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"been on for a few years" and "i'm down to 150" don't go together..
you were 177 while on??? I hope you're shorter tha 5' 6" and shredded. Obviously you didn't use PCT evectively or at all if you lost that much mass, or you just weren't on any anti-e's for water bloat during the cycle.
Accutane is something I think you should actually go to a doctor for, it's quite a bit more dangerous than steroids (when used properly) I'm on tane' from my derm and he does monthly blood work for me to check my liver and cholesterol. You could even try and antibiotic such as bactrim first to see if that helps.