Michelle Reece

Are there any other BP products in your local store? BP is pretty common.

On the bright side, researchers are looking into lower doses of Accutane and how to increase it's bioavailability/effectiveness.

It appears so far that those taking Accutane aren't eating enough fat in their meals to increase bioavailability and reduce the need for additional courses: http://www.ncbi.nlm....pubmed/23198008

 

anyway we can read that WHOLE article?

Yes, it's a free article: http://www.ncbi.nlm....les/PMC3509883/

The paragraph of interest is titled: How might concomitant ingestion of oral isotretinoin with food influence therapeutic outcomes, and is co-ingestion with food a clinically relevant concern?, particularly:

Based on the pharmacokinetic profile of oral isotretinoin, it is a realistic clinical concern that the likelihood of prolonged remission after use of oral isotretinoin is compromised if optimal GI absorption is not achieved because the drug was not co-ingested with food. The Guidance for Industry on Food-Effect Bioavailability and Fed Bioequivalence Studies document published by the FDA and Center for Drug Evaluation and Research (CDER) suggests that meal studies to evaluate bioavailability and bioequivalence utilize a high-fat (50% of total caloric intake) and high-calorie (800–1000 calories) meal, with 150, 250, and 500 to 600 calories derived from protein, carbohydrate, and fat, respectively.36 As such, it is recommended that oral isotretinoin be ingested with food, especially a meal high in fat content.2,3 However, consistent daily ingestion of oral isotretinoin with a high-fat, high-calorie meal by all patients treated with this drug is not realistic. To add, as oral isotretinoin may be associated with elevated serum triglycerides in some patients, a reduction in dietary fat intake is often recommended.

Three days without BP is not going to cause a breakout. The chemical peel would definitely offset any pimples in the early stage. ]

Is it a 20% SA or 30% TCA peel? Will you use laser/light treatments after the peel?

^{I am 17 years old and I am finishing up my senior year in high school. I am using clindamyacin topically once in the morning, retin-a once every other night, dermalogica face wash twice a day, and am taking Doxycycline orally twice every day. In the past six months my acne has increased. At times, it itches. It is sensitive to touch at times, and I find it to be tough for me to shave when I have to.  I don't have to often because- i'm only 17! Any sort of advice would help.  I have used drugs in the past such as marijuana, ecstasy a few times, as well as coke. The two bad ones were three years ago which is very bad and I regret it but I just mention that since there may be a correlation between acne and the use. So, some of these pictures go back to about six months ago. I'm sure you can tell which ones, just because of the amount of acne. I have not yet washed my face tonight and the ones that seem to have the most acne, are very recent.}