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Onimal wrote on 17 February 2012 - 11:40 PM:
Your vitamins and nutrients effects your hormones Normally hormonal induce acne affect the neck, back and chest aswell, do you have it there? If it's hormonal a few bolus of Vitamin B5 would help, it's a water soluble vitamin so you'd need a very high concentration, I recommend 10g. Vitamin B5 increases progesterone thus inhibits 5-alpha reductase and DHT. Since you've already tried accutane which is a derivative of vitamin A, I doubt vitamin A supplementation is going to be effective, since you'd need a bolus of that to equal a small dose of accutane.
Facial acne in isolation without neck/back/chest is usually due to food intolerances/sensitivity with most dairy products being a culprit, along with refined carbohydrates, both of which cause large insulmeic response raising inaddition to raising IGF-1. Sugar also changes the saturate fatty acid composition of your skin. Transdermal vitamin B3 seems to help facial but not neck/back/chest acne. Do I even need to talk about caffeine, trans fat and alcohol?
Fish oil and Vitamin D3 are both anti-inflammatory which does seem to correct deficiencies in most people aswell as reducing outbreaks. Low quality sleep, stress, poor diet too many toxins and not enough nutrients tend to aggravate spots.
Hydroquinone with alpha hydroxy acids might work for skin depigmentation.
Or if you prefer the laser route
Onimal wrote on 18 February 2012 - 06:20 AM:
After watching your acne story, everything seems a lot clearer now. Considering that your not hormonally blessed my do it yourself strategy probably won't do jack. You maybe right about PCOS and low progesterone, which is something that supplement and lifestyle can't address, bummer
Onimal wrote on 18 February 2012 - 07:21 AM:
My post is nothing compare to the thread you dedicated. You must be very hard working and committed if your doing medicine. Btw do you eat a lot of vegetables?
Just asking since your before picture seem to have this golden glow.
Onimal wrote on 18 February 2012 - 11:01 AM:
Maybe we should encourage a holistic approach to treating acne as well as benefiting overall skin health. Hopefully this would liven the thread inaddition to providing incentives for acne amelioration along with healthy aesthetics.
I believe most people on viewing this thread have mild acne and they're looking for easy one step solutions that they could do at home without profession consultation and treatment. Hence, why I emphasise OTC vitamins, supplements and life style approaches. For people with severe acne and hormonal imbalances I doubt I could help them with their acne without knowing much of this field. Although I still feel we shouldn't over look a healthy lifestyle due to additional benefits it brings in regards to overall skin health.
Here's a start:
More vegetables, carotenoids improve skim complexion, another reason to eat your vegetables.
Beauty sleep promotes facial rejuvenation and circulation, something totally ignored these days.
Too much refined carb and sugar ages the skin, so it not only bad for the belly but the skin too.
I should layoff pubmed and science paper from now on.
YolieP wrote on 19 February 2012 - 03:54 PM:
Lately what's keeping my face stay clear is just using Benzoyl Peroxide 10% (from Clearasil) all over my face. But just a thin film that you can't even tell I have any cream on my face. Ah and Tamanu Oil cause I read that it's really good for the skin and helps with the scarring too. So far it hasn't broke me out or anything bad. And I just wash my face with an all natural ingredient soap...I don't know if they sell it anywhere else that isn't in my country...plus I forgot what it's even called lol. But I'm happy that I finally found something to wash my face with that doesn't make it worse. And hopefully this benzoyl peroxide and tamanu oil regime keeps working forever LOL. It isn't bad to use BP everyday right?
amberlights wrote on 20 February 2012 - 06:30 AM:
hi i hope you can help me with a scar a have :X
at the start of 2012 i began to develop a really deep pimple near my left jawline and it lasted quite a long time. it didnt look too bad as it was really deep and it wasnt red. however, it began to reach the surface of my skin in february and thats when i began picking at it. (sorry!!!)
at this moment its scarred with a small lump and an ice pick scar in the centre with a purplish colour to it. im afraid that the scar might be a permanent hypertrophic scar with the purplish tint and its been bugging me for quite some time. i dont mind the ice pick being there as long as the surrounding hypertrophic tissue goes away!!
do you have any tips or anything to share to help me get rid of it?' thanks a lot
Onimal wrote on 20 February 2012 - 03:27 PM:
It's cool with me, I understand that your very busy training to become a good doctor, nor do I want to talk about holistic health care for now.
Ok I've had some time to be more familiar with PCOS, which was very interesting learning experiance to me, the geek within me loves endocrinology
Apparently PCOS is caused by insulin resistance and I'll let the diagram explain.
For more info check this out
Insulin resistance along with carbohydrates leads to excessive insulin and Insulin like growth factor-1 out put along with the higher DHT and lower progesterone level to promote acne. Just to clarify I'm not saying all PCOS have acne or high insulin & IGF-1/high DHT/low progesterone but there is a increased tendency.
You don't even need to have cysts to be PCOS just excessive insulin output and insulin sensitive ovaries which leads to a whole new hormonal cascade
Onimal wrote on 20 February 2012 - 04:17 PM:
It's certainly very difficult to alter in situ ovary insulin sensitivity with a systemic insulin resistance. I haven't stated its all insulin, but it's the major factor in the root cause, not to be rude either. The ovary insulin sensitivity/systemic insulin resistance ratio doesn't go away even if you do change your diet, an analogy of this is that a diabetic going on a low-carb diet doesn't cure diabetes, it's merely masking the symptom of the disease by side stepping the high blood glucose. As soon as the high carbs diets is back they'd have high blood glucose because they're still diabetic.
Stop over thinking, your pulling too many straw mans in the last few posts, most of which is not what you think I imply.
Onimal wrote on 21 February 2012 - 07:49 AM:
First off I admire your passion for these issues, and I believe that you have great devotion for helping people cope with acne, which is a reflection of your career as doctor who truly cares. The blogs, thread and video that are loaded with your sound advice, experience and encouragement that shows your commitment.
To be honest it's mutually uncomfortable for you to think of me that way. On the other hand I do have to admit, my first three post has indeed came out as great peeves prior to viewing the blogs and videos. Unfortunately this gave me the vibe of your defensiveness, after observing some of your rebuttals pulling straw mans in addition to sarcastic comments. I do agree with some of it as there were some very valid points of criticisms, it's just that when I talk about the general context, it's obviously doesn't applies to specific contexts with different settings. I could comprehend why I might seem passively aggressive towards you after the bad start, to be fair I couldn't really blame you based on your position, after all this is a sensitive topic especially since you were a long term sufferer.
Lastly my purpose here is not to be maligning you or other people, I don't really mean to make a stir. I've tried to keep this thread peaceful from refraining to enter a destructive debate. I haven't refuted your assertions; some of which were insignificant in detail that'd be petty for me to rebutt, nor did I doubt you experience or challenging your knowledge when I show a few of my findings. If you want a constructive debate on let's say "the causes of acne", I'm willing to challenge you in substance and detail. Although this isn't my field, I have had a chance to go through some dermatologist papers to familiarise myself over the weekend,I have a few key points that I'd like to mention. If you want I could just PM my hypothesis to you so could decide whether to add on some of it to your next video. You could always refuse and say no.
Eventhough there's obviously too much testosterone around for comfort, but unlike you I could still enjoy it's raging presence. Granted I am a guy after all, but don't let this ruin your thread, you shouldn't need to close it.