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I always break out when Im on gear and even when ive been off for a year. Ive used panoxyl soap and soap with salycilic acid and that seems to help some, but not the greatest. Ive even went to the dermatologist and got on pills and creams but still no big change. Tanning smokes everything, but Id like to have some other options so I was wondering what seems to work the best for you.