Since I cannot easily get ACE/diamox will be trying high dose thiamine with B vits, K and Mg electrolyte co-factors. Read some info on accutane that it causes severe thiamine deficiencies and therefore reduces the pentose pathway production of NADPH. Complete saturating the system with B1 seems to be the course to healing this, 1,500mg/day dosages. Not sure for how long though? 1 week, 1 month...
I have oily skin issues that are stopped by high dose pantothenic acid(used long time ago) or malic acid both which seem to increase NADPH production in the Krebs cycle. Hopefully B1 will get the pentose pathway production of NADPH back online. Read that the bulk of our NADPH production(60%) should be completed in the pentose pathway.
Thanks for the info this post too;
https://hackstasis.com/threads/pssd-proposed-solution.205/post-3445