The Perfect 10 Clearamax Acne Fighting Vitamins are a great addition to the Clearamax Acne Formula.  All natural and fights acne from the inside. While the Perfect 10 Acne Clearamax Formula fights acne from the outside.   Recommended for those with difficult resistant acne.   This product is intended for use in combination with The Perfect 10 Clearamax Acne Formula. Not intended to be used alone.  For best results use with the Perfect 10 Clearamax Acne Formula. Great product, which helps get you awesome results.  Helps keep skin clear and beautiful.