Anyone got any genuine advice on managing chest and back acne while using testosterone and a small amount of Anavar?
I seem to run into the same problem every time I use testosterone. My skin stays relatively clear for the first 12 weeks, then I start breaking out across my chest and back.
I’ve used Accutane (isotretinoin) in the past, and while it works, I absolutely hate how it makes me feel. The side effects leave me feeling like crap, and I’ve previously ended up going back to stimulants just to feel normal again. That’s something I genuinely want to avoid, so ideally, I’m looking for a solution that doesn’t involve Accutane.
Current protocol:
I’ve recently started applying zinc oxide baby rash cream to the affected areas, and surprisingly, I’ve found it works better for me than tretinoin. However, the acne is slowly starting to return, and I’m concerned I’ll eventually have to consider low-dose Accutane again.
A few things worth mentioning:
I’ve always had acne-prone skin, even as a teenager, so I suspect I’m naturally more susceptible to androgen-related breakouts.
My diet has remained consistent for years, and I consume very little dairy. I also shower immediately after training, avoid tight clothing where possible, and maintain good hygiene. So I’m not really looking for advice along the lines of “just shower more,” because I’ve already got that covered.
The frustrating part is that whenever I stop testosterone, my skin eventually clears up completely. Unfortunately, my libido crashes, my energy drops, and I generally don’t feel anywhere near as good as I do while on TRT.
What I’m really trying to figure out is:
Has anyone experienced testosterone-related acne that consistently appears around the 12-week mark and successfully managed it long-term without Accutane?
Has changing injection frequency, adjusting hormone levels, using specific topical treatments, or anything else made a noticeable difference?
I’m particularly interested in preventing the breakouts rather than constantly treating them once they appear.
I’d appreciate hearing from anyone who’s dealt with something similar and found a sustainable solution. I’m not expecting a miracle cure, but I’d love to find something that allows me to continue TRT without dealing with recurring chest and back acne.
Thanks in advance, legends.
I seem to run into the same problem every time I use testosterone. My skin stays relatively clear for the first 12 weeks, then I start breaking out across my chest and back.
I’ve used Accutane (isotretinoin) in the past, and while it works, I absolutely hate how it makes me feel. The side effects leave me feeling like crap, and I’ve previously ended up going back to stimulants just to feel normal again. That’s something I genuinely want to avoid, so ideally, I’m looking for a solution that doesn’t involve Accutane.
Current protocol:
- Previously injecting 0.5 mL of Test E 250 mg/mL twice weekly.
- Recently switched to 0.25 mL every other day to see whether more stable hormone levels help.
- Currently using Gold Standard Labs Test E, which I’ve personally found to be better than my prescribed Bayer testosterone.
- Also using a small amount of Anavar.
I’ve recently started applying zinc oxide baby rash cream to the affected areas, and surprisingly, I’ve found it works better for me than tretinoin. However, the acne is slowly starting to return, and I’m concerned I’ll eventually have to consider low-dose Accutane again.
A few things worth mentioning:
I’ve always had acne-prone skin, even as a teenager, so I suspect I’m naturally more susceptible to androgen-related breakouts.
My diet has remained consistent for years, and I consume very little dairy. I also shower immediately after training, avoid tight clothing where possible, and maintain good hygiene. So I’m not really looking for advice along the lines of “just shower more,” because I’ve already got that covered.
The frustrating part is that whenever I stop testosterone, my skin eventually clears up completely. Unfortunately, my libido crashes, my energy drops, and I generally don’t feel anywhere near as good as I do while on TRT.
What I’m really trying to figure out is:
Has anyone experienced testosterone-related acne that consistently appears around the 12-week mark and successfully managed it long-term without Accutane?
Has changing injection frequency, adjusting hormone levels, using specific topical treatments, or anything else made a noticeable difference?
I’m particularly interested in preventing the breakouts rather than constantly treating them once they appear.
I’d appreciate hearing from anyone who’s dealt with something similar and found a sustainable solution. I’m not expecting a miracle cure, but I’d love to find something that allows me to continue TRT without dealing with recurring chest and back acne.
Thanks in advance, legends.

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