Thanks everyone for your input!
About cruciferous vegetables and the thyroid, I found this quote by Dr. Joel Fuhrman, M.D.:
However, I think eating cooked blended greens is great as well if this is a concern. If you're juicing greens--even better. Are you mostly eating all whole, non-processed foods?
The Thyroid Connection
Isothiocyanates were in the past considered goitergens (anti-nutrients) that inhibit the uptake of iodine by the thyroid gland. However, this no longer thought to be significant in humans. Nutritional excellence Lastly, while everyone eventually jumps on the “cruciferous vegetables are good for you” bandwagon, let’s not forget H = N/C (Health = Nutrient intake divided by Calorie intake). In other words, besides all of their unique features, green cruciferous vegetables still contain more vitamins and minerals per calorie than any other foods.
Thanks for that info about the cruciferous veggies. I will bring this up with my doc. I think my thyroid is getting on track, so I might not even need to worry about avoiding them "in theory" anymore. I have looked at many of alternativista's links, but they seems to conflict with what my doctor is telling me, so I am really confused. I am going to bring up the anti androgen issue to her on Monday.
I eat a limited whole food ingredient diet. I cook all my own meals from scratch, I almost never eat at restaurants, and limit anything that comes from a bag or box. Lots of homemade veggie and legume soups.
If you were my client, the first thing I'd have you do is reduce your iodine supplementation. Are you familiar with the work of Dr. James Fulton? He identified iodine as being an especially irritating culprit of acne. Salt, kelp, sea veggies, spirulina, iodine supplements...I know the NDs like to prescribe iodine, so it puts you in a tight spot if you're working closely with one. Also, avoid foods high in androgen hormons (peanut products). I would have told you to get off whey/casseine, and cow products of any kind.
There are also a lot of lifestyle things you may not have thought of (eliminate all fabric softeners!) There's too much to go into here, but to answer your original question, androgen dominance is often linked to breakouts. If you haven't yet, read Dr. Fulton's book Acne Rx. I hope this helps a bit.
I have considered iodine being a part of the problem. I watched this video Dan did about the iodine link, so it made me not as sure. http://www.acne.org/...odine-and-acne/
My husband found out that it's not even recommended for people with thyroid issues anymore, so I am going to talk to my doc about taking me off it. I think I prob still need iron supplementation because I don't eat meat. I avoid peanuts, citrus and soy because they cause migraines for me. I tested sensitive to cow's milk (along with 18 other foods) so I don't have any cow or animal products anymore.
My husband had a major health crash 2 years ago at the age of 28. He was diagnosed with Chronic Fatigue and we made major lifestyle changes, including filtered shower heads, reverse osmosis water filter, got rid of our vintage dishes because they had heavy metals in them, no perfumes or dye soaps, detergents, no fabric softener, CSA local organic produce, etc. I believe we have made more lifestyle changes than your average bear.
I'll check out that Acne RX book. If I may, what is the difference between androgen dominance and estrogen dominance?
Where you diagnosed with having low progesterone? High estrogen? Where are you applying the progesterone? And have you tried DIM or broccoli pills which help flush away excess estrogen? What about phytoestrogens which might help by being weaker so they have less of an affect when they bind to receptors? How is your digestion? Did you try taking the zinc with food to prevent the nausea?
And I'm only going on anecdotal evidence gathered from discussions with many people here (and my personal experience) but your breakouts sound like allergic reactions to me. And those do not take 30 days to appear. They often appear within a day or two. I have a suspicion that most if not all cystic acne are inflammatory responses. And breaking out in the same spots over and over as well. I get cysts from most citrus and it appears all along my jawline, neck, temple and hairline. And it seems that different citrus cause breakouts in different places. I've been unwilling to test it on myself, but when I decided to try having a tangerine again after years of avoiding them, cysts appeared at my temples the next day. And for many years, I couldn't have key limes, I would seemingly randomly get cysts on my jawline and neck. Eventually I figured out it was from when I bought key limes to have in water, vs lemons or Persian limes which I don't have a problem with.
I recall others reporting cysts between their eyebrows from members of the Genus Prunus family.
I am going in for the new test results next Monday, but last time I was tested I have low progesterone. My estrogen level was normal. The progesterone is administered in an oral tincture that I take twice a day. I was using bio-identical progesterone cream about a year ago, but it made my acne very bad. I will find out exactly what she is using in the tincture for the progesterone supplementation and ask about the phytoestrogens, but wouldn't that be supplementing estrogen, not progesterone? I know I need the progesterone for my depression because when she tried to lower the dose in December, I became crippled with depression. I haven't tried DIM, I am just learning about anti androgens, but honestly I don't understand how it interplays with estrogen and progesterone. Or is mostly the male hormones that it suppresses? I was low on those too, which can contribute to depression, so that may not be an option for me. I am on a ton of supplements that are listed on the blog in my signature. Maca is one of them, that is supposed to help regulate female hormones.
My digestion is great, fortunately I have never had a problem with it. I had her examine and listen to my stomach at my last visit and she said everything was in good shape. My husband has terrible digestion problems, so I know the symptoms. When I do take the zinc, I take it on a full stomach, and it's fine for about 2 days, then on the 3rd day I get sick and dizzy. Now when I feel like I can tolerate it, I take it every 4 days.
I took an IgG allergic panel test in May 2011 and eliminated 19 foods from my diet. For anyone interested, I eliminated: banana, barley, kidney, navy and pinto beans, cheese, eggs, malt, cow and goat's milk, paprika, cayenne, red and chili pepper, tomato (pretty much most nightshades), rye, sunflower, wheat and brewer's and baker's yeast (plus the soy, peanuts and citrus). At first my acne cleared, but when I tried to reintroduce after the recommended 3 months, the acne slowly came back. When I re-eliminated everything again, the acne didn't go away that time and still persists. So it could be that I developed new allergies since May, but I am staying away from the big things and things I know I have problems with. So I dunno…
I really think my acne is hormone related. Since my doc has found this balance with my progesterone for my depression, my acne has gotten worse and I am getting more cysts. I am really just wondering why treatment for estrogen dominance (progesterone) is making my acne worse when some women find that it cures theirs.
Edited by 4Fours, 23 February 2012 - 03:41 PM.