I had another light-bulb moment last weekend. After I did my shot, I quit smoking after 13 and a half years of intense, a-pack-a-day smoking. So this friend of mine was telling me that she would like to quit smoking as I have, but she often got acne when she tried to quit in the past, and that she was hesitant because of that, AND then it hit me: I was not really getting the HRT-related acne, but just post-quitting-smoking acne. For all you smokers out there - if you get on the HRT and quit smoking simultaneously, you're gonna get TONS of acne, within a week's time of the HRT commencement. And it's going to be real bad.