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.





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.







I am very proud of you my cousin! And I never noticed that it was that bad…you have always been beautiful inside and out to me. Many hugs and love to you!
Hey girl! I admire you for being so brave and sharing your story! I never had a problem with acne until I turned 25. Adult acne sucks and I’d do ANYTHING to get rid of it. Unfortunately, no health plan = no prescription remedy. I’m not sure what you use now that you’re maintaining but I’ve found Coalface soap from LUSH cosmetics and EAU ROMA toner have done WONDERS for my skin! 🙂
Thank you for sharing your story.. It’s not easy to expose parts of ourselves that we try to hide from the world. You are inspiring. People are stigmatized for so many things in this world and its refreshing and wonderful to know that we can break down those walls.
Thank you!
You poor thing to have dealt with this for so long. Thank you for sharing and being so brave by posting pics so that you can help someone else. PS- I would KILL for your eyebrows!
Good for you! Your skin looks wonderful! I had cystic acne as a teen – I understand how painful it is. I have the scars to prove it – or at least I can see them, every once in a while I get “you have such beautiful skin”. Yeah- thats the benefit of being a greasy teen – I am almost 40 an not a wrinkle in sight!
Try Creme de La Mer for the remaining scaring. Its ridiculously expensive – go get a sample first (the sample will last you longer than you think) a jar will last about a year.
Ihttp://www.cremedelamer.com
Now- don’t listen to the mean people! (screw the pale police!) Your body – your choice.
Thanks for sharing.
Good for you! It takes a lot of guts and courage to post pictures and talk about personal things that don’t thrill you online. I am sure it helps more people than you know!
I also have been on accutane – twice (8 and 6 years ago). Like you, I tried so so so many things, nothing else worked. As awful as being on that medication was, it was a life saver. I still get an occasional blemish, but my skin is like night and day. I have been eating Paleo for about 2 months, and I do feel like my skin looks better – smoother maybe?
Anyway – thanks for the always fun blog posts!
Thank you. I have been beating myself up for the last few months b/c I am not seeing all of the magical skin results that are said to come from eating paleo. I eat a very clean paleo diet and have seen so many benefits – but my skin hasn’t been one of them. I’ve been using an all natural skin care line that I truly believe in – and I want so badly for it to work, but I have to admit, going the prescription route is something I am considering doing again. Thank you for sharing your story and showing me that I’m not a freak b/c my skin won’t clear up with paleo or my natural cleansing regimen. I may actually be a freak – but it’s not because of those things : ). You da best, Paleomg!
I’m so happy for you Juli! You bring so much joy to so many people with your amazing recipes & hilarious blog, & it’s wonderful you will start to feel comfortable in your skin again! I myself have been on Accutane & it was the ONLY thing that worked for my acne also! Thanks for sharing your journey! 🙂
Thank you so much for sharing this, and having the guts to share your photos. I too used Accutane after years of incredibly painful cystic acne, and it was absolutely the right decision for me. 3 years later I am still acne free, and much less oily. My side effects were less severe than yours, but I would have gone through just about anything to get rid of it at that point. Lots of people want to hate and say “oh it’s so dangerous, you should just be happy in the skin you’re in, blah blah blah.” These are obvs people that have never had tears constantly leak from an eye because they had a giant cyst that swelled up and pushed on a tear duct, or cried out of embarrassment the first time their boyfriend accidentally saw them without makeup, etc. (Both real life things for me.)
As a side note, the redness and scarring gets a LOT better…my skin is still more sensitive to cold and wind now and will turn red under those circumstances, but my scarring is almost gone. I used Retin A micro after the Accutane, and a laser treatment on a particular spot that had recurring cysts, so it was a very dark scar.
Cheers to you, girl. The haters can kick rocks barefoot.
I’m glad you found something that worked! I struggled with acne for a long time and I know how upsetting it can be. Mine responded fairly well to Proactiv but I couldn’t use it for a long time because it would give me scaly, itchy spots. My acne finally dropped off over the last few years (I’m 33). Not sure if it’s the (mostly) Paleo diet or just age, but I’m so glad to be finally rid of it! Congrats! I’m sure you feel better.