Hi everyone, I am looking for some advice from people who have experienced something similar, especially those who have dealt with severe acne while on testosterone. I have been on testosterone for around 10 months, and the past ten months have honestly been some of the best of my life in terms of my health, fitness, and body transformation. I have lost 53 kg, I am in the best shape of my life, and I am still pushing myself to improve every day. I try to do everything by the book. I prioritise hydration and take a comprehensive supplement stack, including TUDCA, NAC, nattokinase, vitamin D3, K2, omega-3s (2,500–3,000 mg daily), CoQ10, BPC-157 tabs with oral KPV for gut health, and a multivitamin. I eat very clean. I am adding in DIM, B5, and saw palmetto with pumpkin seed oil as well. However, I have developed a severe skin problem that is really affecting my confidence and quality of life. It started on my back and spread to my shoulders and upper arms. I scratched the affected area, which may have contributed to the spread. I am now dealing with inflamed spots, cysts, and scarring. It has reached the point where I feel ashamed of my body and have to wear oversized shirts just to cover everything up. My doctor believes it is bacterial folliculitis caused by bacteria from my nose and has ruled out androgens as the suspect. I have been prescribed a five-day course of antibiotics, and I am also taking low-dose Accutane (isotretinoin) at 10 mg daily. The skin looks and feels a little better, but it is nowhere near clear. I cannot help wondering whether testosterone is contributing to the problem, whether this is purely bacterial folliculitis, or whether there could be more than one thing going on. I really do not want to give up testosterone because of how much I have improved physically and how good I have felt over these past months. I have changed my life and habits to be as healthy as possible (bloodwork is on point) to be able to use these substances to help with my journey.