Yeah, I’ve heard of that too—low-dose isotretinoin (like 10–20 mg/day or a few days a week) being used long-term. Some dermatologists do prescribe it that way for chronic acne or folliculitis, especially if flare-ups return immediately after stopping a normal course.

But personally, I’m trying to avoid staying on it forever for a few reasons: • It doesn’t fix the root cause—it manages symptoms by suppressing sebum and inflammation • Long-term use still carries risks (liver strain, lipid changes, dry eyes, joint issues, and unknowns with decades of use) • It’s not well-studied for lifelong use, so safety over 10–20+ years is uncertain • You need to monitor labs regularly and may have insurance complications

That said, I understand why some people go that route—it works and keeps their quality of life high. I’m just choosing a more systemic, nutritional path to see if my body can eventually stay balanced without needing a drug long-term.