At least I believe that my diet changes have worked. I am 25 years old and have had acne for a good 12 or 13 years. Cysts, nodules, papules, etc. I have used just about everything and have found that a combination of 2.5% BP in the morning and a retinoid (Tazorac .1 currently) at night have helped me the most. This has never gotten me clear but it has reduced my breakouts to a more manageable level. I would still breakout at times on my cheeks and forehead where I applied the medication. I would get about 3-4 nodules a month on my upper neck/jawline area that would last weeks and not respond to medication. I would also get random hard papules in weird spots like in and around my ears and eyebrows where I didn't apply any medication. Never had acne below my neck.
In September, I started taking fermented cod liver oil for the high levels of Vitamin A and Vitamin D. After about 6 weeks, I started getting no pimples at all. I continued my BP and Tazorac. In the middle of January I decided that the cod liver oil was still just masking a deeper problem in my body and I couldn't just spend $400-500 dollars a year on it the rest of my life. I am very lean and have a low body fat so my weight isn't a problem as I also go to the gym regularly and my metabolism is extremely fast but I do have some other health issues that I wanted to try and address with a better diet. My typical diet before this had been fast food 4 times a day and a ton of high fat red meat and other junk when I cooked.
After reading a ton of threads on here and researching, i started following the basics of Dr. Weil's Anti-Inflammatory Food Pyramid as well as paying attention to Glycemic Load. So for about 2 months now, I have followed this diet extremely strict as well as kept up with my workouts. I have also reduced my fermented cod liver oil and my skin is still clear. I am also feeling a lot better too.
At this point, I really want to come off the BP and possibly only do the Tazorac every other night or once every third night. I enjoy this diet and feel that there are a lot of options that I do not feel restricted. I am getting some work done on my scars soon and heard it's good to be on a retinoid as it stimulates more collagen. I am really asking this question to the people who were on topicals and came off of them after finding a diet that worked for them. The last time I tried to come off topicals a year and a half ago with no diet changes, I broke out so bad all over my face which took months to recover from.
Does this need to be done slowly over the course of weeks? days? cold turkey?
I am going to try and get off of the BP first but I am literally terrified of breaking out bad again. Any feedback would be great.