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FWIW - I used a topical compounded testosterone cream for over three years and I had the same problem, DHT kept climbing (to like over 250). Finally, after discussing it with my HRT physician I switched to weekly Test Cyp injections instead of the topical and DHT dropped to +/- 50.

For what it's worth, for me, swimming in a chlorinated pool 2-3 times per week keeps my back completely clear of acne. I was dealing with mild/moderate back acne for about two years until I started swimming to increase shoulder flexibility and reduce arthritis shoulder pain (btw, it really...

I use to have mild to moderate acne on my back from my HRT therapy. I tried scrubbing my back, using topicals for acne, etc. Those things helped a bit but did not eliminate the issue. One thing did however. I have managed to eliminate my back acne by swimming in a chlorinated pool twice per...