Guys. Early to mention, but I think its all about hormone. Sorry about my bad English before I start the text.
I was reading this thread since 4 years and suffering from this horrible thing since 2017. I am a 27-year-old woman from S. Korea staying in Germany recently. I tried literally every single possible things including stated in here and it didnt work. The only thing worked was antibiotics. Frustrated by the results whenever I tried new things so I was just relying on minocyclin for 2 years intermittently.
For those hard years, I thought I was cursed by something. Plus I was very lonely because it seemed like most of the cases were for men. I was not too bad as many of you guys in here (maybe because I am a female) but this white zit was so much different from ordinary acne and it causes so much pain around the skin especially whenever I make some facial expressions. Not to mention about continuous oozing (transparent liquid after the boil erupted, I feel you guys..). I visited so many different doctors in Korea but theyre all not really aware of this disease (one knew it but he said it will be recursive).

Something special about this thing for me was it gots worse when my period was coming. So I even got checked on my hormone levels but it was normal. I kept on minocyclin again.

After that I came to Germany in July and I started to got so much acne around my jaw line and of course this white zit as usual. I took out minocyclin pill again from my suitcase and it was not working pleasantly anymore. This time, I desperately was in need of new solution. I knew my hormone was okay and I have perfect period schedule in my whole life but I got the prescription for birth control which was highly targeted for anti-androgen (I tried birth control back in Korea but it was different one and didnt work for my acne). And since the first month I could feel the difference! I had to wash my hair everyday due to excess oil since 15 but now skip one or two day is not too bad. This birth control works like accutane for me!
I have made numerous assumptions on this disease and androgen was always on the list as this is most for men and mine was bad also but weaker than most pictures in here. And I almost crossed out this androgen from my list due to wrong birth control pill that didnt worked for my skin.
In a nutshell: high androgen sensitivity causes your skin out of sebum control and this causes white zits around nose and mouth (Those areas are very fragile and excess oil + staph from your nose causes this infection).

The pill Im taking now is Maxim from German pharmaceutical company. Again, this is often prescribed for acne due to its anti-androgen effect. I know most of people in here are men so it is not desirable to take this pill but I wanted to share the thing that can cause this zit so that you can have one of clues for having this. I had scalp + back inflammation also but I stopped getting it as well.

Who knows I will get one or two after this but I was out of antibiotics since September and was not getting any single white zit since then. New record for me. I had trouble of inside of nose itching symptom as a signal before having another zit but this was gone also.
Again, I feel you guys so much more than any other. Im ready to answer any of your questions.

@GrumpyPainter i think its the right decision to stop bp, it destroys your skin over time and leaves it very vulnerable.

I am doing homemade antibiotic drink daily for months, using fresh herbs and lemons. I did not try tumeric yet but ginger and cinnamon. It definately helps but is not a cure. I still get them but they never develop into big pustules like they used to. This is 100% not the same as antibiotic pills from the dr. I am also drinking water kefir in the evening before bed.

@Maddie0110 yes we made the link to high sex hormones earlier in the thread, I know its true as when I was dieting I didnt get any pustules. I think its high DHT, be careful with birth control as it will cause other health issues over time.

My skin has been good for a while, the only time I get bigger pustules is the day after I shave normally under the mouth, then I have to be careful it doesnt spread. This can be prevented if you use BP after shaving, which I was doing for a while but stopped becasue it started burning on application. I also get breakouts on my scalp after a haircut.

1 hour ago, turbofollic said:

@GrumpyPainter i think its the right decision to stop bp, it destroys your skin over time and leaves it very vulnerable.

I am doing homemade antibiotic drink daily for months, using fresh herbs and lemons. I did not try tumeric yet but ginger and cinnamon. It definately helps but is not a cure. I still get them but they never develop into big pustules like they used to. This is 100% not the same as antibiotic pills from the dr. I am also drinking water kefir in the evening before bed.

@Maddie0110 yes we made the link to high sex hormones earlier in the thread, I know its true as when I was dieting I didnt get any pustules. I think its high DHT, be careful with birth control as it will cause other health issues over time.

My skin has been good for a while, the only time I get bigger pustules is the day after I shave normally under the mouth, then I have to be careful it doesnt spread. This can be prevented if you use BP after shaving, which I was doing for a while but stopped becasue it started burning on application. I also get breakouts on my scalp after a haircut.

Yeah I think so too. I have been using BP on and off for ~7 years to control white pustules but I don't think it's helping in the long-term and may even be causing damage/irritation and skin issues such as the "takes forever to heal big red bumps". 

I tend to use an electric trimmer for shaving and don't get so much irritation. Maybe shaving is causing microtears in the skin and staph get in there and start having a party. 

Actually I think turmeric is helping because I have not gotten any small zits on the rest of my body, arms, legs or on scalp. Usually I have some small bump on body or scalp but none since doing turmeric shots 3-4 x per day. Agree natural herbs is not the same as nuclear antibiotics from doctor. 

@Maddie0110great to hear you found a solution! Unfortunately birth control or anti-androgens is not a great solution for most men  Quitting coffee has drastically reduced oil production so maybe that is why white pustules are gone. 

@Maddie0110

It appears you managed to reproduce the same effect that accutane has - basically stop sebum production which as a result stops any kind of acne forming on the skin. As a side-effect you'll have very dry and flaky skin and your lips will become so dry they'll require moisturizer applied at least 3-4 times a day or they will crack and start bleeding. I went through this and believe me it's not worth it. I went from too oily with white heads like you, to completely dry and acne free, and I still choose oil and acne. But perhaps I'm wrong and what you're doing is not causing the same side-effects, wish you luck!

34 minutes ago, ShyShofar said:

@Maddie0110

It appears you managed to reproduce the same effect that accutane has - basically stop sebum production which as a result stops any kind of acne forming on the skin. As a side-effect you'll have very dry and flaky skin and your lips will become so dry they'll require  moisturizer applied at least 3-4 times a day or they will crack and start bleeding. I went through this and believe me it's not worth it. I went from too oily with white heads like you, to completely dry and acne free, and I still choose oil and acne.  But perhaps I'm wrong and what you're doing is not causing the same side-effects, wish you luck!

Oh no, birth control doesn™t work like accutane. Accutane will be too dramatic but with this pill I still have oil but like normal people does. I used to have very oily skin before. Especially folded area around my nose but it has been reduced but not to zero. 
And no side effect at all other than oil reduction on my face & body. I am wearing contact lense for more than 16 hours a day with heater in my room that makes the air very dry but there™s no dryness. Exactly same as usual. 

I don™t cut sugar and etc anymore but my skin doesn™t have inflammation. And taking birthcontrol for women is natural if you™re sexually activated and want to be safe. Women need to take this anyway regardless of skin issue (not sure about how American are doing but taking this gives people no harm. Mentioning this because Turbofollic™s negative statement) and very safe. 
Thank you for the advice. 

1 hour ago, GrumpyPainter said:

Yeah I think so too. I have been using BP on and off for ~7 years to control white pustules but I don't think it's helping in the long-term and may even be causing damage/irritation and skin issues such as the "takes forever to heal big red bumps". 

I tend to use an electric trimmer for shaving and don't get so much irritation. Maybe shaving is causing microtears in the skin and staph get in there and start having a party. 

Actually I think turmeric is helping because I have not gotten any small zits on the rest of my body, arms, legs or on scalp. Usually I have some small bump on body or scalp but none since doing turmeric shots 3-4 x per day. Agree natural herbs is not the same as nuclear antibiotics from doctor. 

@Maddie0110great to hear you found a solution! Unfortunately birth control or anti-androgens is not a great solution for most men  Quitting coffee has drastically reduced oil production so maybe that is why white pustules are gone. 

Thank you! Of course I™m not recommending this pill to men but I was trying to tell you hormone plays big role in this. I heard some men are managing their acne by controlling their urge to have sexual activity (?) 

6 minutes ago, Maddie0110 said:

Oh no, birth control doesnt work like accutane. Accutane will be too dramatic but with this pill I still have oil but like normal people does. I used to have very oily skin before. Especially folded area around my nose but it has been reduced but not to zero.
And no side effect at all other than oil reduction on my face & body. I am wearing contact lense for more than 16 hours a day with heater in my room that makes the air very dry but theres no dryness. Exactly same as usual.

I dont cut sugar and etc anymore but my skin doesnt have inflammation. And taking birthcontrol for women is natural if youre sexually activated and want to be safe. Women need to take this anyway regardless of skin issue (not sure about how American are doing but taking this gives people no harm. Mentioning this because Turbofollics negative statement) and very safe.
Thank you for the advice.

Sounds interesting, I'm really happy for you that it works efficiently.

5 hours ago, GrumpyPainter said:

 

Yes herbs can actually increase the growth of good bacteria, since ive been doing these drinks my skin tone is a lot brighter. As long as you dont overdo it, I dont see any issue drinking it daily. You can always swap one herb for another if you want to mix it up. I highly reccomend up to 3grams of cinamonn a day, also oregano.

I think we overcomplicate this issue tbh, its a type of inflammatory acne and actually, compared to cystic acne which scars it is not so bad. I still think if you find internal balance they will stop or they will greatly reduce to a point where it doesnt bother you.That mainly means optimising hormones and sleep. I think diet can definately help, that depends from person to person but avoiding entire food groups will only put you further back from finding this balance your body craves.

There is also a part of me which thinks we have some bacterial overgrowth, most likely this happens when our bodies immune systems are not working properly (unbalanced). It can also be from toxins we are exposed to either at work or in our homes. To fix this the only way is to improve your overall health, this will be the hardest challenge especiially if youve had this problem for 5,6,7,8 years +

If you can get access to the sea and swim 2x a day, i will bet you wont get any more pustules

Quote

If you can get access to the sea and swim 2x a day, i will bet you wont get any more pustules

That's interesting that you mention. I came across in my research that people swimming in the Dead Sea lake have healed many different skin problems. There's also Dead Sea salt being sold even on Amazon for which I found how washing your face with it can also help different condtions

24 minutes ago, ShyShofar said:

 

yes the sea is incredibly healing, everytime ive been on holiday by the sea my face clears up after 1-2 days. Last time I went I filled up 15 litres of sea water to bring home but its not the same.

If you visit in summer, its 2x as powerful with the sun. Even the air very fresh and salty. It would be interesting to see if anyone who swims in the sea daily gets acne, I highly doubt it.

I will share my thoughts and experience from last couple of months. What I understood so far that I think makes sense as it is in line with what you guys are saying and all acne literature I had read.

Root cause

So the main reason for our problems are: nose colonisation of some pathogen (staph or something else) + sensitivity to androgens. Why I think so:

- Sensitivity to androgens: Sugar, alcohol etc. triggers breakouts because of effect on insulin. For me in addition sex triggers it because of changes in hormones after it. It leads to increased sebum production + some inflammatory processes in the skin. It probably would not be enough if not..

- Nose colonisation of pathogen (most likely staph). This is why issue appears mostly around nose.

- So once some food or anything else triggers your hormones, they trigger sebum and it results in rapid bacteria growth that triggers breakouts.

Benzoyl Peroxide

Why BP works? Because it reduces inflammation and most importantly bacterial load on your skin. Why it doesn't eliminate a problem - because root cause is in your nose. Basically you cleaning your floor but your roof has a hole in it and it is raining.

So What to do and challenges?

In order to solve the issue (or at least reduce its severity) we need to target one of 2 factors:

- Androgen sensitivity of the skin to reduce sebum production that feeds bacteria

- Bacterial colonisation in the nose to remove source of bacteria that causes breakouts

Androgen sensitivity

Androgen sensitivity is very hard to affect. You should somehow suppress androgen receptors in your oil glands.

- Accutane does that and potentially can do it for long term with high enough cumulative dose but comes with a lot of potential side effect and some of them long term and harsh (been that done that).

- Birth control - it basically reduces androgens so less triggers to oil glands (only suitable for women)

- There was some study on green tea topical application but I doubt a bit this method works as there is no products that uses this mechanism. If it was that effective why nobody tries to make a product that can be sold?

- Winlevi (Clascoterone). New drug that targets androgen sensitivity part but it is available only in US and from early reviews it looks like it gave people most horrible breakouts in their life:(

I found this thread on forum that discuss it (through lens of skin oiliness). There are some interesting thoughts that I have not discussed here that might work. I have not tried them myself yet.

Nasal colonisation by bacteria

The main concept that we need to understand here is bacterial biofilm and its role in pathogenesis of chronic disease. Basically what we all have. Some info on biofilm:

Bacterial biofilms are clusters of bacteria that are attached to a surface and/or to each other and embedded in a self-produced matrix. The biofilm matrix consists of substances like proteins (e.g., fibrin), polysaccharide (e.g., alginate), as well as eDNA. In addition to the protection offered by the matrix, bacteria in biofilms can employ several survival strategies to evade the host defense systems. By staying dormant and hidden from the immune system, they may cause local tissue damage and later cause an acute infection. Within the biofilm, the bacteria adapt to environmental anoxia and nutrient limitation by exhibiting an altered metabolism, gene expression, and protein production, which can lead to a lower metabolic rate and a reduced rate of cell division. In addition, these adaptations make the bacteria more resistant to antimicrobial therapy by inactivating the antimicrobial targets or reducing the requirements for the cellular function that the antimicrobials interfere with. During a biofilm infection, simultaneous activation of both innate and acquired host immune responses may occur; neither of which are able to eliminate the biofilm pathogen, but instead accelerate collateral tissue damage. Consequently, biofilm-related diseases are typically persistent infections that develop slowly, are rarely resolved by the immune system, and respond inconsistently to antimicrobial treatments.

So what it means is that some bacteria form protective biofilms that make them resistant to immune system and antibiotics or antimicrobial agents. This would explain that when you trying to eradicatebreakouts with antibiotics it suppress bacteria but don't eliminate it due to protective biofilm. All other bacterias are killed by antibiotics and once you stop using them bacterias with biofilms takes their place so you get even worse situation.

So what to do about?

I don't know yet:). But we need to understand that we need to eradicate these patogens from our nose by destroying biofilms otherwise we can make situation worse. So our main focus is to find protocols and use agents that are able to destroy bacteria and their biofilms.

I think it is possible by example of some people been able through nose decolonisation to eradicate the problem. But it is also very hard as I failed few times doing that. But that the nose is a problem showed me my experiment with putting BP into the nose for few days that resolved my breakouts. But I guess BP also might be not strong enough to eradicate biofilm.

Some other observations and thoughts

What worked for me:

• Strict diet: no alcohol, sugar, greasy food, fast food, too much calories (positive effect of hormones)
• Working out (positive effect on hormones)
• Sleep 8+ hours(positive effect on hormones)
• Benzoyl peroxide (reduces bacterial load)
• Moisturiser that have vitamin E in it because BP depletes it and you skin becomes weak and you get more breakouts. (strengthens skin barrier)
• Vitamin C 1g/day. It reduces oxidative stress and improves skin. Strongly recommend (strengthens skin barrier)

If I avoid sex I can stay 100% clear most of the time. But problem is not resolved unless nose is decolonised.

I will be searching for solution based on above principles and share if I find something effective. Let me know if you have any other thoughts.

I think if we accept that this is the truth we would not be running in circles anymore.

1 hour ago, ExquisiteHunt said:

I will share my thoughts and experience from last couple of months. What I understood so far that I think makes sense as it is in line with what you guys are saying and all acne literature I had read.

Root cause

So the main reason for our problems are: nose colonisation of some pathogen (staph or something else) + sensitivity to androgens. Why I think so:

- Sensitivity to androgens: Sugar, alcohol etc. triggers breakouts because of effect on insulin. For me in addition sex triggers it because of changes in hormones after it. It leads to increased sebum production + some inflammatory processes in the skin. It probably would not be enough if not..

- Nose colonisation of pathogen (most likely staph). This is why issue appears  mostly around nose. 

- So once some food or anything else triggers your hormones, they trigger sebum and it results in rapid bacteria growth that triggers breakouts.

Benzoyl Peroxide

Why BP works? Because it reduces inflammation and most importantly bacterial load on your skin. Why it doesn't eliminate a problem - because root cause is in your nose. Basically you cleaning your floor but your roof has a hole in it and it is raining.

So What to do and challenges?

In order to solve the issue (or at least reduce its severity) we need to target one of 2 factors:

- Androgen sensitivity of the skin to reduce sebum production that feeds bacteria

- Bacterial colonisation in the nose to remove source of bacteria that causes breakouts

Androgen sensitivity

Androgen sensitivity is very hard to affect. You should somehow suppress androgen receptors in your oil glands.

- Accutane does that and potentially can do it for long term with high enough cumulative dose but comes with a lot of potential side effect and some of them long term and harsh (been that done that). 

- Birth control - it basically reduces androgens so less triggers to oil glands (only suitable for women)

- There was some study on green tea topical application but I doubt a bit this method works as there is no products that uses this mechanism. If it was that effective why nobody tries to make a product that can be sold?

- Winlevi (Clascoterone). New drug that targets androgen sensitivity part but it is available only in US and from early reviews it looks like it gave people most horrible breakouts in their life:(

I found this thread on forum that discuss it (through lens of skin oiliness). There are some interesting thoughts that I have not discussed here that might work. I have not tried them myself yet.

Nasal colonisation by bacteria

The main concept that we need to understand here is bacterial biofilm and its role in pathogenesis of chronic disease. Basically what we all have. Some info on biofilm:

Bacterial biofilms are clusters of bacteria that are attached to a surface and/or to each other and embedded in a self-produced matrix. The biofilm matrix consists of substances like proteins (e.g., fibrin), polysaccharide (e.g., alginate), as well as eDNA. In addition to the protection offered by the matrix, bacteria in biofilms can employ several survival strategies to evade the host defense systems. By staying dormant and hidden from the immune system, they may cause local tissue damage and later cause an acute infection. Within the biofilm, the bacteria adapt to environmental anoxia and nutrient limitation by exhibiting an altered metabolism, gene expression, and protein production, which can lead to a lower metabolic rate and a reduced rate of cell division. In addition, these adaptations make the bacteria more resistant to antimicrobial therapy by inactivating the antimicrobial targets or reducing the requirements for the cellular function that the antimicrobials interfere with. During a biofilm infection, simultaneous activation of both innate and acquired host immune responses may occur; neither of which are able to eliminate the biofilm pathogen, but instead accelerate collateral tissue damage. Consequently, biofilm-related diseases are typically persistent infections that develop slowly, are rarely resolved by the immune system, and respond inconsistently to antimicrobial treatments.

So what it means is that some bacteria form protective biofilms that make them resistant to immune system and antibiotics or antimicrobial agents. This would explain that when you trying to eradicate breakouts with antibiotics it suppress bacteria but don't eliminate it due to protective biofilm. All other bacterias are killed by antibiotics and once you stop using them bacterias with biofilms takes their place so you get even worse situation.

So what to do about?

I don't know yet:). But we need to understand that we need to eradicate these patogens from our nose by destroying biofilms otherwise we can make situation worse. So our main focus is to find protocols and use agents that are able to destroy bacteria and their biofilms.

I think it is possible by example of some people been able through nose decolonisation to eradicate the problem. But it is also very hard as I failed few times doing that. But that the nose is a problem showed me my experiment with putting BP into the nose for few days that resolved my breakouts. But I guess BP also might be not strong enough to eradicate biofilm.

Some other observations and thoughts

What worked for me:

• Strict diet: no alcohol, sugar, greasy food, fast food, too much calories (positive effect of hormones)
• Working out (positive effect on hormones)
• Sleep 8+ hours (positive effect on hormones)
• Benzoyl peroxide (reduces bacterial load)
• Moisturiser that have vitamin E in it because BP depletes it and you skin becomes weak and you get more breakouts. (strengthens skin barrier)
• Vitamin C 1g/day. It reduces oxidative stress and improves skin. Strongly recommend (strengthens skin barrier)

If I avoid sex I can stay 100% clear most of the time. But problem is not resolved unless nose is decolonised.

I will be searching for solution based on above principles and share if I find something effective. Let me know if you have any other thoughts. 

I think if we accept that this is the truth we would not be running in circles anymore.

 

 

 

NIce post bro!

Azelaic acid is a 5 alpha reductase inhibitor so that would lower levels of DHT which is the strongest androgen , binding 5-10x as strongly to the androgen receptor as testosterone. It is also a keratolytic agent and anti-bacterial/anti-staph. I believe it is a pretty good alternative to benzoyl peroxide.

As for the nose decolonization not sure how to tackle that one. Sometimes it doesn't seem to help rubbing nose with chlorhexidine, alcohol etc. Perhaps due to biofilms. I tried putting xylitol in my nostrils as that should dissolve biofilms (there are some studies on xylitol for chronic rhinosinusitis) but again not sure if it made a difference or not. 

In fact I have done nasal rinses with all sort of disinfecting chemical like methylene blue, iodine etc in an effort to get rid of the staph bacteria but to no avail

I know. It is hard with decolonisation. But I know for sure that this is the source as if I scratch my nostrils with finger I would get new breakouts. So pathogenic bacteria is there. Just until I found out about biofilms I was always wondering is that if antimicrobial agents doesn't help it should be something else. In addition what if bacteria is deep inside nose not in the bottom part of nostrils. Then it becomes extremely difficult to do anything.

I also try azelaic acid before but it was never as effective as BP.

Niacinamide doesnt react my skin at all and helps with oil. I still use it nightly and was thinking to do AM and PM. It has not prevented the pustules though.

I know it sounds odd, but has anyone tried using ketoconazole 2% shampoo over your face for 10 mins in the shower, then rinsing off? Or a cream like Daktarin? I always thought it was bacterial but what if it is fungal.

Unlike others who seem to only get it around the nose, I can get them on my chest, and along my hairline. Mostly within the facial hair area of the face.

18 hours ago, turbofollic said:

Niacinamide doesnt react my skin at all and helps with oil. I still use it nightly and was thinking to do AM and PM. It has not prevented the pustules though.

I know it sounds odd, but has anyone tried using ketoconazole 2% shampoo over your face for 10 mins in the shower, then rinsing off? Or a cream like Daktarin? I always thought it was bacterial but what if it is fungal.

Unlike others who seem to only get it around the nose, I can get them on my chest, and along my hairline. Mostly within the facial hair area of the face.

 

 

I have found anti-fungals creams (not so much dandruff shampoo as they can be harsh and irritate skin) to be effective for white pustules and overall skin health. As many have pointed out, there is quite a bit of overlap between white pustules and seb derm/oily flaky skin. Staph and malassezia (yeast)live together in colonies or biofilms.

I would recommend Bioderma Sensibio DS+ Cream - it's a great moisturizer and has both piroctone olamine and climbazole as antifungal agents. I'm using azelaic acid, and this cream as a moisturizer, and have no white pustules.

Piroctone olamine also chelates iron which all bugs, including staph, needs to grow.

On 11/16/2022 at 8:27 PM, ExquisiteHunt said:

I know. It is hard with decolonisation. But I know for sure that this is the source as if I scratch my nostrils with finger I would get new breakouts. So pathogenic bacteria is there. Just until I found out about biofilms I was always wondering is that if antimicrobial agents doesn't help it should be something else. In addition what if bacteria is deep inside nose not in the bottom part of nostrils. Then it becomes extremely difficult to do anything.

I also try azelaic acid before but it was never as effective as BP.

You could try putting manuka honey in your nose, there are several studies on using it as sinus irrigation forchronic rhinosinusitis (a biofilm/staph disease), see: https://pubmed.ncbi.nlm.nih.gov/27935259/ .This should take care of bacteria hidden deep in nostrils. It has also been used to decolonize nose from MRSA: https://pubmed.ncbi.nlm.nih.gov/29107078/ .

I am putting medical manuka honey in my nose and so far so good, no pustules.

@GrumpyPainter did the azelaic acid cause your skin to itch? or slightly burn? it did with me. Also when I sweat the skin itches. It could be related or a compromised skin barrier

I was looking into topical probiotics for the skin, since the BP and BHAs have probably caused a localised antiobiotic bomb

Also, a DIY tumeric and honey face wash. Honey is very good for both bacteria and fungus

Yeah it does sting a little bit but only for a couple minutes. I'm also worried that BP is causing serious skin flora imbalances (what happens to skin flora when you kill all bacteria including beneficial bacteria?), hence why I switched to using Finacea instead.

+1 on the turmeric honey mask. I like putting it on for 1 hour and then washing it off, also good for seb derm.

What do you guys think of this Beg Nasal Spray for decolonization and to kill the biofilms? Im presently on a low dose course of accutane to treat my GNF but plan on trying this if accutane doesnt work.

[Edited link out]

12 hours ago, Ozz said:

What do you guys think of this Beg Nasal Spray for decolonization and to kill the biofilms? Im presently on a low dose course of accutane to treat my GNF but plan on trying this if accutane doesnt work.

[Edited link out]

It looks like multiple antibiotics and some are quiet strong like gentamicin. So it might work. But if it doesn't it will get worse.

But if you already choosing between accutane and this I would choose Beg nasal spray.

I think you guys have gone too far. do not make a diagnosis based on guesswork without valid knowledge. and never conclude a health condition based on google search results. most dermatologists would say this is normal acne so the treatment is also acne treatment. if the condition of your acne is severe, do basic skin care. clean your face with a gentle cleanser, apply 2.5% bp then apply a non-comedogenic moisturizer.

Hi Guys, merry christmas. Been a long time since i last posted and a fellow member pm me so i thought i update my current situation

2.5% bp works well for me but seems my acne has now overcome the bp and outbreaks returned.

so i manage to get my hands on T3 Mycin(clindamycin) to keep it under control.

At the same time i am using dr secret line of skin care with great result. As gilang 91 mentioned and some of you might be aware, moisturising is also key. My acne and skin improves greatly after dr secret series of skin care.

Occasionally some small acne still comes but is quickly under control with T3 Mycin(clindamycin).

All the best guys and girls.

Hi Guys,

Merry Christmas.

My update. So thanks to @GrumpyPainter I have tried putting medical grade Manuka Honey in the nose twice a day for 2 weeks. So all pustules are gone not only from my face but other parts of the body (chest, hair etc) nothing else was changed in my routine. So it just proves again that bacteria in the nose is the main culprit in our condition. I even ate junk food during last 4 days and nothing happened and before it always was a definite breakout. Also my breathing through the nose has significantly improved as I always had some runny nose issues.

Manuka honey has antibacterial, anti inflammatory and antioxidant properties. In addition when you put honey in your nose you put coating on all surface that has bacteria and it can't get out. I don't think that I was able to decolonise my nose after 2 weeks of honey as today I got one pustule in one of the nostrils but it just finally proved to me that strategy should focus on decolonisation.

I have started today decolonisation with Alcohol solution Nozin and will use it for next 7 days. Not sure if it will be able to solve it but if I am able to at least reduce amount of bacteria in the nose it would be a good result.

I also have noticed using the phone flashlight that in my nose that it has some weird white coating spots that I can't remove by rubbing with Q-tip. It looks like it inside the skin. Maybe it is related...

Posted by: @exquisitehunt

Hi Guys,

Merry Christmas.

My update. So thanks to @GrumpyPainter I have tried putting medical grade Manuka Honey in the nose twice a day for 2 weeks. So all pustules are gone not only from my face but other parts of the body (chest, hair etc) nothing else was changed in my routine. So it just proves again that bacteria in the nose is the main culprit in our condition. I even ate junk food during last 4 days and nothing happened and before it always was a definite breakout. Also my breathing through the nose has significantly improved as I always had some runny nose issues.

Manuka honey has antibacterial, anti inflammatory and antioxidant properties. In addition when you put honey in your nose you put coating on all surface that has bacteria and it can't get out. I don't think that I was able to decolonise my nose after 2 weeks of honey as today I got one pustule in one of the nostrils but it just finally proved to me that strategy should focus on decolonisation.

I have started today decolonisation with Alcohol solution Nozin and will use it for next 7 days. Not sure if it will be able to solve it but if I am able to at least reduce amount of bacteria in the nose it would be a good result.

I also have noticed using the phone flashlight that in my nose that it has some weird white coating spots that I can't remove by rubbing with Q-tip. It looks like it inside the skin. Maybe it is related...

How did you apply the honey? did you dilute it at all?

@scorpy you don't need to dilute anything. Just take a q-tip, apply a pea size amount of honey on it and put it into your nose by applying on all surface no more than 1 cm deep. Try 2 times a day for 2 weeks and see if you will have any progress with it.

I used this brand. https://www.amazon.com/Activon-Medical-Grade-100-Manuka-Honey-Gel-Tube-Natural-Healing-of-Wounds-1-Pack/dp/B072276HMC?th=1

Any one tried serrapeptase's? There's some interesting information how it could help killing the biofilms off.

Hello . I had this problems years ago . I even posted here w a different username i forgot what it is . I suffered acne scars because of this . I wanna help because i remember how this white bumps controlled my life.

I had teenage acne which was treated by antibiotics for 6 months doxy . Somehow after that hell breakloose. Cystic acne . More antibiotic till i was put on isotretinoin.

isotretinoin was a miracle but i felt sticky and humid and after sometime it will come back specifically around the mouth. And i look like an ugly person wout the glow of health i used to have. So i was put on low dose of isotretinoin

Then i moved to canada from the philippines. The weather was super cold and the food was bland. I got healthier. I tapered the low dose. It will always comeback. But significantly less and manageable because its too cold to take a shower here everyday. So basically i just use water now to wash my face.

i noticed that if i used benzoyl peroxide or harsh facial wash it would become cystic.

but the bumps still comeback if i eat too much sugar but i cant eat a lot because theres not much sugary food here that i like.

My life became better with plain food and veggies i only eat chicken and spinach. Burger sometimes. Canadians have the best skin i swear so i try to follow their diet.

but this bumps still pop out but they come and go fast leaving only dark spots.

ipl does help a lot!i had hair removal in my face. So i was pretty much living a normal life but my skin was far from perfect they still come back when i eat unhealthy, so those bumps was a reminder that i should eat healthier

then i decided to transition to Male to female no joke. I got so hungry the first few months i craved fastfood and sweet. I noticed my skin doesnt breakout. Not a single pustule after 1 month just the scars.

I was on 2mg estradiol and 100mg spiro by that time. 3 years later i never had a single zit on my life and i can eat whatever i want . I just gain weight.

Keytakeaways from my experience

benzoyl peroxide,dry skin and harsh soaps aggravate it.

sugar aggravates it so bad

strict healthy diet can control it somehow

taking too much supplement aggravates it I noticed when i take too much random supplments they appear like clockwork.

its most likely hormonal because my transitioned cured it.

if you have questions ill try to reply.