To get rid of the "acne" on your shoulders and upper back, it is recommended to visit a pharmacy to show the lesions to a pharmacist in person. The pharmacist will be able to recommend the right product based on their observations. There are several over-the-counter products (such as creams or lotions) available for treating different types of acne depending on the cause. If the pharmacist believes that the situation requires medical evaluation, they will advise you accordingly.
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