Cystic Acne comes from imbalanced hormones. In addtion to doing a bowel cleanse, you should also be taking supplements (like #28238) to balance your hormones. He/She gave a very good example of what you should be taking in order to balance your hormones. You can also look into Leo Kiesen's Acne Cure, only because he gives an indepth explanation as to how to combat acne. If you like, you can email me and I can send you a copy....