I am about 6 months in to TRT replacement and have all of my numbers in order - total T around 1000 and free T around 20, estradiol in acceptable range, but now I am starting to experience horrible back acne. I have found it very easy to access regimen info on Test Cyp, HCG etc on this site but was wondering what people do treatment wise for acne. I use a concierge doc who basically prescribes what I ask him to but I don't really trust his medical judgement and I don't want to incur the cost of a dermatology visit if all I need is an Rx for tetracycline or something like that. I'd like to avoid accutane or anything that is hard on the liver.