I had hardcore acne when I was 14-16. One thing I noticed was that salt(certain additive in it) made it much worse. I went on acutane, while it helped, I still had to just grow out of it. My skin still isnt perfect, but its getting better every month. I suffered alot of side effects in the first few weeks while taking acutane. My joints hurt so badly that I didnt want to stand, and when I had to walk I wanted to kill everything in sight.