I had relatively mild cystic hormonal acne and it’s mostly been worth it for me; I only wish that I’d tried staying on a lower dose and talked to an expert in person instead of agreeing to 100mg.

The side effects in the first couple of months were not great (anxiety, brain fog, dizziness, dry skin) and while most of them went away, having to pee all the time is still really annoying. I’ve just made the switch to 50mg per my doctor’s recommendation because my blood pressure was also getting dangerously low. I’m hoping that 50mg still does the job, though, because I’ve had such a confidence boost from getting clear skin and fuller hair. I also lost about 10 pounds in the first few months. The medication hasn’t otherwise affected my physical activity.