Bottom line real legit gear for sure can cause acne as I go way back with juicing (1980) and back then I was getting all my gear from United states pharmacies only, that was the good old days when everything was legit.
I have been in pain management for aprox. 10 years and the only thing my pain management doctor prescribed me outside of pain medication, he also gave me Testosterone Cypionate 200mg per week to bring up my test levels because he stated that the pain medications cause your T-levels to be low...