i just started the derma cleanse system and i've been getting a lot more large cystic acne when using them. it could be the pills flushing everything out but right now my skin looks terrible. i think i will probably send it back and try vilantae or something more extreme. plus all these 5 star reviews, i'm very skeptical of because i know that a lot of companies will post fantastic reviews about themselves all over the internet and i wouldn't doubt for a second that zenmed did this on here. anyways, i wouldn't recommend this stuff. i can't see sticking it out for another few weeks so i'm going to simply be done with this stuff. the girl who wrote about blood cleansing products in other stores at a fraction of the price makes some good points. i think she's right, this is just a whole lotta hype for a product that makes a lot of us worse off.