^^^Agreed, i had been running it at 40mg ed for just over two months and nothing, actually got worse. From there he recomended 60mg ed AND isotrentin spot cream that my GF applies every night before bed. I feel with the cream and the upped dose that it may be too much...i just listened to him. As said before, i would assume that sort of thing myself. He said that 40mg ed was a low dose and i should have seen some improvement by now??