thanks bro

That's one of those things that only blood tests can verify. Assuming normal liver function and no other hepatic strain from orals or dollar beer night it shouldn't trash them at all. Obviously blood tests should be run on cycle anyway but if you take accutane it would definitely be in your best interest to get your triglycerides looked at to see how you respond to it.

Would the 20 mg dose be at the low end or do the studies show effectiveness going even lower? I took Accutane in college and I remember it really drying my skin so if acne presents during a cycle I'd want to start at the lowest effective dose possible.

any studies to show this?

Its pretty basic info just Google it. Here is a description of the action of accutane;

How Does Accutane Work?

The structure of Accutane is very similar to that of Vitamin A. Its classification is as a retinoid, which work to alter DNA transcriptions. This ability makes it effective in reducing the output as well as the size of the sebaceous glands, making them not as sticky so that they slough off bacteria that typically cause whiteheads and blackheads to form. It also works as an antibiotic, getting rid of the bacteria that is on the skin that causes breakouts.

At the cellular level, Accutane encourages healing in four different ways. The first is the reduction to the size to the sebaceous glands by 30 to 60 percent. This decreases the amount oil that is produced by almost 80%. A more controlled oil production decreases the likelihood of infections and breakouts, also reducing the presences of acne causing bacteria. It also works to slow the production of new skin cells in the pores, this helps to decrease the likelihood of clogs which can lead to acne. Finally, it works as an anti-inflammatory agent to lessen the swelling and the irritation that is caused by forming acne.

does it really alter the dna?

any studies to show this?