows, maybe i'll find myself a vampire?) and the inside of my nose feels like it has been attacked by a cat (I wish I was exaggerating). I've had to upgrade from my £6 EOS to a more intense lip mask (at a staggering £95), but right now, it feels like there's no cure for my crusty pout.

Oh, and that weird rash I mentioned? It turned out to be accute dermatitis - which is apparently common in almost everybody that takes the drug. Is there worse possible timing for someone who hates the feeling of moisturiser on their hands?

I should also mention if you're thinking of Roaccutane as a solution - become less interested in sports. As a seasoned couch potato, the aching bones of an 80 year old are something that I can handle, but excessive exercise or standing for long periods of time can leave you feeling weak. At least that's my excuse when I'm pressing 'next episode' on Netflix for the 6th time that day...

Admittedly, the biggest #firstworldproblem I'm having right now is that whenever I go for facials, they're very selective in the treatments that they can give me - strictly no exfoliation or hard massages, and I'm spending 80% of my time googling softer remedies for that pesky peach fuzz.

Negativity aside, my overall mood has actually become a lot more confident. I no longer feel like I'm inclined to cry at Chuck and Blair's 36th breakup in a single episode of Gossip Girl, and I've ventured out of the house au natural multiple times this month - and even had people comment on how glowy my skin is looking. Watch your back, Kendall Jenner.

Scarring is still my most problematic area right now, and it's worse that I have no shame in admitting as soon as I feel a spot coming on, I will seek, and destroy. As my skin is more sensitive from the drug, it's also a lot easier for scarring to surface, and some of my more recent spots I thought I was so innocently squeezing, have left me with red marks.

For month 2 - I'm impressed. Side effects aside, I'd be lying if I said I didn't see why they call this drug a miracle worker. My skin is practically clear already, and the prospect of hopping into swimming pools makeup-free this summer is definitely keeping me excited through the (unwanted) extras.

My must-have products for month 2:

Clinique Even Better Clinical Dark Spot Corrector & Optimizer , £62

111Skin Meso Infusion Lip Mask and Plumping Duo , £95

Month 3 of Roaccutane

Rejoice! After only three months my dermatologist has decided I only have four months to go because my skin has cleared up so nicely. That doesn't, however, mean that things are any easier right now. It also doesn't mean I'll be posting any bare-faced photos anytime soon, and there's still a long road to go.

It's bordering on festival season, the temperatures are rising, my lips are crustier than ever (I shouldn't complain but it was 30 degrees on the holiday I just returned from) and the flakes are slowly spreading across my face. Great. That being said, it gives me an excuse to pile on more glitter than ever before, but drinking considerably less alcohol than I would usually in the mud could be my most challenging venture yet. Since my last update, I've had ONE spot (is this how Kim Kardashian feels?) but my scarring is still proving difficult to combat. I'm also partial to a nose bleed because of how dry the inside of my nose is, combined with the joys of spring allergies leaving me sneezing 24/7.

What will the summer months bring? Am I destined to dry out into a pile of dust? Does Ed Westwick favour a woman with peeling skin? Stay tuned to find out...

Must-have products for month 3:

Nip + Fab Bee Sting Fix Toning Pads , £12.95, Boots

111Skin Vitamin C Brightening Booster , £95, 111Skin

Months 4, 5 and 6 of Roaccutane

Lets group these together because ultimately not a lot happened. My now-clear skin stayed the same (apart from the dreaded anxiety that a single spot would one day appear), and alas, I quickly learnt that if you choose to drink on Roaccutane (come on, it's festival season) you will wake up with a break out. Pain-staking drugs aside, you will wake up with the fattest zit you can imagine. Cancelled.

I also made the error of deciding to bring back epilating. You know that super painful thing that only the bravest of women opt for to get silky smooth legs? Sophie, your skin is more fragile than you think.

One swipe on my journey to dolphin skin and I have a graze that stretches the entire length of my calf. Great. Heatwave, and now trousers season.

This is also a time when not only are you about to become very injury-prone, but also very infection-prone. Imagine a cough, a cold, weird aches and pains, finding random lumps in the most bizarre places on your body, and convincing yourself you have a brain tumour, but all at the same time. I've moved doctors because they're practically sick of me at this point.

On a lighter note, after 4 months of quite frankly gross crusty lips (unless you enjoy peeling off a brand new lip every couple of days), I have found the holy grail. And she is £6 - living proof that high-end isn't always the way to go. Skincare brand Eucerin have just brought out an intensive lip balm and oh my God it is epic and moisturising and beautiful. Even if you're not taking Roaccutane, please go and buy it. #NotSpon

Must-have products for months 4, 5 and 6:

Eucerin Acute Lip Balm, £6, Boots

Mario Badescu Drying Lotion, £16, Beauty Bay

Month 7 of Roaccutane

THE END IS IN SIGHT. It's month seven, and no ache, nor pain, nor getting sunburnt from standing outside for five minutes on a cloudy day can stop me.

But seriously, back to the sunburn. Throughout this process, the biggest misconception is just how sensitive and fragile your skin is about to become. What went from briefly lingering outside the office on a cloudy day (because who doesn't need fresh air?!), quickly became tomato skin. The type of tomato skin that you see on Google when you search 'sunburn memes.' Wear SPF, ladies.

New skin tones aside, all that's on my mind right now is being discharged from the clinic and wrapping my lips around an ice-cold glass of Rosé. That being said, the drug can stay in your system for up to six weeks, so I won't be going too wild to begin with. Boo.

Discharge month (month 8) and Roaccutane Results

Holy sh*t. It's finally here. When you've taken a drug that's shifted your whole lifestyle and mindset for eight whole months, the thought of going back to ordinary life (plus clear skin) seems almost alien.

Heading to the clinic for the final time, my dermatologist admitted he was impressed by how quickly my skin had transformed - usually it can take 12 months or longer to get the full impact.

Shaking his hand and leaving the room for the final time, armed with a prescription of a topical cream that would help keep on top of things for the next couple of months (there's a 1 in 10 chance that a flare-up could resurface), I felt strangely relieved. Not relieved that it was over as such - but that despite every red-top newspaper article deterring me, putting aside how my skin affected my mental health for the sake of an online forum that told me not to - I did it, and survived.

If this is an option you're considering, I'm one of the few people on the internet there that says 'do it'. Having skin that you don't feel comfortable in is a lot worse than cutting back on the booze and waking up with sore limbs. If it gets too much, there are so many ways out - and you can even try again in a year if you feel like it.

I can't speak on behalf of everybody as this isn't something for everyone out there, but five years after getting acne and three years after chickening out of taking Roaccutane (there's nothing wrong with chickening out, BTW), my skin is glowing, and I finally feel like the best version of myself.

By Elle Turner and Lottie Winter

By Hattie Cotmore

By Lottie Winter

By Bianca London

By Elle Turner

Roaccutane: What Are the Side Effects, How Long Does Treatment Last and What Are the Results?

Alice Liveing opens up about starting Roaccutane - plus, what you need to know.

While the skin positivity movement has seen more and more women embrace their acne, for some women, spots can still be a huge source of discomfort and despair. This is where acne control medication Roaccutane can be life-changing.

‘I cried my way through my appointment yesterday with @anjalimahto and have decided that I am going to progress with a course of Roaccutane,’ she said. ‘Whilst I won’t go into the in’s and out’s of it, I just wanted to say that it feels like the right decision for me and one I’ve taken a long time to come to.’

Thanking her followers for their support in sharing their positive experiences of the medication, Liveing also discussed the importance of understanding that your skin isn’t a ‘failure’, nor are your spots a product of your diet and habits.

‘It’s not because you haven’t eaten exactly the right gut-loving foods, or that you need to strive to eliminate everything from your diet in order to achieve glowing skin. Sometimes these things just happen and I want a permanent solution, [instead of] over spending £££ on trying every alternative treatment I can find.’

Want to get right to stories of women who have tried Roaccutane? Keep scrolling

Roaccutane is often described as a 'miracle cure' for its ability to clear up spots – four out of five people who use capsules containing the stuff have clear skin after four months, according to the NHS – but is not without its controversy, with many people who take it reporting savage mental and physical side effects.

So, what's it really like to take the med? With more thinking about trying Roaccutane, WH takes a deep dive, looking at everything from the problems to the incredible success stories. Here's what you need to know about it, plus two women's experiences.

What is Roaccutane?

Well, the first confusing thing to clear up is the name. 'Roaccutane' is actually the common brand name (like 'hoover' and 'sellotape') while the actual drug itself is called 'Isotretinoin.'

Isotretinoin belongs to a group of drugs called retinoids, which are closely related to vitamin A. It works in a variety of ways, targeting different factors that cause acne.

What does Roaccutane do to your skin?

'Very severe or scarring acne can be treated with a medication such as Roaccutane to cure it,' explains Dr Hiba Injibar, a dermatologist and founder of Dermasurge Clinic on Harley Street.

'Roaccutane capsules help severe acne by reducing the amount of natural oil made by your skin so blocked pores are less likely, shrinks the oil glands in your skin, and normalises the skin’s keratinisation [the process via which cells from your epidermis head up to the surface of your skin, becoming filled with keratin, a type of protein.]

'The medicine also helps get rid the bacteria that cause acne, and relieves redness and soreness,' she adds.

How quickly does Roaccutane work?

According to NHS England, Isotretinoin capsules begin to work after a week to 10 days.

The Medicines and Healthcare Products Regulatory Agency statistics report a 95% success rate in clearing up acne in four to six months, with around 70% of those who take it say they never suffer from acne again.

Dr Injibar adds: 'Each patient is different, and some patients get worsening of their acne in the first month however most patients start improving by the second month most patients continue a course for six months, up to a year dependant on the severity of the acne.'

Can a GP prescribe Roaccutane?

This is a serious medication, and you can only access it via a highly trained medical specialist. 'Roaccutane or Isotretinoin can only be prescribed by a consultant dermatologist' says Dr Injibar.

'I treat acne patients privately and in the NHS regularly, that have been referred by their GPs for Roaccutane after basic treatment failed. Isotretinoin has the advantage of curing acne in 75% of the patients who take it.

Prescribing Roaccutane requires a thorough examination and history taking to find out if you are a suitable candidate for the treatment, baseline blood tests, consent forms, and contraception in women of childbearing age because of it’s high chance of damage to the foetus, and monthly followups throughout your treatment,' adds Dr Injibar.

How does Roaccutane make you feel?

While there is quite a hefty list of side-effects to be aware of when taking Roaccutane (more on that, later) one of the most well documented is the potential for mood changes and depression. While significant mood changes have been reported (from severe depression to suicidal thoughts) it's important to note that these are rare and in most cases, doctors agree that they notice an improvement in mood - as their patients start to see an improvement in their skin, too.

If you are in an urgent mental health crisis, find your local NHS helpline . If you need to talk to someone, call the Samaritans on 116 123

'Scientific studies have so far not been able to actually prove that Roaccutane causes psychiatric changes or suicidal thoughts. However, your doctor should keep a close eye out in follow up consultations monthly. Almost all patients feel much happier though once their acne starts improving and clearing up,' adds Dr Injibar.

What are the side-effects of Roaccutane?

One of the downsides to taking Roaccutane is the many side-effects it can come with. While these can significantly differ for everyone, it's important you're aware of all the side-effects and can recognise them, should you be affected.

'They can include your skin and lips may become very dry and sensitive sunlight during treatment. You may also experience dry eyes, nosebleeds, headaches ( very rare) and joint pain but more so fatigue and back pain,' adds Dr Injibar.

Will Roaccutane dry my skin out?

In general, dryness of the skin, lips, and eyes is the most common side effect for most people. Using a gentle, non-comedogenic moisturiser (one that doesn't block your pores) and lip balm regularly can help. In more severe cases, this dryness can turn into eczema and may require additional treatment. Nosebleeds may occur if the inside of the nose becomes very dry.

As a result of the skin becoming dry and cracked, the risk of skin infection is also increased. Wounds may also take longer to heal and the skin may feel fragile and peel with additional friction.

While taking isotretinoin (and for six months afterwards) your skin will be more delicate than usual; hair removal using waxing, epilation, dermabrasion, or laser treatment, as well as tattoos and piercings should be avoided.

Isotretinoin may increase your skin’s sensitivity to the sun. You should therefore avoid direct sun exposure while taking this medication and use a SPF 30 or higher every day.

Rarer side-effects can include:

• Temporary hair thinning may occasionally occur.
• Vision impairment, in particular the ability to see at night.
• Isotretinoin may sometimes cause an increase in the levels of fats in your blood (which can lead to inflammation of the pancreas), or inflammation of the liver. Blood tests will be requested during treatment to monitor any potential side-effects.
• Isotretinoin can lead to changes in mood and/or behaviour in around one in 1,000 people, and less commonly, thoughts of self-harm and suicide. If you have ever experienced depression or suicidal thoughts (or any other mental health problem) this should be discussed with your doctor before starting treatment.
• In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to isotretinoin capsules.

Can you take Roaccutane while pregnant?

You must not take isotretinoin in pregnancy. If a person becomes pregnant while taking isotretinoin (or four weeks after they finish the course) there is a high risk that the baby will be harmed with severe and serious defects – and there's also an increased risk of miscarriage.

If you do become pregnant, or suspect that you may be pregnant, you must stop the medication immediately and contact your doctor, so you may be referred to a specialist pregnancy clinic. You should not breastfeed while taking isotretinoin and for a month after completing treatment.

You also can't donate blood when taking isotretinoin and for at least one month after stopping the medication in case the blood is given to a pregnant woman.

All women with child-bearing potential should be entered into the Pregnancy Prevention Programme whilst taking their course of isotretinoin. This will include using at least one, and preferably two, forms of effective contraception for at least one month before starting treatment. Each month you will also have to attend a clinic for a pregnancy test and you will have a final pregnancy test five weeks after finishing treatment.

.css-1eiql25{text-align:center;margin:0rem;padding-top:0.9375rem;padding-bottom:0.9375rem;} .css-1cugboc{margin:0rem;font-size:2.125rem;line-height:1.2;font-family:Domaine,Domaine-roboto,Domaine-local,Georgia,Times,Serif;color:#f7623b;font-weight:bold;}.css-1cugboc em,.css-1cugboc i{font-style:italic;font-family:inherit;}.css-1cugboc b,.css-1cugboc strong{font-family:inherit;font-weight:bold;} 'For me, it was life-changing'

Sophia Harding, a 31-year-old from London and founder of skincare brand, Palm of Feronia ( @palmofferonia ) details her Roaccutane journey

'I had 'perfect' skin when I was a teenager. I thought I was lucky, given that all of my family, including my brother, dealt with pretty severe acne during their adolescences.'

'Things changed when I came off the contraceptive pill , at 20, after being on it for the five years prior–I was prescribed it to help with the symptoms of polycystic ovary syndrome ( PCOS. ) Then: bang. I developed cystic acne , mainly around my jaw, with a smattering on my forehead.

For the next 10 years I tried everything to clear it: treatments from the doctors, different creams, tablets, antibiotics. Nothing worked and it kept getting worse. When I was about to turn 30 the problem became more than aesthetic–it was painful. I would wake up to blood all over my face, from where spots had burst. It affected my social life: In pictures with friends I’d tell them they needed to edit out my spots. I would obsess over how it looked. For it to happen in my 20s when other people weren't experiencing that made it harder. I used to think, 'Do people just think I'm not clean, that I don't wash my face or I eat rubbish?

'I’d never had any luck getting Roaccutane on the NHS, as I was told by the dermatologists I saw that my acne 'wasn't bad enough.' I found that professionals are very reluctant to put you on more extreme treatments because the side effects can be so horrible. As well as super sensitive skin, some people report mental heath issues like signs of depression.'

'However, my skin was affecting how I felt about myself to the extent that I went private and was prescribed it. Thankfully, I managed to take my prescription to the NHS, because it’s so expensive. When I went back, one of the NHS dermatologists said to me, "I can't believe we've not prescribed you it before now." She was really apologetic.

I started the treatment and it was... intense. Straightaway, my side effects were outrageous. The skin over my whole body dried out. I couldn't wear make-up. I stayed on the treatment for 10 months and, despite the problems, it did clear up my acne. I understand that some people have dreadful experiences on it, but for me, it was life-changing.'

'I had a side effect that only impacts 1 in every 10,000 people'

Tammy Rose, ( @tammyrosee ; tammyrosee.com ) a 28-year-old recruiter and social media manager from London, had an incredibly challenging experience. Here is exactly how it happened

'At 18, I hadn’t "grown out" of my bad skin, as I thought I might. Arriving to rehearsals at the Brit School for performing arts with layers of foundation to be greeted by fresh faced, natural and seemingly confident students was challenging, let alone going to auditions. By 25, my acne still persisting, I was utterly fed up having tried everything under the sun to alleviate it.

Antibiotics would clear for a few weeks, only for my skin to then go back to square one. My acne started to appear as clusters on my cheek and chin, changing from something I could disguise with makeup to being impossible to hide. After a successful referral to a dermatologist the decision was made – I would be prescribed Roaccutane. I’d be lying if I said I wasn’t nervous, but those feelings were minimal compared to the hope and excitement of finally having 'beautiful' skin.

I started the treatment in August 2017 and, after six days, I knew something was wrong. I tried to convince myself that my mind was playing tricks on me but on day eight, I walked myself into A&E. My head was throbbing, my vision kept blurring and the nausea was unbearable. I felt off balance, dizzy, stiff in the neck and couldn’t think straight. Within 24 hours, I’d been diagnosed as the 1 in 10,000 who contract Benign Intracranial Hypertension – a build-up of pressure around the brain – following a course of Roaccutane. I had a lumbar puncture to remove fluid, reducing the high pressure.

After a traumatic few days, my main concern was how I’d treat my skin without Roaccutane. This quickly became an afterthought, as I was soon to be unlucky again. One in three patients who have a lumbar puncture will suffer with low pressure headaches as a result. I couldn’t decide what was easier to manage: the high-pressure headache was challenging but the low-pressure headache required me to lie flat for three months. I was unable to sit or stand and to go to the bathroom, I had to crawl as close to the ground to reduce suffering the sensation of low pressure in my head.

It was a long and exhausting recovery period but in January 2018, I was finally clear of the pressure headaches. As a result, I was diagnosed with Constant Chronic Migraine, suffering for a minimum of 15 days each month.

By August, I was in control of my headaches so decided to go travelling, but before leaving I’d had a flare up and taken some prescribed steroids. My neurologist, dermatologist and I had hoped that the combined sunshine and lack of stress would be positive, but things went from bad to worse. Despite being heavily advised against doing so, I bought some over the counter steroids in Bali.

On returning to the UK, my dermatologist advised me that Roaccutane was still the only option to save my skin. The fear of developing intracranial hypertension again was high, but my acne was so painful that I agreed to a second course. The plan was to start with antibiotics and steroids, alongside a low dose of Roaccutane (20mg, versus the standard 60) that would gradually increase.

After 11 days on the drug, my second reaction began. I was in immense pain – my face felt like it had a racing pulse. It was throbbing, burning and felt as though the skin was being stretched. It kept swelling outwards and under my eyes became puffy and inflamed. It was so painful that it would wake me up in the middle of the night, leading to a trip to A&E.

I was given intravenous antibiotics and attended a clinic with various dermatologists to discuss how best to manage my situation. I felt like a fish in an aquarium as they came to look at my face and discuss my condition. The realisation that I was a special case and the reality of not being able to follow a textbook for my treatment made me fearful.

It was agreed that my skin was too far gone and if there was any hope, we would have to push through with Roaccutane for the third time, accompanied by a significant amount of steroid. I started with a 10mg dose every other day and worked my way up to 60mg between March 2019 and August 2020, when I was taken off the drug as it appeared to be raising my cholesterol.

At this point, the Roaccutane had worked: my acne had gone and I was left with redness and scarring, but not active spots. My dermatologist hopes the worst is over, but I have been made aware that I might need a top-up course of the treatment, next year.

I still deal with myriad side effects, however. I have never fully recovered from Intracranial Hypertension as I now suffer with migraine, usually once a month; my lips are still dry; I experienced significant hair loss and my strands are growing back curly, rather than straight, which is odd to get used to; my vision is not back to normal and starting to exercise again was like starting from the beginning.

Before Roaccutane, I would go to the gym three times a week but I'm finding it difficult to build up strength.

This has been a personal trauma and, honestly, I don’t know if I’ll feel fully confident in my appearance again. Every morning I wake up in fear that my skin will be back to square one and the daily mirror check is pure agony.

How do I feel about Roaccutane, now? I am conflicted. The drug has ultimately saved my skin, but that's been at the cost of causing new and ongoing side effects. I would obviously have preferred another treatment option to avoid the side effects, but there isn't one. I hit rock bottom and multiple dermatologists told me it was my only option, so I would still make the same choices if I had my time again.

I wish there was another drug on the market that had a similar rate of effectiveness with less complicated side effects. Having said this, I was unlucky as there are lots of people who take Roaccutane for just six months and finish with clear skin and no long-lasting problems.

When you fear never seeing your face as you once knew, desperation kicks in and side effects become a small price to pay comparatively. Nothing would have saved my skin the way Roaccutane has, and I hope to feel better, with no lasting side effects as the drug leaves my system.

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Related Posts

Isotretinoin capsules (Roaccutane)

Other brand names: Rizuderm, Reticutan. Find out how isotretinoin capsules treat acne and how to take them.

• About isotretinoin capsules
• Who can and cannot take it
• How and when to take it
• Side effects
• Pregnancy, breastfeeding and fertility
• Taking isotretinoin capsules with other medicines and herbal supplements
• Common questions

Related conditions

Useful resources.

• HealthUnlocked: isotretinoin forum healthunlocked.com
• British Association of Dermatologists: isotretinoin patient guide www.bad.org.uk
• Healthtalk: videos of real stories about acne healthtalk.org
• British Skin Foundation: charity www.britishskinfoundation.org.uk

INTRODUCTION TO MY ROACCUTANE JOURNEY

It has admittedly taken me far too long to write this but it’s because it’s such an important subject to me that I want to do my story justice!

I guess I’ll start by saying that I have had acne for 10 years.  The years I should have been my most confident were ruined by the fact I had horrendous cystic acne.  I’ve always been outgoing in social situations but inside, would always be deeply embarrassed about my face and paranoid that people were staring.

I tried countless long term courses of antibiotics (some of which made me really ill) as well as daily topical creams which burned and dried my skin out).  I also experimented with cutting things out in my diet, excerising, drinking more water, switching up my skincare regimes and none of these helped lessen the blemishes on my face.  After 10 years of this my doctor finally referred me to a dermatologist for a medicine called Roaccutane.  

Because of it’s intense side effects and the fact that you must not get pregnant whilst on the medication, it means monthly visits to the dermatologist for check ups, blood tests and pregnancy tests.  I’m not going to lie, it’s an intense drug!

I decided from the start that I wanted to document my journey on this medicine for a number of reasons:

1) So I could document and compare how my skin was changing on a daily basis, to either give myself or other acne sufferers some hope!

2) To get rid of some of the bad stigma surrounding this medicine and to show the reality of it.

3) To emphasise that it’s okay to show your imperfections – no one is perfect and hopefully this will help some people going through the same thing.

I am now currently three months into my Roaccutane journey but I still have 5 more months to go so still lots of content to come.

Each month there will be 2 Roaccutane based videos on my YouTube channel.  The first will be a recap of the side effects over the previous month with before and after pictures so you can see how my skin is improving.  The 2nd video will be a ‘daily skin vlog’ where I have filmed my bare skin every day to show how it’s changing daily.  

You can watch month 1 & 2 here:

Month 1 Daily Skin Vlog

Month 2 Daily Skin Vlog

Month 1 Update 

Month 2 Update

If you have watched, shared, commented or supported any of these videos, thank you so much.  I really appreciate everyone’s support and positivity.  The feedback has been so overwhelming and I couldn’t be more grateful to have such beautiful humans watching my journey.

I wanted to ask here if you guys would like written update posts from each month as well as the videos?  I’m unsure of wether to write updates from the first two months as they’ve already been and gone but happy to write up monthly going forward – just let me know!

Lots of love,

You may also enjoy:

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I would like to see written posts but only if it's not too much additional work for you. I've had acne for almost 20 years now (I'm 34 years old) and nothing seems to help. Granted, my acne is not as bad as it once was but it still makes me feel very self-conscious.

I've used Roaccutane 10 & 20. 20 was more painful than 10 (dry skin, red, delicate lips,…). It helped me a lot! It'll help you a lot so don't give up!

I would love to read written updates! They would be great to catch up with when I don't have the time to dedicate to watching a YT video

Steph – www.nourishmeblog.co.uk

I finished Roaccutane earlier this year after 15 years of acne – it has worked wonders. It is tough going but I think well worth it in the end.

Written updates would be good – but like Vanessa only if it's not too much trouble. I've suffered from spots all my life (I'm 52 now – the menopause is helping, bizarrely!), but they do get better, and the right skin products are worth their weight in gold. My husband and my friends accept and love me for who I am and that's just magical. 🙂 🙂 xxx

Seeing the vlogs really takes me back to my own struggle with acne and my roaccutane journey. My breakouts weren't as bad as yours, but still, I can relate. As for the written posts, sure, why not, the more people you can reach and help with this issue the better.

I read your article Katy and really felt for you and just wondering if you have ever hear of Tropic natural skincare. One of my ladies suffered with cystic acne for very many years – similar to you – started when she was 11 and she is now 26 – was referred to hospital etc. I am happy to send you a copy of Emma's documented journey with Tropic and it has really helped her and also our products have cleared her facial scarring too. Email me at [email protected] and I can send you a copy of Emma's journey and a bit more info about Tropic if you wish. Kind regards, Lynne Preece – Ambassador & Senior Manager at Tropic Skincare

I'm sure I prefer written updates. A lot better than video because it takes less time consuming. But still it depends on what you write though. I've sincerely never had so acne as bad but it does pop up every time near menstruation. I someone found that physical exercise which make me perspire a lot helps stop my acne season. But that's me. Thanks for sharing your journey with Roaccutane. Sharon Elsie | diva-in-me.com

Hi Katie, thanks for your honesty! I saw u were looking for lipbalms, have you tried lanolin based ones eg lanolips?

Your story is nearly exactly the same as mine. I'm finally starting accutane this month and I'm so so hopeful it's the answer I've been waiting for! I'll definitely be keeping up with your journey. 🙂

Thank you for sharing your story. It helps people understand that acne needs to be taken very seriously and understand how much it affects peoples quality of life. I once read an article written by my dermatologist who said that acne mentally affects you just as much as having cancer, I know acne is not life threatening (!), but is it still thought-provoking. I too have been on accutane, which I reacted VERY strongly on. I had all the side affects; insanely dry skin and lips (i could peel off my skin in big pieces), had temporary arthritis, fatigue and it even made my skin look even worse! When it peaked I had 40 pimples on my cheeks (which gave me a lot of scars) and my face would hurt each time I laid down on my pillow. Despite going through a really tough periode where I just wanted to hide, I would STILL do it all over again! The pills really work! I have gotten laser treatments (photo dynamic photo rejuvenation), which have removed almost all of my scars, and now no one can tell that I had acne. Hang in there, and don't give up! <3

I'm so sorry that you've had to go through all of this. I remember having acne in my early teenage years and I felt so self conscious, especially because I didn't wear makeup at the time. I really hope this works out for you! Lots of love xx Home

Acne is not just a problem for girls, men also suffer, especially in those 'hormone years'. You are lucky in being exceedingly beautiful Katie and in my own opinion have no need for make, but it's a case of freedom of choice. I suspect the problem may be exacerbated by the very makeup used to hide acne. As a man I've never used makeup but have suffered, my cure? oh so simple for me. It was, as advised by my doctor, not to wash my face with anything other than plain and simple hot water, as hot as you can bear. And it worked, it took a couple of months, but it worked. The marks left behind? well be patient, the human body, especially when it's young, has amazing 'self repair' abilities. Anyway all the best to everyone and especially you in your life. John X

Dear Acne suffers,

Please please please, get a food allergy test before you put any cream on, or take any pills! I promise you it will be a game changer.

In particular, seek a type of test: google "acupuncture allergy test" and find the nearest centre near you.

I had very aggressive cystic acne from 13 until 28 all over my face, neck, shoulders, back. It physically sore, and emotionally obliterating.

Through an intolerance test, I discovered I was intolerant to yeast, in the form of candida, aka – very bad gut health. Very bad indeed. It is a fungal growth on the lining of your gut, and to put it simply, it feasts on sugars. And then releases toxins into your blood stream, your acne is a symptom of that.

Do you know what else promotes very bad gut health? Antibiotics of any sort. They completely imbalance it. So not only does roaccutane wreck your gut health, you lay the risk of depression/anxiety/suicidal thoughts too … fantastic! Give someone whom already suffers emotionally and psychologically a pill, that will just heighten the chances of a side effect setting in. Better yet, teenagers – whom are at a vital age of brain development are allowed to take it.

Katie, I think what you are doing by documenting your journey so honestly is very brave, humbling and extremely important – as it opens up a dialogue. A journey that I could not empathise with any closer! I sincerely mean that. However, I just feel that the severity of the possible side effects in your BBC Documentary were not emphasised enough. And I would never assume a presenter is an expert on the subject within the program, because I understand that the concept of the program was your personal journey, and other people journeys and experiences … it was the Doctor featured in the program that took me a back slightly. She stood out me because I felt the negative side effects were not emphasised enough.

Please don't take me out of context though. Your documentary was good, congratulations on it. And you as a young presenter have a bright future ahead of you.

I was recommended by two different dermatologists, at two different times in my life to take the drug. Because it "is" the last resort. It honestly isn't. My personal opinion and experience is that you shouldnt bow down and accept that feeling of "ah well, I'm going to have acne for the rest of my days, better get used to this feeling…better try to start loving myself for what I'm am(not)" . <—– that right there was the driving factor me, the possibility of accepting defeat. Keep searching for your cure!

I was put on a yeast free, sugar free (completely … no natural sugars in the form of fruit) for 3 months. I ate lots of raw veg, healthy fats, moderate>low proteins as my diet. And got onto a course of Pro Biotics. At 28 years old suffering severe acne for over 15 years, it began to subside in 6 weeks. By 3 months it had stopped. One year on at 29 years old … I have absolutely zero acne. I have cut my candida by 2/3rds, but it has taken me over a year to get it down, and I'm not in the clear yet. It takes time. Remember – you have been working on your acne for years: by fuelling it with all the wrong things in your gut.

The moment I defeated my acne, everything in life just started clicked into place, effortlessly. Im a 29 year old male, and I've only just started life!

Please, if you want to take any context from this: thinking about taking the drug? Consider the side effects: joint pain, depressed mood, trouble concentrating, sleep problems, crying spells, aggression or agitation, changes in behavior, hallucinations, thoughts of suicide or hurting yourself, let alone all the skin bleeding peeling flaking etc.

Maybe thinking about giving a food intolerance test a go first? Consider the side effects … better gut, healthier glow, clearer thinking, more energy, better sleep, a little bit of flab loss, less acne… whats the worst that could happen in trying it first, at least?

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