update: i stayed on accutane for 2 months at 30mg a day, which is pretty low dose considering im 270 lbs. i came off so i could include an oral in my next cycle without stressing my liver too much. i cleared up 99% but im still getting a lil spot here and there, maybe 1 spot a week. but before i got on accutane my back looked like i slept in an ant pile, prob 100 lil red spots. after this cycle i will hop back on accutane at 20mg a day for 3 months, then i dont expect to ever have the issue again in my lifetime. i regret waiting so long to start accutane bc the acne kept getting worse and resulted in some scars. those gd commercials on tv about accutane have everyone scared, but those cases are from 20-30 yrs ago before the drug was fully understood. drs used to prescribe the dosage based on your weight, my friend who was 170 lbs was taking 60mg a day. he had nose bleeds and all sorts of weird sides. but that is unnecessary, just start at 20mg a day and watch your skin clear up. it truely is a miracle drug...