Is purging real with this or not??

I keep seeing such mixed messaging on purging with spiro. I’ve been having worse breakouts since I started, progressively worse and worse (I’m on week 7.5). My doctors tell me purging isnt a thing with this - some users here say it’s also not real, but others do seem to have gone through a “worse before it’s better” period… so I’m confused, which is it???