I’m guessing you’re expecting a wonderful post about some miracle, natural home remedy acne solution that I’ve found and has cleared up my acne in no time flat. But that’s not the case. Well, I guess that depends how you see it. About 6 months ago, I made the decision to go on Accutane. I actually talked about it in a post once to get second opinions from people. Most of the opinions were negative but I also saw many positive ones. So once I started taking accutane, I decided to keep that info out of my blog so I wouldn’t have other people’s opinions changing my own.

So let’s go back to the beginning. I’ve always had a little bit of acne. Nothing to get super upset about, but enough that I saw a dermatologist when I was in high school, when I was in college, and after college. But it wasn’t until I started CrossFit and was competing, that my acne got out of control. And when I say out of control, I mean it was incredibly painful to the touch. I had bad cystic acne that hurt when I was just putting on make up. But since the acne was so bad, putting on make up was my only choice. I’m not sure if it was CrossFit that changed my complexion, but I’m almost certain it had to do with it because of the changes in estrogen and other hormones.

Anyways, after trying many different home remedies such as oil pulling and oil cleansing, changes to my eating habits, removing fish oil from my diet, consuming cod liver oil, and different essential oils, I decided to try some prescription strength drugs. After trying spironolactone and other prescription drugs as well as topical medication, I was finally at a loss. It had been almost 3 years of fighting this cystic acne that was going to lead to much worse scarring if I didn’t do something about it. So I decided to try Accutane out and my dermatologist immediately agreed.

Accutane is a high dose of vitamin A, that you take on a daily basis. Most treatments, like mine, are around 6 months. Some people have to do multiple sessions, but not everyone. Accutane is taken very seriously by not only the doctor, but also the state. It is a state regulation that you must be on birth control while taking Accutane because the birth defects are so awful. There are also other side effects such as depression, muscle and joint pain, extremely dry skin and eyes, and a whole hell of a lot of other things, but those are the things I experienced. The process is quite tedious. Here’s the process you go through every month: get your birth control (remember, no babies), get your blood drawn so they can check that your liver is just fine, then go to the doctor a couple days later where you have to do a urine test to make sure you’re not pregnant, then you get your prescription, then you have to take a test online all about practicing safe sex, once you pass that test, you can then drop off your prescription to finally get your month supply. Then do this many more times until you are off the medication. Annoying, but so worth it in my opinion.

You may be asking why the hell I’m even writing about this on a paleo recipe blog. Which is understandable. But I want to share my experience with people who are trying so hard to change their diet to fix their body issues, and those things are just not working. The more I’ve eaten paleo, the more I’ve found out how many things can be cured through diet alone. I rarely get sick, I sleep better, I have more energy, my depression went away. So many things can change through diet, but my acne did not seem to be one of them. And if it was, it would have taken me YEARS and many scars to find out those reasons. I’m sharing all this information with you in hopes that if you are ever thinking about taking this prescription drug, you have another opinion. A positive one.

I had a truly positive experience with the drug. Not to say that I didn’t have some ups and downs, but most of my 6 month experience was a good one. Here were some of my symptoms:

  • The worst symptom by far has been dry lips. You know when you get a sunburn and it peels? Well imagine that happening every single hour, of every single day, for 6 months. It was miserable. By far the worst thing. Not having chapstick on hand truly felt like a meth addict not having his drug. Terrible description, but that’s seriously how it felt. I rarely stop biting or picking at my lips. I have a new habit I need to break.
  • Dry skin and red skin. Mostly my face was the only thing that got dry, but it was also my ears, my nose and my hair. So I exfoliated my face daily with one of those soft bristle face rotating brushes. A cheap one. And moisturized a lot. I didn’t stop wearing make up until my skin settled down after the second month, I was too embarrassed.
  • Dry, breaking hair. My hair thinned out and my hair stylist said it seemed to be breaking easily. After 4 months, that passed and my hair got a lot better. Wish it would have affected my leg hair, that would have been cool.
  • My joints and muscles hurt A LOT about 3-5 months in. Workouts were much more uncomfortable to the point that it hurt to walk. That passed after 5 months.
  • Moody and depressed. I got REALLY depressed about 4 months or so into the accutane. I mean, depressed to the point that I couldn’t get off the couch. I couldn’t figure out why I was sad or what was wrong, but I was so unhappy. I fought some depression when I was growing up, so I was more likely to have some while on the drug. It went away with time.
  • Super red face. I’m pale when I stay away from the sun, so my neck and my face were completely opposite colors. Weird looking.

So I’m going to share some pictures with you. Disclaimer: these pictures may be frightening. And I’m sure some mean people out there will leave mean comments that will bum me out, but I want to share with you what a huge difference the medication made. I no longer have any acne, only red scars remain, which should go away over time. If they don’t all go away, I plan on doing some chemical peels and/or laser treatment to get rid of the scars.

first month of starting accutane – frightening (oh hi Laura!!)
2 months in – acne diminished a ton
5 months in – redness began to get much worse but skin kept smoothing out
photo-1
6 months in – finished with the medication
finished with medication – redness is starting to clam down (with make up on)

In the end, I am incredibly happy with the results of accutane and extremely happy that I went on the prescription. I’m not sure what will happen in the future and if I will have to get back on it, but I know that my acne will never be as bad or as painful as it was in the past. This prescription has done wonders for me and if anyone ever asked me, I would recommend it to them. That’s my story and I’m sticking to it! But remember, this prescription affects everyone differently. Just because I had a good experience doesn’t mean someone else will. Thanks for listening. You’re my favorite. Please feel free to share your experiences, but do not hate on me for sharing my own experience with it. Kthanksbye.

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390 Comments

  1. Mary says:

    Juli – you look great! Sometimes you have to do what’s best for you and I’m glad you are happy with the results.

  2. Diane says:

    you look wonderful, and I really appreciate your honesty. brave of you to share photos and shame on anyone who says anything unpleasant. you rock.

  3. Sid says:

    Good for you ! Acne is a horrible thing to have and I know your confidence was taking a hit. I am so glad that things are going better for you !!

  4. Robbie says:

    My bad acne went completely away when I stopped eating meat and dairy, which is definitely not Paleo. Now, understand that I do eat meat now, just very little, but no dairy. I equate the clearing of acne to eating cooked fats far more sparingly.

  5. Erica says:

    It could be an allergy. I developed acne as a form of contact dermatitis in response to equine fly spray present in my environment. My dermatologist thought it was acne, then rosacea… as soon as the fly spray was out of my life, my acne went away. It was difficult to determine what was bothering me, but once you find it, your skin will be clear. Unfortunately, it can be anything from shampoo, an ingredient in make-up, laundry soap, etc. Best of luck!

  6. Sydney says:

    Have you tried drinking chicken stock? Without skimming any fat off? I know it sounds weird, but my skin just glows when I drink three bowls of chicken stock a day and I have had bad adult acne. I think it has something to do with the gelatin content. Glad the accutane helped!

  7. Brandon says:

    You are gorgeous, with/without the acne…

  8. Mindy :) says:

    Juli, wow what a gorgeous girl, enough said!

    I did want to add, I struggled with the same deep cystic acne in high school, completely connected to every stressor I had. I did start on DepoProvera after I was told I had a bicornate uterus (somewhat related, no normal cycles…), but once on the Depo, everything acne-wise calmed down. I stopped the depo to have my daughter, and feared it would all come back, acne and angry acne at that. Not the case. Sometimes that purge of hormones with a pregnancy, or the drug that stops all uterine activity, is all that is needed. Just a thought if the baby makin’ days come in to play.. bonus 🙂
    Keep it up girl, you are fantastic, but I think you know that. 😀

  9. lisa says:

    Juli!!!!
    I was a smoker for over half my life (pack a day for 15 years), and quit. I thought my skin would look amazing after. It wasn’t until I added chicken bone broth that people started telling me I have the most amazing skin (who me????) and that I look ten years younger. I am only 34 – That’s a huge compliment. I know the bone broth does good things for my skin because it takes less than two weeks of not drinking it to get a zit. I HATE making it, mostly cause I HATE going to the store for chicken feet, and HATE being home to simmer the thing for over 24 hours. But it’s soooo worth it. Only a cup a day. Maybe even every other day. Like my skin looks better than primer concealer foundation and powder worth it. I’d give it a shot. If you have a pressure cooker, I guess you can make it way faster.

  10. Megan says:

    Juli, thanks for sharing your journey — like so many of these commenters, I’ve been following along (and sharing the pain). I had severe cystic acne on my face, chest and back after getting off spironolactone when we were trying to conceive.

    Back and chest improved toward the end of pregnancy, but terrible face breakouts endured. Now six months post-partum and still breastfeeding, rx meds are still out. Like you, I know diet won’t fix the acne. I’m as paleo as I’ve ever been — and have been totally and soy-free since our son was 3 weeks old (he has an intolerance), and have seen zero improvement.

    The only thing I can safely get away with is a benzoyl peroxide face wash from the dermatologist. It helps but skin is by no means clear. It’s so encouraging to read you found a solution. I’ll be dealing with this for awhile since we plan to have another baby, and daydream about the days of spiro + Retin-A, which worked like a charm pre-baby (+ doxycycline before my wedding). I can’t say I’d never try Accutane when all is said and done; I know how painful — literally and figuratively — severe acne can be. Good for you for finding something that worked. Sending all the best!