Try Zinc 50mg, Vitamin A (no more than 8000 iIU because it is toxic at high levels) and Vitamin C (no more than 500mg because you will get kidney stones at higher levels) and I have heard Vitamin E does good things as well. Vitamin A is what Accutane is derived from, just a synthetic version. It seemed to work very well. Also eliminate as much sodium, Bromides, high GI foods as you can. Do not believe Doctors who tell you your diet does not matter, third world countries do not have acne.