I would advise you to use just one multivitamin per day and add karela to your diet in the form of juice or as the vegetable in your meals. Since you noticed the breakout a the point of starting Spirulinia then it would be best to avoid it. For the breakout of pimples on your face do the following: - Use an antihistmaine - Clean your face with a balanced pH face wash - Wash your hands properly and avoid touching your face - Dry oil from the face when it begins to accumulate - If there is pain over the pimples then you'll require an antibiotic. If there is further worsening and no improvement visit a dermatoloist