I was on a really great diet, no drinking and i noticed my skin cleared up significantly. I feel like the back acne and birth control pill thing have run its course so i feel my back getting better. slowly but surely and actually have recieved a lot of compliments on my skin. the picking is tapering off actually! a word on proactive… its pretty nice and it DID help, but only a little bit. My diet helped most though. I did a cleansing fast and then no sugar, gluten or dairy for a month, which i am trying to maintain.