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The reviewer, Ellie, mentioned that she hasn't used the Derma E Pure Biome Balancing Cream enough to give a comprehensive review. However, she did mention a few key points. Firstly, she noted that the cream did not cause any breakouts on her skin, which is a positive aspect. However, she also mentioned that it was not super hydrating and caused some patchiness when used during the day. Ellie mentioned that she will keep the cream around because it has good ingredients and is a natural option. She also acknowledged that sometimes it takes longer to see the full effects of such products. Overall, Ellie's review suggests that the Derma E Pure Biome Balancing Cream is a decent option for those looking for a natural skincare product that doesn't cause breakouts, but it may not provide intense hydration.