Chances are the bottom line is a liver issue so you may want to check the other forums for bowel/ Liver Cleansing programs and find one that you feel comfortable trying (one step at a time). I too suffered with cystic Acne for many years so I know exactly how you feel. There's no substitute for cleansing your system; however, I have found a topical through this forum that has helped greatly. It's cheap, comes in a large container and carries a life-time money back guarantee. You can read about it at www.no-acne.com.....also, as you have time, continue to read about the experiences and suggestions on this forum. There is a lot of information here that can help. Hang in there, it will get better!