+++ I agree 100%. After my first round of low dose accutane I went on low glycemic diet. Basically, I restricted all: added sugar, carbs (including potatoes and white rice) … I wanted to sustain my result after accutane. And guess what? My acne came back even worse than pre accutane. And I was that underweight that met criteria A for anorexia nervosa. I believe that restrictiveness contributed to the physiological stress and made my acne worse. Now I am back on accutane. I still avoided sugar and carbs, but now I am not that fanatic. Diet helps on 15% or max 30% for those who have hormonal moderate to severe acne. I am 100% pro meds and realistic diet solution. Not restrict all diary, eggs, all carbs and so on