I seriously had issues. I was on for a little over 3 years doc monitored. It progressively got worse. I just recently came off and running an attempt to restart.
I'd definitely check bloods, keep a consistent dosing protocol, consult with a derm regularly. I now have permanent scarring.
think about potentially lowering the dose, more frequent injections, looking at estro.
keeping hormones as stable as possible are all things that need to be in check as first line of defense IMO.