So I struggled with moderate cystic acne from age 13 to age 38 (always bad enough for antibiotics and retin-a but never quite bad enough for accutane). I know there is a genetic component to my acne since my mom had severe acne, my grandpa had acne and oily skin until he died at 76, and my brother had the worst acne I'd ever seen (did accutane in high school and then it never came back). I...