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ACNE DIET, CLEANSING & LEAKY GUT SYNDROME RESOURCE GUIDE


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#1 SweetJade1980

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Posted 18 June 2006 - 07:53 PM

To All,

I've grown tired of the cynical debates, enjoyed the positive discussions, loved the research, heard the questions, sympathized with the confusion, felt the pain, and finally decided to compile a Resource Guide.

I hope that for those of you with questions, especially the Newbies, you will look to this guide as one of your references.

Now first of all, this is a guide dealing with the development of acne, how diet can play a role, and how leaky gut syndrome (intestinal hyperpermeability) may be at the base of it.

This is NOT a guide discussing or debating "healthy" or why there "isn't enough supportive evidence" to make this a valid form of treatment!

This guide will provide information, tips, support, options, and other resources and tools necessary in order to make following an individualized Acne Diet and/or healing your Leaky Gut a less confusing, HEALTHY, and fun transition.

Furthermore, aside from a few key threads, this will be a predominantly focused on solutions . Answers to what foods to eat, what diets to follow, what tests to take, gut healing regimens etc. There will also be a links section for anyone searching for more in-depth information on this board or elsewhere.

Of course I would greatly appreciate it if any of you (especially you cleansing & healing gurus) that are currently following a specific diet or holistic regimen, that has not been mentioned yet, to chime in and share the following:

Do's & Don'ts of the Diet
(Brief History of the diet)
Customized Diet Regimen
Gut Healing Regimen
Personal Testimony
Etc

As a forewarning, negative comments and arguments about these methods may be edited or removed! This is a positive energy and supportive thread, A Safe Haven, and ALL are welcome to participate if keeping the above in mind. This thread will deal in the possibilities and capabilities of a new improved lifestyle instead of continually focusing on the cants.

I acknowledge that there are different levels of "healthy", but for reasons of sanity and affordablity this thread will be focused on a certain level of healthy in regards to obtaining the proper amount of nutrition & variety while keeping in mind an individual's diet. Please be aware when speaking of your own diet or holistic regimen that you don't downplay what works for someone else.

Finally, I've come to realize that one of the biggest obstacles regarding an improved lifestyle is that a percentage of us have no clue what's sold in the produce isle! No clue as to how to pick produce, let alone how to properly prepare them and cook them. No clue just how many different kinds of food exist in the world in comparison to what their current diet consists of. Nor do people FULLY realize that when one door closes several more open. Hopefully this thread will awaken more of you to just how much more you really DO have as a result!


Peace & Love!
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#2 SweetJade1980

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Posted 18 June 2006 - 08:16 PM

EXPLANATIONS, EXPLANATIONS, EXPLANATIONS



Part A: Links of Significance

For those of you that like to debate, are looking for answers, or are curious about other's experiences, these threads may be of interest:




TESTIMONIES


"My Experience with Diet and Acne"
http://www.acne.org/...showtopic=20816

"Raise a Hand If you Don't Get the Diet-Acne Connection"
http://www.acne.org/...showtopic=57408


INFORMATION


Detecting Food Allergies
http://www.acne.org/...howtopic=101599

"Official" Diet-Acne Articles Thread
http://www.acne.org/...showtopic=77931

Accupuncuture for Acne
http://www.acne.org/...howtopic=102952


SUPPLEMENTS


The Wonders of Broccoli (Pills)!
http://www.acne.org/...showtopic=94583


PRESCRIPTIONS


P. Acnes & Acne (anti-antibiotics)
http://www.acne.org/...howtopic=100401


LIVER & INTESTINAL HEALING


"My Acne Regimen" (Diet, Liver & Blood Cleansing)
http://www.acne.org/...showtopic=47719

Cure Acne Naturally, by Sepsi (free book)
http://www.acne.org/...showtopic=97808


DIETS


Gluten & Acne
http://www.acne.org/...howtopic=100963


RECIPES/MEAL IDEAS


"Healthy Meal Ideas"
http://www.acne.org/...howtopic=100794

"If all this causes Acne...what is left to eat"
http://www.acne.org/...howtopic=100079

"Going Shopping"
http://www.acne.org/...showtopic=99588


I'll skim through the board and post others of interest. Of course, if you find a thread that is a must have, please post the link!


-------------------------------------------------------------------------------------



Part B: Chronic Silent Inflammation

Acne is an Inflammatory Skin Disease


Please do not let this title deter you from thinking that acne is not genetic, that acne is not hormonal, that acne is not a form of skin diabetes, etc. These are ALL true...it's just that currently the evidence points to what's activating the acne, causing the hormonal disorder, skin diabetes, insulin resistance, etc is due to Subclinical (no obvious outward signs) Long-term Inflammation.

Ever wondered why certain drugs are prescribed for acne?

Why Accutane or Antibiotics are probably the most prescribed methods of treatment for acne sufferers?

Ever wonder why if acne is caused by a bacteria, why you would be prescibed Accutane, or Spironolactone or Birth Control, when NONE of these kill bacteria?

Ever wondered if the problem has to do with androgens, WHY are the dermatologists still prescibing antibiotics....long-term?

Acne has been called an Inflammatory Skin Disease for decades. Based on available articles, science and the medical community have known about some of these immunological events preceeding two specific immune responses (Type III & Type IV) which initiate the inflammatory events found in the development of acne since the 1970s! As a response to this inflammation, antibiotics was chosen as one of the first methods to fight against this in acne eusa_doh.gif

Unfortunately, due to the past and present mindset of certain doctors and scientists, a percentage of us are worse off because of it either mentally (people still think it's about bacteria or sebum) or at least physically, thanks to developing some of the known side effects of antibiotics. eusa_naughty.gif

Now, after reading numerous scientific articles/abstracts what I've noticed is that antibiotics do indeed work to kill certain types of inflammation. Antibiotics are used:

To kill the inflammation that clogged the pores and then to kill the inflammation caused by overgrown TRAPPED bacteria!

This is why it's continually prescribed for acne, except these SAME sources of inflammation can be inhibited or prevented, in acne sufferers, by using:

* Anti-fungals (and they don't kill p.acnes)

* Anti-parasitics

* NAC

* ALA

* Green, White, Red Tea

* Boswellia

* among other HIGH powered antioxidants



Not to mention, this includes a host of other drugs or topicals used in the treatment of acne. Omega 3s are obviously anti-inflammatory. AHAs (Glycolic, Mandelic, etc) are anti-inflammatories. Salicylic Acid/BHA is an anti-inflammtory. Retinoids and Accutane are anti-inflammatories. Benzoyl Peroxide is an anti-inflammatory. Hydrocortisone and Glucocorticoids (to a point) are anti-inflammatory. Tylenol, Asprin, & Motrin which some members use (and SHOULDN'T) are anti-inflammatories. B5 Therapy...Anti-inflammatory..........

The list goes on, some do it directly and others indirectly by inhibiting or regulating our ability, in some way, to make inflammatory products! Most of these drugs, topicals, supplements, as well as specialized diets also have other abilities and due to this, or the fact that some have stronger anti-inflammatory properties, make certain "treatments" a better choice than other methods based on an individuals circumstances.

Now, the above list of supplements, which are usually antioxidants, and some of these drugs, and certain diets, can multitask by lowering our testosterone levels, our IGF-1 levels, and boosting our Glutathione Levels, or SOD levels, and our PGE1 Anti-inflammatory Prostaglandins, among other things.



Chronic inflammation can cause biochemical imbalances and those biochemical imbalances can cause (further) inflammation! eusa_think.gif




When I speak of inflammation, with regards to acne sufferers, I'm referring to biomolecules such as:

* Histamine

* Free Radicals

* ROS - Reactive Oxygen Species

* PGE2- Proinflammatory Prostaglandins

* Leukotriene B4

* Cytokines (Interleukines 1 - 12a/b sometimes, TNF-a/Tumor Necrosis Factor-a, etc)

* NO - Nitric Oxide

* Peroxide (from lysed PMN/Polymorphonuclear leukocytes (white blood cells/neutrophils))

* Lactic Acid

* PPAR beta/delta - Peroxisome Proliferator Activated Receptors beta/delta

* Substance P

etc...



Like for me to back up back up my statements? Read on!



QUOTE
Skinmed. 2003 Jul-Aug;2(4):222-8. Related Articles, Links


Assessment of etiologic agents in acne pathogenesis.

Burkhart CN, Gottwald L.

The Department of Microbiology, Medical College of Ohio at Toledo, Toledo, OH 43623, USA. cburkhart@mco.edu

Acne is a chronic inflammatory disease of the pilosebaceous units. Traditional etiologic factors include increased sebum production, ductal hyperkeratosis, abnormality of the microbial flora within the pilosebaceous unit, and mediators of inflammation. Recent developments do not refute these familial elements, but rather refine particular aspects. Interleukin-1a influences hypercornification of the infundibulum as well as the inflammatory response by inducing the production of vascular endothelial growth factor in dermal papilla cells and follicular keratinocytes of the pilosebaceous unit. New retinoids have been developed based on controlling cellular proliferation and differentiation in the pilosebaceous unit by their action on nuclear receptors of cells. Dermal inflammation is not due to presence of bacteria, but from biologically active mediators produced by Propionibacterium acnes. The environment within the pilosebaceous unit is probably more important than the absolute number of P. acnes organisms. Indeed, the major role of the sebaceous gland appears to be supplying P. acnes needed nutrients. Moreover, the microbiologic principle of biofilms appears to be applicable to P. acnes in acne.

Publication Types:
Review

PMID: 14673275

(Thankfully further studies refine THIS study as well)


QUOTE


Rev Med Chir Soc Med Nat Iasi. 2004 Apr-Jun;108(2):319-24. Related Articles, Links


[Immunohistochemical evidence of chronic inflammation in acne vulgaris]

[Article in Romanian]

Branisteanu D, Cianga C, Cianga P, Petrescu Z, Carasevici E.

Universitatea de Medicina si Farmacie Gr.T. Popa Iasi, Facultatea de Medicina, Clinica Dermatologica.

The etiology and pathogenesis of acne vulgaris are not yet completely understood. Therefore we have investigated 5 patients with different clinical forms of disease, including the rare form of acne fulminans. Taking into consideration the four factors that are currently incriminated in the development of acne, sebaceous hypersecretion, hyperkeratosis of the pilosebaceous infundibulum, bacterial colonisation and perifollicular inflammation, we have focused our study on a set of cells involved in the chronic inflammatory process. We have evidenced by immunohistochemistry methods, using appropriate monoclonal antibodies, the presence of T lymphocytes and macrophages, while the B cells could be evidenced only in the severe forms. We were also interested to investigate the occurrence of new capillary formation, as an accompanying phenomenon of the inflammatory process. The presence and histological distribution of these cells highly supports the hypothesis that the mechanisms underlying the development of acne vulgaris belong to the Delayed Type Hypersensitivity.

PMID: 15688807 http://www.ncbi.nlm....l=pubmed_docsum


(This was one I had been looking to post again for awhile and I thought they had removed this article! This is a Type IV Hypersensitivity Reaction and was a key part of my arguement for WHY, sometimes, there's such a huge variance among the anti-inflammatory/anti-acne diets.)


QUOTE
Acta Dermatovenerol Alp Panonica Adriat. 2005 Jun;14(2):39-42. Related Articles, Links


Superoxide dismutase and myeloperoxidase activities in polymorphonuclear leukocytes in acne vulgaris.

Kurutas EB, Arican O, Sasmaz S.

KSU Medical Faculty, Department of Biochemistry, TR-46000 Kahramanmaras, Turkey.

BACKGROUND AND DESIGN: Acne vulgaris frequently occurs in the second decade of life. The pathogenesis of the disease is multifactorial and in the present study, we aimed to investigate the role of reactive oxygen species in the inflammation of acne by determining the activities of myeloperoxidase (MPO) and superoxide dismutase (SOD) in polymorphonuclear leukocytes (PMN).

MATERIALS AND METHODS: Forty-three patients with acne vulgaris and 24 healthy controls were enrolled. The severity of the acne was categorized from mild (subjects with only comedonic lesions) to severe (subjects with nodulocystic lesions). SOD and MPO activities in PMN were measured spectrophotometrically.

RESULTS: There was no significant difference in the activity of MPO between the patients and controls.However, SOD activity in PMN was significantly lower in the patients than in the controls (p<0.001). Nocorrelation was detected between the activities of enzymes and the severity of the disease.

CONCLUSION: Propionibacterium acnes may not play a primary role in the pathogenesis of acne as a bacterium. However, the low activity of SOD in PMN may be responsible for the increased levels of superoxide anion radicals in the epidermis. New anti-acne drugs should include substances with lymphocyte stimulating and anti-oxidative properties.
PMID: 16001098 [PubMed - indexed for MEDLINE]
http://www.mf.uni-lj...-apa-05-2/1.pdf (full text)



And excerpts from "What is the pathogenesis for acne?"

QUOTE
Zouboulis CC, Eady A, Philpott M, Goldsmith LA, Orfanos C, Cunliffe WC
Rosenfield R. What is the pathogenesis of acne?

Exp Dermatol 2005: 14: 143–152. # Blackwell Munksgaard, 2005

Abstract: For a long time, the mantra of acne pathogenesis debates has been that
acne vulgaris lesions develop when (supposedly largely androgen-mediated)
increased sebum production, ductal hypercornification, and propionibacteria come
together with local inflammatory process in the unlucky affected individual. And
yet, the exact sequence, precise interdependence, and choreography of pathogenic
events in acne, especially the ‘match that lights the fire’ have remained surprisingly
unclear
, despite the venerable tradition of acne research over the past century.

However, exciting recent progress in this – conceptually long somewhat stagnant, yet
clinically, psychologically, and socioeconomically highly relevant – everyday battlefield
of skin pathology encourages one to critically revisit conventional concepts of acne
pathogenesis. Also, this provides a good opportunity for defining more sharply key
open questions and intriguing acne characteritics whose underlying biological basis has
far too long remained uninvestigated
, and to emphasize promising new acne research
avenues off-the-beaten-track – in the hope of promoting the corresponding
development of innovative strategies for acne management.



QUOTE

Inflammatory signalling is involved in the initiation
of acne lesions


Hyperproliferation of the follicular epithelium leads to formation
of microcomedones, which are the first acne lesions and
can be found in normal-looking skin
(23). The sebaceous
follicle undergoes a cycling process which may explain a natural
resolution of microcomedones and also comedones and,
on a longer term, the resolution of the disease itself (24)
(Fig. 1). The very early stage of acne lesion development,
namely the beginning of microcomedones, is associated with
vascular endothelial-cell activation and involvement of inflammatory
events (25) which corroborates the suggestion that acne
may represent a genuine inflammatory disorder without involvement
of bacteria in its initiation
(26).

Similar results have been reported by Ingham et al. (27) who found bioactive interleukin
(IL)-1a-like material in the majority of open acne comedones
from untreated acne patients. There was no correlation
between levels of any cytokine, in particular IL-1a, and the
numbers of follicular microorganisms.
It seems that healthy
sebaceous glands also express various cytokines. In our laboratories,
we stressed sebocytes in vitro by maintaining them in
serum-free medium and detected IL-1a expression at the
mRNA and protein levels
(28). Antilla et al. (29) showed that
IL-1 is present in normal sebaceous glands and Boehm et al.
(30) detected mRNA for IL-1a, IL-1b, and tumor necrosis
factor-a
in normal sebaceous glands by in situ hybridization.
Interestingly, IL-1a induced hyperproliferation of follicular
keratinocytes in isolated sebaceous follicle infundibula maintained
ex vivo (31).

Which factors interrupt cycling of the sebaceous
follicle?


Overstimulation of the initiation of the preclinical inflammatory
process or defect negative feedback regulation may be major
reasons for the interruption of the normal cycling of the sebaceous
follicle and be responsible for the initiation of the clinical
inflammatory process in acne (Fig. 1). As mentioned above, hereditary
factors and excess androgen activity, e.g. in puberty, may
cause overstimulation, thus triggering sterile inflammatory phenomena

(Fig. 2). Neuroendocrinologic regulation and environmental
factors, such as dietary lipids and smoking, have also
been suggested to represent trigger mechanisms
.

Role of neuropeptides for regulation of clinical
inflammation in acne


There is current evidence that regulatory neuropeptides with
hormonal and non-hormonal activity may control the development
of clinical inflammation in acne. Numerous substance P
immunoreactive nerve fibers were detected in close apposition to
the sebaceous glands, and expression of the substance P-inactivating
enzyme neutral endopeptidase was observed within sebaceous
germinative cells of acne patients (32). In vitro experiments
using an organ culture system demonstrated that substance P induced
expression of neutral endopeptidase in sebaceous glands
in a dose-dependent manner. On the other hand, treatment of
sebocytes with IL-1b which resulted in marked increase of IL-8
release (33) was partially blocked by co-incubation of the cells
with a-melanocyte-stimulating hormone in a dose-dependent
manner (34). Corticotrophin-releasing hormone induces the
synthesis of sebaceous lipids in vitro (33), and adrenocorticotropic
hormone
evokes adrenal dehydroepiandrosterone [DHEA androgen] to regulate skin
inflammation (35). These current findings indicate that central
(36) or topical stress (33,37) may, indeed, influence the feedback
regulation, thus inducing the development of clinical inflammation
in early acne lesions
.

Dietary lipids and inflammatory process in acne

Topically applied linoleic acid was shown to induce an almost
25% reduction in the overall size of microcomedones over a
1-month treatment period
(38). On the other hand, arachidonic
acid, an essential, long-chain, pro-inflammatory o-6 fatty acid,
stimulates IL-8 and IL-6 synthesis in cultured human sebocytes
(39) and enhances synthesis of sebaceous lipids
(21). Leukotriene
B4
inhibition in vivo reduces concomitantly pro-inflammatory
sebaceous fatty acids and inflammatory acne lesions (22).
Inuit
Eskimos, the inhabitants of the Okinawa island and Chinese have
been observed to develop acne with the changing of their nutrition
habits (20,40,41). Westernized nutrition includes low
amounts of o-3-fatty acids and antioxidant vitamins and higher
amounts of the pro-inflammatory o-6 and trans-fatty acids. The
ratio o-6/o-3 fatty acids in westernized nutrition is 20 : 1, in
contrast to a 1 : 1 ratio in traditional nutrition
(42).
Overall, the role of nutrition in acne still remains controversial. A
current study reported that the Kitavan islanders of Papua New
Guinea and the Ache hunter-gatherers of Paraguay do not present
acne (43), however, other authors suggested that these population
studies may have detected a genetic background rather than a nutritional
effect (44).

Smoking and acne

Smoking was currently reported to be a clinically important
contributor to acne prevalence and severity (45). Recent investigations
revealed that cigarette smoke contains high amounts of
arachidonic acid and polycyclic aromatic hydrocarbons which
induce a phospholipase A2-dependent inflammatory pathway
(46); this effect may further stimulate arachidonic acid synthesis
(37). On the other hand, smokers have a higher saturated fat
intake with their food and much lower polyunsaturated fat
intake, principally due to a lower linoleic acid intake compared
with nonsmokers
(47).

Are Propionibacterium acnes (P. acnes) and tolllike
receptors involved in the initiation of acne
lesions?


Toll-like receptors 2 and 4 as well as CD14 are expressed in
human monocytes. Chemokine/cytokine synthesis in these cells
is induced through activation of Toll-like receptor 2 by P. acnes
(48). These findings in combination with the expression of active
Toll-like receptors 2 and 4 and of CD14 in human keratinocytes
(49) have implicated P. acnes and Toll-like receptors in acne
inflammation. However, P. acnes was unable to induce IL-1a
expression in human keratinocytes in vitro (50), therefore,
P. acnes seems to induce later events not being involved in
the initiation of acne lesions.
The successful therapeutic
action of antibiotics
in acne has been attributed to an antibacterial
activity but it may also be seen as a para-antibiotic,
anti-inflammatory effect
.

Conclusion

Acne vulgaris is likely to be a genuine inflammatory disease with
androgens, PPAR ligands, regulatory neuropeptides, and environmental
factors
being agents able to interrupt the natural
cycling of the sebaceous follicles and lead microcomedones to
form comedones and inflammatory lesions
(Figs. 1 and 2). Proinflammatory
lipids and chemokines/cytokines seem to act as
mediators for the initiation of acne lesions.
P. acnes is not initially
involved but may mediate later inflammatory events leading to
worsening of the lesions.
This concept of acne pathogenesis may be controversially discussed,
however, it initiates a fruitful discussion for better understanding
this most common disease.

http://www.blackwell.../cont_feb05.pdf Full Text


(Funny Splenda/Sucralose is a Chlorinated/Halogenated Polycyclic Aromatic Hydrocarbon (LabGirl, True or False) and based on reports on this board as well as on the web, just as with Dioxin, it is capable of increasing acne in those prone and initiating acne in those not prone.)



Therefore, while inflammation is at play, it's obvious P.acnes doesn't play a PRIMARY role, otherwise why the use of RetinA, Accutane, Spironolactone, other antiandrogens, anti-fungals, and Insulin Sensitizers (some are PPAR-gammas), etc???

Yes, they all work to kill some aspect of the inflammatory process, which in turn, or in conjunction, allows them to also regulate blood sugar, regulate androgen production, regulate IGF-1 production, etc.

Now, if we can all begin to think of acne as an inflammatory skin disease first, and for now everything else about it second, we can move on to figuring out WHAT we need to do to trace the source of inflammation and HOW to stop it!

Peace eusa_angel.gif
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#3 SweetJade1980

SweetJade1980

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Posted 18 June 2006 - 09:03 PM

Place Holder
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#4 R.S.

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Posted 18 June 2006 - 09:23 PM

Gut Healing Regimen
- Avoid foods that you are allergic to: these will directly contribute to inflammation.
- Avoid overeating; this will burden your liver, digestive system, and the rest of your body as a whole.
- L-Glutamine is possibly the most important supplement to heal a leaky gut. Start off with 2 grams a day and work your way up. It is directly involved in maintaining thickness of the gut.
- MSM has also been suggested for leaky gut protocol; it is said to promote healing with new healthy tissue, promote detoxification, rid the body of any intestinal parasites that are holding on to the walls of your gut by competing for receptor sites, and lessen food allergies. A lot of this is theory and not confirmed by clinical trials - nonetheless, it's a noted component of leaky gut healing by many.
- Colostrum helps heal a leaky gut, but it is also dairy and contains IGF-1. It is said to have factors which help the digestive tract redevelop itself as well as immune boosting properties which help ward off unwanted bacterias.
- Probiotics can cause skin rashes in severe cases of leaky gut. If no bad effects are noticed, large amounts of probiots should be taken to boost the "good guys".
- Omega-3's are also said to help, probably due to their ability to lessen inflammation.
- Antioxidants like vitamin C promote healing.

http://www.drkaslow..../leaky_gut.html
http://www.nutri-not...pr98_simple.htm
topical:
tea tree oil soap.
qh mint julep mask.
hydrogen peroxide for occassional spot treatment.
shaving for exfoliation.
internally:
fish oil, 3g daily.

#5 carmarthenshire

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Posted 19 June 2006 - 02:01 PM

I have just been tested for foods and I have had bad news!!! (I have acne but aint that bad just constant)
I have to stay off wheat
milk
sugar
pork
cod liver oil
washing powder(need natural type/special one)
etc
I am gutted she told me my body is sensitive to these items and worse of all alcohol, how can I live please helpppppppppppppp

#6 SweetJade1980

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Posted 20 June 2006 - 12:44 PM

QUOTE(carmarthenshire @ Jun 19 2006, 02:01 PM) View Post

I have just been tested for foods and I have had bad news!!! (I have acne but aint that bad just constant)
I have to stay off wheat
milk
sugar
pork
cod liver oil
washing powder(need natural type/special one)
etc
I am gutted she told me my body is sensitive to these items and worse of all alcohol, how can I live please helpppppppppppppp



Well I do thank you for sharing your story. I am sorry to hear that you are sensitive to several main staples. cry.gif However, do you know what type of test you took? Was it an Allergy Test or a Food, Chemical, Drug Intolerance Test? The difference would be in the antibodies the test was looking for (IgE, IgG, etc). Do you remember? Do you have your test results? What exactly does "etc." mean, what else are you sensitive to?

As for how you can live....by avoiding what you are supposed to! This may aid you in clearing your skin, but most importantly this will stop the silent inflammatory response that is going on inside and hopefully heal any health or hormonal problems or signs & symptoms you may be experiencing. Of course you can live by eating plenty of other foods!

First of all, LOL, this really isn't the most important thing, but you should find out why you can't have alcohol. Is it because alcohol is a fermented product? Or because certain types of alcohol are made from grains, such as wheat, for which you aren't allowed to consume anymore? If you can find out why....perhaps there's still a way for you to have certain types!

Hopefully before the week is over or definately during my 4 day weekend biggrin.gif (before I head off to summer school), I'll post a few more items for all of you. I'm hoping to put up some diets as well as few book reviews that will hopefully allow you guys to have a calmer and more fulfilled life. In the mean time, some things for you to be aware of:


Look for Food Packaging or Labels that are say:

* Wheat Free or Gluten Free (wheat, barley, rye and certain grain relatives).

* Casien Free, Whey Free, Lactose Free, Milk Free, or Dairy Free. All of these are milk products (incl. yogurt, ice cream, cheese, butter) and you may be affected by them. You may also want to look for foods that are labeled Vegan because this will mean it's also dairy free!

* "Sugar" (and other sweetners): Sugar is in practically everything. Lots of traditional deli meats and lunch meats use at least one type of sugar sweetner. No more sodas, or non 100% fruit juice. Sauces and Seasoning blends have their share too. Well you learn....but there a ways around this and there are seasonings, sauces, drinks, and lunchmeats you can have (natural/organic no wheat or sugar i.e. Shelton Farms), for example.

- White Sugar/Table Sugar/Sucrose/Beet Sugar/Sucanat/Rapidura/Cane Juice/Cane Syrup

- Brown Sugar/Muscovado.....Molasses

- Glucose/Dextrose

- Fructose/Levulose (Fructose + Glucose = Sugar/Sucrose), High Fructose Corn Syrup, Honey, Agave Nectar

- Brown Rice Syrup
(You should find out if it's only sugar or other types of natural sweeteners as well)

Don't be fooled by products that are labeled "Sugar Free" or "No Sugar Added" this usually means that they've added an artificial sweetner for which some people can have problems with such as headaches and other people can get acne from them. However there are other sweeteners that are natural and may not pose a problem for you (i.e. vegetable glycerin, stevia, xylitol)

"Contains Pork" Pork, Bacon, Ham, Spam, maybe even certain Hot dogs.

(Labels may also say what ingredients they contain in BOLD that are the top allergens. This may also help you in avoiding ingredients that you are sensitive to.)


Initially you aren't going to be thrilled with label reading but it may save your life one day! I did it for about a month and got VERY good at it. Most foods at a regular grocery store I can't eat if it's prepackaged/boxed/canned/frozen meals and I can find the ingredients of my concern usually in the time it takes to snap my fingers. I pick up an item and usually put it right back, but every now and then.. some item will surpise me!

What you have to do is learn the art of shopping online, at farmers markets, and natural food stores. This is where you are going to find most of your Wheat-Free, Gluten free, Dairy Free, and Vegan items. All though Walmart is supposed to be labeling their foods Wheat/Gluten Free, they currently haven't changed their recipes in the deli department (i.e. baked chicken) to accomdate (it's sooo easy). Albertsons has started to include Gluten Free Items. If you have a Trader Joes (I don't ) they are supposed to be really good with this stuff. Otherwise I guess you may be looking for a gourmet food store, group co-op natural food store, Whole Foods Market, Sun Harvest, etc.

Honestly, with your test results did you get a list of foods you are able to still eat? Didn't they give you a list of recipes, tips, organizations and other resources in order to help you make this transition? If not, this is also the goal of this thread so please check back again soon. However, to get you started:

Carry your diet in your pocket!
http://www.dietarycard.com/
https://www.menudata.com/


The Wheat-Free Life
http://www.wheat-fre...p/directory/USA
http://www.raleys.co...ntentID=1068009

Unsweetened "Milk" Substitutes
http://www.acne.org/...topic=81707&hl=
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#7 GM888

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Posted 04 July 2006 - 07:48 AM

Hey SweetJade I've been reading your posts for years now but have never registered til now!

Just wanna thank-you so much for what you bring to this board. Thank God there are boards like this and people like you out there, otherwise I'd probably be on accutane again right now...

I went on accutane when I was 17 -18 and my acne has come back every year since then, (I'm 22 now) each time worse than the last, until Ive managed to get each episode under control. I was completely clear for about a year while i was on Spironalactone. I stopped taking it after a year or so because I wasn't comfortable putting drugs in my body.

But it's flared up like crazy once again, I've even taken a month off work so I don't have to stress about make up and so I can just work on healing myself. I understand that this is internal and has a lot to do with diet, but I've struggled with all sorts of eating disorders (anorexia, bulimia, binge eating, the lot!!) in the past. I have an emotional connection with food and I'll try eliminating crappy foods and I'll last two days before going back to eating foods that I know trigger my acne... I am not overweight but do have problems with body image... acne hasn't helped! wink.gif

OK, sorry to ramble, what I want to ask you is this: I'm back on Spironalctone and am getting photo dynamic therapy... I realise I need to change my diet and I've finally made the real commitment to do so. But i'm wondering if taking spiro and having photodynamic therapy will just hinder my efforts for healthy insides... I'm scared to stop these treatments incase I get a worse breakout. I've only been on spiro for 6 weeks and am getting my second PDT treatment tomorrow... Is this drug and treatment doing more damage than good in your opinion?

Do you think I should just stop all my treatments and concentrate on eating right and cleaning out my bowles and liver, among other things??

So sorry for the long post... But you are just fabulous and I really would appreciate your advice. smile.gif

Lots of love,
xxoo Germaine.

#8 SweetJade1980

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Posted 04 July 2006 - 03:33 PM

QUOTE(GM888 @ Jul 4 2006, 07:48 AM) View Post

Hey SweetJade I've been reading your posts for years now but have never registered til now!

Just wanna thank-you so much for what you bring to this board. Thank God there are boards like this and people like you out there, otherwise I'd probably be on accutane again right now...

I went on accutane when I was 17 -18 and my acne has come back every year since then, (I'm 22 now) each time worse than the last, until Ive managed to get each episode under control. I was completely clear for about a year while i was on Spironalactone. I stopped taking it after a year or so because I wasn't comfortable putting drugs in my body.

But it's flared up like crazy once again, I've even taken a month off work so I don't have to stress about make up and so I can just work on healing myself. I understand that this is internal and has a lot to do with diet, but I've struggled with all sorts of eating disorders (anorexia, bulimia, binge eating, the lot!!) in the past. I have an emotional connection with food and I'll try eliminating crappy foods and I'll last two days before going back to eating foods that I know trigger my acne... I am not overweight but do have problems with body image... acne hasn't helped! wink.gif

OK, sorry to ramble, what I want to ask you is this: I'm back on Spironalctone and am getting photo dynamic therapy... I realise I need to change my diet and I've finally made the real commitment to do so. But i'm wondering if taking spiro and having photodynamic therapy will just hinder my efforts for healthy insides... I'm scared to stop these treatments incase I get a worse breakout. I've only been on spiro for 6 weeks and am getting my second PDT treatment tomorrow... Is this drug and treatment doing more damage than good in your opinion?

Do you think I should just stop all my treatments and concentrate on eating right and cleaning out my bowles and liver, among other things??

So sorry for the long post... But you are just fabulous and I really would appreciate your advice. smile.gif

Lots of love,
xxoo Germaine.



Germaine,

Oh please I'm sure if we took a vote, I'd win as being THE queen of long posts, so you have nothing to apologize for!

I'm a proponent for working with doctors in terms of getting the lab tests run for diagnosis, as well as taking prescription drugs if that is neccessary or is your choice.

I don't believe in ceasing prescription drugs or other treatments unless you believe it is hurting you or is no longer neccessary. In which case I hope you will speak with your doctor about reducing and/or ceasing your current regimen.

Based on your experiences it's obvious your acne is hormonally related. I would keep doing everything you are doing, but I would also get a referral to see an Endocrinologist. However, if you get the referral, you will have to go off of Spironolactone for 2 - 3 months because it seems to work well enough for you that it's altering your blood hormones, etc and your baseline lab results may show up negative (for not having a hormonal disorder) indicating that there isn't a problem.

Unfortunately, while I've seen diet work for members with eating disorders, sometimes the eating disorder eventually wins out again. I haven't learned what to do when providing special diet advice for those with eating disorders yet, but my guess is that you have two or three options:

1st Choice:
Get a Diagnosis from an Endocrinoligist. Have a sheet with your acne history, your's & your family's health and hormonal history, and any complications you may be experiencing that may be related. Get a Diagnosis and take the appropriate prescription drugs. If you prefer, you can also take the appropriate supplements in conjunction with the drugs or instead of (speak with your doctor).


2nd Choice:
If you get a diagnosis and it appears to be linked to diet, then you can speak with other members on this board regarding how to deal with food hypersensitivities through detoxing, cleansing, liver flushing etc. This works wonders for some members that had major hypersensitivites, PCOS, IR, Intestinal Hyperpermeability etc so it may work for you. This way, no worries about food and eventually you may be able to go off your medications. Please note, after a series of cleansings, this method is something you will have to do as a maintence maybe 2 - 3x a year depending on how much you enjoy your diet wink.gif


3rd Choice:
If your diagnosis indicates that your hormonal disorder is diet linked and/or this is absolutely the route you want to go, then the best way to do this is with the guidance of a Dietician and through a Food Hypersensitivity Test (see this thread for those possibly relevant for acne http://www.acne.org/...howtopic=101599 ). I can not suggest that you do any of the methods most of us do to save money on this board. Your BEST bet if you are going to do this is to get the blood work run, and find out what foods (or other elements) you are hypersensitive too. Depending on the company you choose (covered by insurance sometimes), you will recieve 3 months - 12 months company provided support. You will recieve 2 or 3 food lists containing: Beneficial/Safe, Unbeneficial/Unsafe, and Neutral food lists. From these lists with the help of your Dietician you will follow the Safe Food list and dabble with the Neutral list and completely ignore any food on the Unsafe list. That way, there isn't much concern for you. You won't have to worry about food or even think about it as long as you follow what's on those lists!

I honestly believe that one of the three are your best routes to go with regards to treating your acne and finding out if you have an undiagnosed hormonal or metabolic disorder. Depending on how persistant some of your symptoms may be your current drug and therapy regimen may be beneficial but at a reduced dose or frequency. Of course, if you do opt to follow one of the last two choices, you may find that spironolactone and PDT is no longer neccessary. Until then I wouldn't be concerned, just keep getting your periodic lab work run to ensure that spiro or the drugs that are prescribed for your pending hormonal disorder, aren't negatively affecting you, and look forward to see a much vaster amount of improvement!

All the best eusa_angel.gif

P.S. What dose of spiro are you one?
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#9 SweetJade1980

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Posted 19 July 2006 - 06:23 PM

OK, I love how everyone has contributed so far....guess I can't feel too bad about not posting as frequently as I had hoped. Summer school, work, etc have got me bogged down but darn it....I REALLY want you guys to have this info so I'm just gonna post it! Read it carefully as there's something in it for some of you...


** My first book reccommendation is for Wellness Foods A to Z **

I chose this book because it shows you PICTURES of food! You find out what a particular food looks like, how to shop for it at a grocery store, how to cook it, and what nutrients it contains. It's a hugh 640 page book and I thinks its definately worth the price!


http://www.amazon.co...0...ce&n=283155



** My 2nd recommendation is for The Natural Diet Solution for PCOS and Infertlility. **

Please DO NOT let this title deter you...if you are or suspect that you are in any way Glucose Intolerant (Insulin Resistant, Type II Diabetic, etc) male or female this may be the book for you. I believe this is especially true for those of you that are having trouble following some of the diets on this board. I don't believe in "one size fits all diets" but this one happens to incorporate a lot of theories out there that some members, perhaps yourself, may have tried. It takes into account, low carbing, acid-alkaline diet, Blood Type Diet/Eat Right 4 Your Type, paleo diet, as well as individual food hypersensitivites (which I still need to cover later). As a result, you end up with a book that's provides a diet that's:

Moderate Carbohydrate
Moderate Protein
Moderate Fat

High in Fiber
High in Fruits & Vegetables

No Refined Sugars
NO Gluten Grains
No Dairy

And some other aspects that I don't wish to give away.... wink.gif

The main thing about this book though is that you can get it as an E-book or as a hard copy Paperback. Personally after owning both versions of the E-book and now owning the Paperback I have to say that if for no other reason the ability to use the recipes....the hard copy is the better option. This book contains 538 pages divided into 17 chapters and includes:

Dozens of areas of information
Section for Vegetarians
Section for Preganant Women
Shopping List
Cooking Tips
30 Day Meal Plan
150+ Recipes (over 100 pages)
Supplement reccommendations
Resources
References
etc

http://www.ovarian-c...s-book-res.html

For the most part it basically contains most things that had I published an ebook would have wanted to include because I feel they are essential for surviving a new dietary lifestyle! {1st 3...} It comes in two different levels, a Reccommended Level and a Maintenance Level. For those curious the Recommended level is what most members including myself are following to some degree through our own trial & errors (via some time of Eliminaiton diet). {people to...} However for those that get the book, you may not have to go through what we went through and the BEST part is that these recipes are soo customized diet friendly! There are recipes for:


Meals
Meat
Seafood
Poultry
Eggs
Soup
Salad
Vegetables
Sauces
Smoothies
Snacks


Oh but what is even BETTER, is that these recipes are 95% Nut free (but you can substitute or leave out) 99% Sweetner-Free (natural or artificial), 100% Grain-Free , 100% Dary-Free, and Trans Fat Free! {contact me...} This book was written inconjunction with a Naturopathic Doctor (her daughter had acne too) so these meals and recipes are so completely healthy and man....the recipes, the sauces...the soups....so yummy! You can read more about the authors and check out the first two chapters here: http://www.ovarian-c...reechapters.pdf

Furthermore, the book also includes information regarding how significant a role exercise can play on reducing insulin resistance! {and will} As well as providing information regarding Insulin Resistance and Leptin Resistance (may explain why some of us aren't underweight while others are overweight with acne-prone skin), and how this disease is now being considered a Chronic Silent Inflammatory Disease and thus where inidividual food hypersensitivities come into play. {hook you up...} ......If you've NEVER tried dieting before and want to! Based on what I've heard from others regarding their diets, and how similar it is to my diet (very similar), this book may just be a good and healthy starting point for you or perhaps your ultimate solution!

Sorry, I've gotta run, but I'll catch back up with you all, except for a select few, in about 2 weeks or so.

Peace, love, hugs!
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#10 Apple_Blossem

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Posted 27 July 2006 - 08:34 AM

This really really really worked for me. I have used it for two years. I had terrible acne before. Now i have flawless skin.

Go buy some vitamin b5. It's known as Pantothenic Acid.

You'll notice that it clears acne in 3 days... I've used it for two years.

Its not the food you are eating... I'm a nutrionalist. Notice how many people on this site are taking b5 and are cured.

IF you want to have a healthy diet, eat all the fruits, veggies and certain grains (I've heard from tons of people to avoid wheat. but there are many other grains that aren't wheat related) you want (except white, refined flours...which suck out all of the b vitamins from your bodies.)

---------------------------------
Here are some interesting facts about diet... is this affecting your acne? Did you know that chickens are so contaminated with fecal matter when shiped out to stores for selling thate the USDA is thinking about proposing a Fecal Limit Regulation? However, that will take several years to pass.

Go vegetarian... you'll find you are MUCH healither in many ways of life. The animals you are eating are not even HEALTHY!! The factory farmed animals you eat are fed pesticides, fertilizers, herbicides, growth hormones, antibiotics, appetite stimulants and aflatoxins that collect in the animals' tissues and milk. Their nourrishing diet is ground-up feathers, dried blood, cow and pig brains and a staple diet of 30% baking soda... to make them feel full and to save money. They never breath clean air, they breath ammonia gases which is a gas that comes off the manure and they NEVER exercise to make sure their meat is very tender. In fact, they are kept in TINY stalls - so small that they cannot turn around or walk, to ensure the muscles are tender. They are also fed a diet that induces anemia. Is this healthy for us to eat??

Animals with cancerous lesions and pus-filled wounds are certitified as "USDA Pure."

Only external cancerous growths are removed... because they dont have time to go looking for all of the animals' problems in the 25 minutes it takes to turn them into a hamburger. And 30% of cows have these wounds - because there are no vets.

Anyway, it is certainly not good on our overall health to be continually eating sick cows that lived in a stall all day (factory-farmed animals).

If you think about it, what would you rather eat? A healthy cow raised in a green pasture on grass and pure water who has exercised... or to continually consume animals that are limping, have sores but are pumped full of chemicals that destroy their liver and other chemicals, who has breathed poisonous gases and antibiotic-laiden water? A 10 min documentary that was on tv is here: http://www.meat.org

According the American Cancer Society, eating meat raises the risk of cancer by 60%, the risk of Osteoporosis by 90%, and all health problems in general by 40%.

Your diet will not be restrictive... check out some of these dinner pics: http://www.cok.net/lit/recipes/

I eat veggie chilli, spaghetti, veggie burgers (sold almost everywhere), etc. My diet in fact has become more diverse wink.gif
What are we being fed??

This year, the FDA decided that "cancerous growths and pus-filled lesions" would not be removed from animal carcases because they pose no immedate health risk to humans.

In a recent study, the FDA stated that up to 15% of factory-farmed animals have bodies riddled with cancerous tumors. Up to 30% of animals had internal and external cysts and running infections that were larger than 20cm because of lack of vetrinary care. Factory farms hold 20,000-60,000 cows, pigs or chickens in one warehouse at any one time. 10% of Factory farmed animals are in such poor health that they cannot walk to the slaughter house and must be dragged with chains and ropes.

Is it really health to eat sick animals all the time?

If you would like to know more about your food in a 10 minute free movie, go to:
*Moderator edit, URL removed - read the board rules. *

#11 R.S.

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Posted 27 July 2006 - 10:39 AM

^ ^ ^ Making duplicate posts everywhere will only make you lose credibility for spamming.
topical:
tea tree oil soap.
qh mint julep mask.
hydrogen peroxide for occassional spot treatment.
shaving for exfoliation.
internally:
fish oil, 3g daily.

#12 GM888

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Posted 30 July 2006 - 02:07 AM

Hey Sweetjade,

I was diagnosed with PCOS on Thursday... I've been on Spiro for two months and I'm back on Diane (I've tried for a long time to avoid this but now that I found out I have PCOS, I know it will definitely help me to get clear.)

I would just like to know your opinion on whether eating a strictly loooowwww sugar diet will really help the clearing process, seeing has it turns out I'm insulin resistant.

Do you think living on organic chicken, tuna, broccoli, avocado, onion & capsicum for a couple of weeks will really help my skin for now? I'll slowly add foods back in when I'm clear and feelin great. biggrin.gif

Thanks heaps for your help,
-Germaine.

#13 SweetJade1980

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Posted 30 July 2006 - 02:11 PM

QUOTE(GM888 @ Jul 30 2006, 02:07 AM) View Post

Hey Sweetjade,

I was diagnosed with PCOS on Thursday... I've been on Spiro for two months and I'm back on Diane (I've tried for a long time to avoid this but now that I found out I have PCOS, I know it will definitely help me to get clear.)

I would just like to know your opinion on whether eating a strictly loooowwww sugar diet will really help the clearing process, seeing has it turns out I'm insulin resistant.

Do you think living on organic chicken, tuna, broccoli, avocado, onion & capsicum for a couple of weeks will really help my skin for now? I'll slowly add foods back in when I'm clear and feelin great. biggrin.gif

Thanks heaps for your help,
-Germaine.


Hi Germaine!

I'm actually glad you posted in this thread, it can be used as a reference point for other women (and men) going through this same thing...chronic Insulin Resistance.

First of all, I dont know exactly what your doctor told you, but there are several types of hormones that can be off balance when we are talking about classic PCOS and the inability to ovulate. You could be defficient in Progesterone, Estrogen, LH etc. I know you've read the book, but for those unaware below is an excerpt from the website on the symptoms of PCOS

QUOTE
Polycystic ovarian syndrome presents a complex and baffling array of symptoms, consisting of some combination of the following symptoms that vary with each individual:

* Multiple ovarian cysts

* Irregular or absent menses

* Infertility

* Acne

*Obesity or inability to lose weight

* Excessive body or facial hair (hirsutism)

* Insulin resistance and possibly diabetes

* Thinning of scalp hair

*Velvety, hyperpigmented skin folds (acanthosis nigricans)

* High blood pressure

*Polycystic ovaries that are 2-5 times larger than healthy ovaries.

*Multiple hormone imbalances, commonly including:

- Androgens (testosterone)
- Cortisol
- Estrogens
- FSH (follicle stimulating hormone)
- Insulin.
- LH (luteinizing hormone)
- Progesterone
- Prolactin.
- Thyroid hormones.

http://www.ovarian-c...s.com/pcos.html



I carry 6 of the above symptoms (plus dysmenorrhea), none of which are the classic symptoms such as high blood pressure, obesity, or annovulation. Through my dietary efforts, most of my symptoms have been vastly reduced or resolved entirely. Furthermore, based on various clinical studies, other's testimonies from the books & forums I'll link you to at the end: reduced hirsutism, clearer skin, reduced hyperandrogenism, improved insulin sensitivity, ovulation, pregnancy (after years of trying with drugs), etc YES, I do believe that if you follow the proper diet, (supplement,) and exercise regimen that you can not only be acne free, but also ovulate on your own without birth control!!!


1) Any drug you use to control your acne is NOT treating the problem unless it is treating Insulin Resistance.

2) Birth Control, I believe it was Diane-35, has been shown in at least one study, to increase Insulin Resitance (probably because it's not treating the problem, only masking it).

3) Birth Control is designed to either improve/clear acne, allow for normal ovulation, AND prevent you from getting pregnant.

4) If you ever wanted to get pregnant, you may not be able to do so because you don't ovulate normally UNLESS you are on Birth Control...which is designed to prevent pregnancy!


Does that make sense?


Therefore, the BEST thing you can do is find out which of the previously mentioned hormones are off balance and get treated accordingly. If you:

Lack Progesterone - use Vitex/Chaste Tree Berry, Micronized Progesterone, or Natural Progesterone Cream (NPC) to balance your progesterone levels, clear skin, menstruate, and ....one day concieve.

Have Excess Androgens - You may continue with Sprionolactone and/or take Insulin Sensitizing Drugs, Supplements, and follow new Dietary methods. Your androgen level may also be dependent on the health of your adrenal gland so it is very important to find out what the source of your androgen imbalance is because treating an andrenal imbalance requires different medication (usually glucocorticoids or some other supplement).

Lack Cortisol - Again an adrenal issue, but the one that is similar in symptoms to PCOS is Non-Classical Congenital Adrenal Hyperplasia or NCCAH. The treatment is Glucocorticoids and for some people, it's only a temporary treatment until they are able to produce sufficient amounts of cortisol on their own and for other's it's permenant. NCCAH can produce similar symptoms because our adrenal glands produce DHEA androgen and just as with Insulin Resistance (see below) if you are defcient in cortisol (due to one of several enzyme defects) than the adrenal gland will work overtime to try to produce it, thus overproducing other hormones along the way that mess up the body's homeostasis. cry.gif

Diagnosed Hypothyroid - in conjunction to one of the above or below disorders, this is another way that you can have off balance hormones, in particular SHBG (which binds Free Androgens) and also increases inflammation throughout your system. This is treated with thyroid medication and also dietary changes that are very specific for those with thyroid imbalances (anti-goitrogenic or reduced goitrogenic diet).


Diagnosed Insulin Resistant - this can be due to a multitude of enzyme defects, but with regards to those of us with acne, it can increase our androgen production, inflammation, growth factors and decrease a variety of other hormones or hormone regulators that are used to keep our body functioning normally and properly regulated. Treatments for this vary from Glucophage/Metaformin prescription drugs, to NAC antioxidant supplement, to a host of dietary regimens. From what I've seen in myself and on other message boards, the more you put your faith in your diet (or liver healing) the BETTER the results are.

* You can take 30 pills a day, exercise vigorously, and follow a "low carb diet" and still not ovulate normally or achieve clear skin.

* OR you can follow a diet that appears to be more "strict" and perhaps not have to take any supplements, and ovulate normally, conceive (if you want) and achieve clear or clearer skin.



Have Long-Term Background Inflammation (LTBI) - AKA, Silent Chronic Inflammatory Disease, Subclinical Chronic Inflammatory Syndrome, etc. This is the latest discovery or theory as to what's behind Insulin Resistance, and thus the Metabolic Syndrome, and.............usually All the symptoms these diseases entail! This is also linked to other inflammatory diseases such as certain auto-immune diseases. This formof inflammation is classified as either a Type III or Type IV Hypersensitivity Reaction for which you can get tested for (easiest but not the most accurate method). It is believed that for most of these diseases of this type, are a result of acquiring damage to our intestinal barrier known medically as Intestinal Hyperpermeabilty or in laymen's terms, Leaky Gut (LGS) and this can also be tested for. Thus, the treatment is to heal our intestinal hyperpermeabilty by removing the source of damage and constant irritation (foods, parasites, fungi, etc) which varies per individual because of the multitude of different environments (internal & external) we have exposed ourselves to throughout our lives.


So those are some possibilities for you or for those reading this post. There are a variety of options and some will ultimately work better for you....regardless of the way you personally feel or prefer to treat yourself. Please don't make the mistake of thinking that if your problems are in part a result of sendatary lifestyle and diet that just because there's a prescription drug to treat it, you don't have to make some serious lifestyle alterations (no smoking, reduced alochol consumtion, low - no sugar diet, etc). You can exercise daily and still get a stroke if you are munching on Big Macs. You can take your glucophage which is designed to reduce the amount of insulin you secrete, but if you are still consuming foods that signifcantly RAISE you insulin levels (or inflammation) than you are essentially oppossing the efforts that your medication is trying to do for you!


Germaine, I truly wish you the best of luck in figuring out how you want to do this. I'm extremely happy to hear that you've finally got a diagnosis (depsite one doctor saying you had normal androgen levels) because this will help guide you in make clearer and more informed decisions on how to treat yourself vs. experimenting in the dark w/o a clue as to what's wrong on the inside. I hope that the book(s), the message boards, and the results of myself and others (i.e. Densis2 solved her's holistically through liver flushes, etc), will guide you and give you the faith and support you may need throughout your journey. eusa_angel.gif


For more information, please visit the following:

http://www.ovarian-cysts-pcos.com/ (book & info)

http://www.infertili...rogen/pcos.html (Men & Women)

http://www.fertilityforall.com (book & test)
http://www.epc-odx.com (ditto)
http:/www.pcosliving.com (forum)

http://soulcysters.net (forum)
http://www.pcosupport.org (forum)


Leaky Gut Syndrome & Liver Support
http://www.liverdoctor.com
http://www.sensiblehealth.com
http://www.curezone.com
http://www.askshelley.com


Tests for proper diagnosis through your specialist (Endocrinologist, Allergist, etc):
Various Tests http://www.labtestsonline.org/
LGS Test http://www.gdx.net/h...assessments/ip/

Available tests w/o a doctor (some may be accepted by health insurance if you go through your doctor):

1) ALCAT: $87.50 - $1000 US http://www.alcat.com (Type III & Type IV Hypersensitivity)
2) York Test: Food Interolance Test $379 US http://www.allergy-testing.com/ or amazon.com (Type III)
3) Immogenics/NOVO: $555 US http://www.immogenics.com (Type IV)
(4) Immune Activation Avoidance Program (IAAP): $1500 U.S http://www.fertilityforall.com (Type IV)
*most available world-wide
http://www.acne.org/...howtopic=101599

http://www.bodybalance.com/ (saliva & hair testing)

http://www.aag-labs.com/ (various lab tests)
http://www.health-tests-direct.com/ (various panels & tests)
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#14 GM888

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Posted 31 July 2006 - 02:51 AM

Oh wow, Sweetjade, thankyou so much for your reply with the info and links, I found all the info extremely helpful! smile.gif I'm sure many others will too.

Ok, I'm a little freaked out by what you said about Diane increasing IR... Diane along with Spiro has cleared me in the past... At this stage I'm hoping that I can stay on Diane & Spiro until I'm clear and have really perfected (and wholeheartedly accepted) my necessary diet and lifestyle changes...

Do you think there's a chance that Diane could make my acne worse for now? Also, if it does increase IR, will my IR decrease to it's previous state once I go off it?

I've only been on Diane for three days... Will that affect any hormone tests I get? I want to be tested for the all the hormones you mentioned, plus make sure my adrenal gland is in order.

I'm going to do my first liver flush sometime this week. Wish me luck! smile.gif I would like to get the 150 food ALCAT test, but at this stage don't have the money... But it's something I definitely I want to do once I get the money together.

I can't thank you enough for all your help. My dad's a doctor... He's always been able to help me with the drugs I need but when it comes to understanding what is happening with my skin and body and what I need to do to fix it, your help has been invaluable. Thankyou SO MUCH!!!

xxoo Germaine.

#15 SweetJade1980

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Posted 31 July 2006 - 02:35 PM

Germaine,

I certainly didn't mean to freak you out about the birth control. However it's something I wanted to point out because it may be the drug itself or it may be due to the fact that these people were already experiencing or insulin resistant prone. I'll have to find that article again.

However.....you will need to cease Diane 35, Spironolactone and any other drug you may taking (if sick...that includes antibiotics) in order to get a TRUE baseline of lab results (unless your doctor says it doesn't interefere with the hormones in question). If you are taking antibiotics you may want to wait maybe a month after you've finished your course.

I know when I was on BC and Spiro I waited 2 - 3 months after ceasing those drugs before I got tested for Insulin Resistance, Hypercoritolism, Hypothyroid, etc....nearly the works, LOL. I actually got a treatment baseline done with those drugs and then a true baseline without. It was sad to see that at the dosages I was taking they had lowered my Free Testosterone and DHEA by half, but still not enough...which is why I was usually about 60% - 70% clear (Summertime maybe 80%).

It's really good to hear that your dad's a doctor though. He should hopefully be able to answer some questions for you and give you all the support you need in obtaining these lab tests and any neccessary medication if you chose this route.

Once again, you probably do not need Diane-35. Once you start taking Metaformin or some other drug (i.e. progesterone) that's more appropriate for treating PCOS/IR you may find your acne improves and you can menstruate normally. After your tests, you can definately keep with the Spironolactone if you have symptoms of androgenic alopecia or hirsutism because it will better aid than other natural treatments available.

Of course you are free to do as you please. I know that around my last month off the drugs I was aching to get back on because I was starting to break out more, which is when my Endocrinologist said that I was probably either PCOS or IR and so he put me on Metaformin (made me sick) and a month later switched to Avandia. Loved Avandia (too bad it increases osteoporosis), alone it only got me 60% clear so then I added in 150mg of Spiro and that improved things greatly up to (85% clear in the Summertime). However, still wasn't 100% or even 90% clear and that's when I became more involved in these boards and discovered my BIG answer.

I was 95% clear within a month or two! It was so significant that even my Endocrionologist commented on my skin (NEVER happened during the previous year on Avandia & Spiro). Of course I was ALSO on Avandia, Spiro, and Antibiotics at the time I changed my diet so I didn't know what to give credit to. I ceased the antibiotics, and then later I ceased the Avandia and I was soooo afraid to do so. I was dealing with Organic Chemistry, Lack of Sleep and IBS symptoms (from lack of fiber), Bi-monthly periods (thanks to lacking fiber to flush hormones?) and it was nearing November and the middle of my 8 - 9 Breakout Cycle (where my skin is always worse) and....I didn't know what was going to happen!

Nothing happened.

For as horrible as I was treating myself and even with the wacky symptoms I was experiencing....my new diet prevailed! Of course after doing a couple of different tests and taking other medication....it was finally deduced that my IBS had no cause and I was told to take Fiber and that resovlved those problems instantly. So...eat your vegetables, whole grains, legumes, nuts and if need be....Benefiber and you won't have to experience what I went through for a few months wink.gif

I was in so much shock. Over the past 16 years of having acne, nothing I had ever used could successfully treat my body acne until I changed my diet according to my disorder. Of course thanks to antibiotic treatment a few years prior, I had developed new acne and on new areas of my face and body....which my diet also resolved. That's how I knew I had found something that worked for me. It had ELIMINATED my breakout cycle (and my painful menstrual cramps)! Nothing happens to me now that affects my skin unless I eat something that I know I shouldn't (or use some irritating skin care product). Otherwise, thanks to further research and diet improvement, I'm always at least 99% clear. Every day. Every month. Every year...for the past 4 years.

Intially, it took me about 1 1/2 years before I was comfortable and ready to fully embrace that this was thanks to my dietary changes (even though I was tested before the change and am not Gluten Intolerant) because I also had to cease using Spironolactone to be certain. So I understand why you don't want to let go of Diane-35 wink.gif However perhaps after you've changed your diet for a while you will want to experiement with drug reduction (of Spiro) and prehaps even ceasation. You wont ever know what's working for you unless you do one day stop taking the drugs and I hope when you do, as myself and others have found to be true, you won't need them anymore!

All my best eusa_angel.gif
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#16 spottedone

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Posted 31 July 2006 - 11:10 PM

I am very interested in this thread. I am 33 years old and have had moderate acne since my early teen years. There have been times when my acne was more mild and a few times when I was very clear (for about a year after a course of Accutane when I was 23 and the four years I was on birth control, which I came off of two years ago). But now my acne has gotten fairly bad. I guess I would not say it is severe but I do have 3-4 deep cysts nearly constantly and lots and lots of little whiteheads and red bumps. The breakouts are mostly on my chin, around my mouth, and on my forehead. I never touch these areas (except to wash and apply products)

I have for the past several months tried all sorts of topical treatments moving more and more towards natural substances (Jojoba, Tea Tree, etc . . .). But nothing is working. At all.

I am more and more convinced it is all coming from the inside. I don't know if it is food or hormone related or both. Oddly the last year is the most healthy food year I have ever had (almost all organic) and also the worst my acne has ever been. My menstrual cycle is also the most regular it has ever been. Like clockwork really. So what is causing my crappy skin?

I have just cut out dairy in the hope that it may help but I am at my wits end. I would like to find something that would start improving things relatively soon (or at least give me a sign that things are moving in the right direction). It is so disheartening to look at my inflamed face everday and it also really hurts.

Also, I have been exercising regularly (5x a week) for the first time in my life and it seems to be making my skin worse. This does not make sense to me. Shouldn't it be helping clear things out? It's been 5 months.

Anyway, I am glad this thread exists and I hope it can help me. I definitely think my digestive system is a bit off.

#17 SweetJade1980

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Posted 01 August 2006 - 07:03 AM

Spottedone,

I can't give much of reply today, but I wanted you to look at this thread here. Toward the bottom I listed some specialists that one should see and when you've got acne for as long as you have, it's definately a good idea to see an Endocrinologist to find out what's going on.

http://www.acne.org/...howtopic=106818

Bye for now!
These are not steps, but stages some people progress through when going from conventional to holistic medicine. Stage 2 is how I became 99%+ Clear, eliminated my dysmennorhea, significantly reduced my sebum & pore size, etc & is my predominant method.

Stage 1 (Treatment):
* (Daily) Isocare Skin Control Cleanser, Dream Products Customized Natural Face Lotion & Coppertone Sport Spray Sunscreen (mixed)
* (Sporadically) spot treat w/ anti-inflammatory (neosporin, hydrocortisone, salicylic acid) or a skin lightener (post-inflammatory pigmentation) to treat stubborn cystic/nodular acne that appears due to unknowingly or knowingly ingesting a food/ingredient that breaks me out (I do my best to avoid these foods). If you cover treated area w/ a bandaid, it makes product more effective.

Stage 2 (Prevention): "cheapest" method ~ Since Aug. 2002
* Follow a Gluten-Free, Trans-Fat Free, Dairy-Free and No Added Sugar diet for my Insulin Resistance/Hyperandrogenism (Silent Chronic Inflammatory Syndrome)
* Avoid ALL types of nuts and the Genus Prunus (almonds, plums, peaches, nectarines, apricots, cherries), Bananas, Pineapples, Cottonseed oil, Artificial Sweetners.

Stage 3 (Correction):
* 1/18/08 Ultimate Colon Cleanse (30 day program)

Research:
* Developing functional foods for those with acne & other special needs (assuming there's a defficiency).
* Developing good & "safe" formulas for various hormonal issues for women. Correction stage may resolve this for some.

#18 GM888

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Posted 01 August 2006 - 08:07 AM

Thanks again for an excellent post SweetJade!!

I have done a little research and from what I can see, yes, Diane can indeed increase Insulin Resistance... I certainly don't want that! Maybe I'd be better off taking something like Androcur??

Umm, I haven't actually been diagnosed with Insulin Resistance... I just figured it was a given, considering I have ovarian cysts & acne. I guess I should consider myself lucky... I've never had any hirsutism problems, and only have acne on my face, not on my body. I've never really been overweight but I have had fluctuations in my weight... That was more to do with poor eating habits (sugar addiction!!) and depression... Perhaps I could blame both those things on PCOS too? wink.gif

I have an appointment with my gyno (he's not an endocrinologist) at the end of August which is a little frustrating.. He couldn't fit me in any sooner and told me to go on Diane until we could further discuss treatments. Perhaps I'll call a few endocrinologists tomorrow and see if I can get an appointment some time soon.

The hormone level tests I wanted to get will have to be put on hold... At this stage I'm not willing to go off Spiro for fear of yet even worse skin. I stopped taking antibiotics a couple of days ago... Seems they don't get anything but bad press around here. For good reason I'm sure!

That's absolutely wonderful that you've been clear for four years with diet and lifestyle changes alone. I'm already feeling the effects of the PCOS diet in my mind and body... Just waiting for it to show on my skin now. smile.gif

Thanks again for your wonderful posts, you give me so much hope... and I know I'm not the only one!
Hope you're well,
xxoo Germaine.

#19 pinky_shushu

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Posted 09 August 2006 - 05:17 AM

Hey Sweetjade,

I've never seen you mention the Omega 3 balance... Do you think you're just getting the right balance now naturally from your diet, or it doesn't factor in for you personally? Just curious...

Katy

#20 Guest_Cubsfan_*

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Posted 09 September 2006 - 01:06 AM

shite are u still here sweetjade? (aka longjade)
I've conquered acne with NOD (Natural & Organic Diet) = No Acne, simple. NOD Rules!
NOD NOD NOD