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Im 37 and have acne problems as well, its been put down to my meds and physical illness problems.
I'm on quetiapine, citalopram, reboxetine and benzos, also omeprazole and laxatives and a mulivit daily. My diet is small but very well balanced with fresh fruit/veg/wholemeal and fibre and I don't eat much carbs or fat.
I've had to blame the meds. My peripheries get very blue and cold but centrally I get hot and sweaty (a little) my skin is generally dry and sometimes itchy and my hands get cracked and sore. I reckon reboxetine and quetiapine may be to blame but this is a gut feeling and I can't find literature to back it up.
I have been to a dermatologist but the stuff he gave me didn't work.