I'm 46 & acne free for first time
I have really oily skin, hormonal acne and melasma; and started on testosterone injections late 2025 that did nothing to help my acne.
Doctor said if I experienced acne would prescribe me Spiro and I think that's been biggest difference. Only been taking one 25mg pill of that a day. Also got prescribed Clindamycin Phosphate which I use twice a day and then The Ordinary Niacinamide cheap on Amazon.
Lastly some Retin A & hydroquinone just at night. I've gone from cystic/hormonal acne mainly on my jawline or temples and dark spots throughout my outer face... Wearing full coverage foundation... to not even thinking of needing makeup now.
Had a rough purging early on, but so worth it. Not sure why I felt the need to share, but maybe because I used to think some of these regimens were over the top or ineffective. And it took me half a life to be happy au natural with my face!