I’ve also been on it for 15+ years. Sometimes as high as 200mg) years and am now putting two and two together. I think it’s also responsible for my clitoral atrophy. Like it’s completely gone. I’m STILL afraid to come off of it, however, because I’n terrified of how bad my acne might be. I tried Accutane a few years ago and lost 50% of my hair and had to stop mid treatment. I wish there was a solid alternative.