This graphic novel was completely not what I was expecting. The A stands for both acme as well as Ace or asexual. Most of the book deals with an eighth grade Jay that has pretty severe acne. They were some of the last people to get acne in their school. They just want it gone and they go to a doctor and go on a very trying regiment to make it all go away. Throughout the eighth grade year, the class schedule, the changing of friends, and the effects of the medication, life is hard. Sometimes it’s the hardships that a personal growth. I quite enjoyed this story and watching the character grow up. I liked watching them except themselves and discover that they are ace. I even liked their concerns over their acne and how it affected their self-worth. This is something I think many students would feel and understand which would make it a great book for any middle and high school to have.