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  1. Hi! First, sorry if i have a lot of mistakes, english Is not my native language After lurkibg for years i decided to finslly post something. Basically ive been dealing with acné since i was 13 (im currently 21) and its a neverending battle. Ive been through so Many dermstologists and treatments. Last year i finslly got clear skin thanks to tretinoin but, after not using ir durig the summer after doctors reccomendation, my acné came back. It was so bad and infected that i had a swollen linf node and has to tske antibiótics (lymecyclin) . During that bad breakout i did something i had never done before, i picked At my skin (bad idea) now un dealing with scars, PIH , my still horribly oily skin, and numerous Whiteheads and blackheads. Im still on tretinoin aand i use bha and AHA ...i dont know why muy skin doesnt get better. Im starting to loose hope. Right now un trying out cutting diary and taking supplements (vitamin c and zinc for now) ill Update my progress soon
  2. Hi there, I'm a 32 year old female and long term sufferer of acne. Roughly 6 months ago my doc switched my medication to epiduo (I'm a long term bpo user) and while I don't think that it's a terrible product I've been experiencing a side effect that I could hardly find anywhere on the web related to this product. Epiduo makes my skin super oily. In fact it's so greasy that I have to blot several times a day even when using mineral makeup. I am 100% certain is due to Epiduo because i quit it for 10 days. Within 3 to 4 days of quitting the oilyness disappeared completely and i was so happy. But by day 6 the worst breakout ever started and I by day 10 I went back on Epiduo because I couldn't take it anymore. So now my skin is being super oily again but hopefully the breakout will be sorted soon. Anyway... has anyone made a similar experience or has any idea how to keep all this oil at bay? Due to the recent breakout i don't see myself quitting Epiduo anytime soon again. I've been through different moisturisers and cleansers already but absolutely nothing seems to make a difference. I'm sure its not the bpo but the adepalen that's causing it. Your help would be greatly appreciated. Thank you!
  3. No more oily skin thanks to LED Mask

    Hi everyone! I'm a 28 year old guy who has very very oily skin since i was 12 where my skin gets very oily after just half an hour. Recently I bought an LED Mask that has about 100+ LED bulbs that emits red and blue LED lights as well as infrared. I have been using just the RED light (632nm in wavelength) mode for half-an-hour to one hour a day and after a month, my skin has been much less oily than before. I only used the RED light because I read that its wavelength can go deep to reach the sebaceous glands in the skin to reduce sebum secretion while the wavelength of blue light is unable to do so. In addition, RED light is able to stimulate collagen production in the skin and my face seems to be firmer. I did some research and found a study that says the following: "It has been demonstrated that red light can affect the sebum secretion of sebaceous glands and change keratinocyte behavior.Furthermore, red light might also exert its effects by modulating cytokines from macrophages and other cells, which in turn could reduce inflammation. " I will report back again after 2-3 months of usage. Hope this works!
  4. Hello friends, I’m very new to this site and i just wanted to share my story and routine that helped me overcome oily skin and acne. a little background info on me is I’m 23 years old, i live in a humid/hot area, i had acne for about 2 years. now the way i overcame my acne was not with the help of doctors or any of these big name products going for 50-100 dollars. *im not saying those products don’t work* but they just didn’t work for me. So today I’m going to share my routine i used with the products i used to beat acne i did my research and found that Garner 2 in 1 clay mask and face wash worked the best with me, with the assistance of the neutrogena sunscreen/moisturizer step 1 morning routine: boil hot water, pour hot water into a bowl, putting towel over your head and steam face for a good 1-2 minutes. This is really going to open up any clogged pores from the oils while you were sleeping 2. begin to apply face wash on face and LIGHTLY wash your face, remember the harder you scrub your face the more oily it will be throughout the day. rinse with lukewarm water then slowly change the water temperature to cold. * this closes the pores and makes skin tight* pat dry face with towel and wait until your skin feels a little tight, then apply the moisturizer night routine: repeat step 1 now once a week you should pick a day and use the clay mask. after you steamed your face, just apply face wash on your face and let it dry up ( usually takes 5-7 minutes) repeat step 2 and 3 If you have any questions ill be sure to reply to your comments! moisturizer i used : [Neutrogena Clear Face Liquid Lotion Sunscreen For Acne-Prone Skin, Broad Spectrum Spf 55] face wash/mask : [Garnier SkinActive Clean+ Pore Purifying 2-in-1 Clay Cleanser/Mask]
  5. Links to some recently unpinned threads Add your story! ---------------------------- First: Don't Panic It's not as difficult as it looks. Everything is inter-related and the same basic diet and lifestyle habits are repeated over and over. Because they are good for everything and how humans should eat and live. So, take a deep breath... and read: Good things for Acne (For when you only have time for the answers, but with links to more info. And see also this thread for more details on the Ultimate Question on Acne, Diet, Health and Everything!, a collection of links to numerous of the most valuable discussion threads ever. Including the best of SweetJade, the fairy Godmother of this forum. Click on it!) Covering all these interrelated things: -Stable Blood Sugar/Insulin/good Glucose Metabolism (no link because it's below in this post) -Anti-Inflammatory diet and lifestyle -Hormone Balance -Healthy Liver Function -Healthy Adrenal Function -Good, Complete Digestion/Healthy Digestive Tract -Allergies and food intolerances -Reducing Hyperkeratinization/Hyperproliferation - Stage 1 in the formation of acne. -Good Sleep/Light exposure/Circadian cycle. -Nutrition -Hyper/Hypothyroid - lowers SHBG levels, increases inflammation -Stress -Immune system -Topical treatment - care from the outside. -Exercise - The right kind. Affects nearly everything, like blood sugar, sleep, stress, mood... -Body Fat - affects inflammation and hormone levels -Brain health, Stress, Mood, Willpower, Depression, etc Because your diet can't clear if you stress out over everything. -PCOS -Oily skin, fat metabolism and Sebum quality -Your Health - Numbers to know and monitor, home tests -Anti-Aging - because someone asked and the same diet and lifestyle habits help that too. All this may seem overwhelming, but it's really not. Notice how inter-related most of these things are and how the same nutrients and habits appear over and over because they help so many issues. Also, most things listed here are just plain good for you period. Things everyone should do regardless of acne. Good for whatever ails you. For anti-aging, disease prevention, wellness, happiness... What you want is a healthy lifestyle with natural circadian cycle, stress management, physical activity and a nutrient dense, anti-inflammatory blood sugar stabilizing diet habits that don't include anything you have an intolerance for. More on WHAT TO DO.If you just want to be told what to do, skip to here. Other great threads: -Food and Recipe thread index -Doctors and other experts admitting to the diet and acne connection thread Members who've cleared their skin via diet and lifestyle habits - -Why you should avoid/limit dairy, especially cow, especially unfermented, etc. -Improving fructose metabolism for those that break out from fruit -Diet and health tips and tidbits -Autogenic and Biofeedback for stress, anxiety, emotions -The Necessity And Benefits Of Sulfur -Epigenetics - what you do to yourself affects your genes -Farm subsidy and other bad things they do to our food -'Recent' Advances in Acne Pathogenesis Information -Patent request for an enzyme that works on a gene involved in acne -SHBG - Sex hormone binding globulin -ZAG enzyme which impacts normal formation and exfoliation, possibly inhibited by lectins in grains/seeds Special Posts: Clinical studies on the connection between diet and acne The truth about Calcium and healthy bones- for those afraid to avoid or limit dairy Vitamin D Coconut Oil Omega 3s and our supposed lack of ability to convert ALA from plants to EPA and DHA Will always be in progress. I'm working on it all the time adding good things and links to sources and more info. Refer back when you need reminders of all the factors. I know I need reminders. I'm sure there's plenty I've forgotten in these lists. ----------------------------------------------------------------------------------------------------------------------------------------- Good things for Blood Sugar/Insulin/Carb Metabolism Insulin is a master hormone that influences almost all other hormones. Elevated Insulin stimulates Androgen and IGF1 production, while simultaneously inhibiting production of the proteins that bind them--SHBG and IGFBP-3. Androgens stimulate oil production, IGF1 causes hyperkeratinization and hyperproliferation of skin cells. We become somewhat insulin resistant during puberty. It stimulates & helps utilize resources for growth. Elevated Insulin also causes inflammation which worsens acne and scarring. Inflammation is also aging and the root cause of degenerative diseases. Causes loss of elasticity in tissues. In addition, when cells become insulin resistant leaving sugar floating around in the bloodstream, it causes glycation which also reduces elasticity in tissues. Post filled with links to research about insulin resistance, puberty, role in acne, IGF-1, etc: Note: This is not about avoiding carbs or eating low carb!! It's not even about never consuming sugar or having a dessert. It's about habitually avoiding High Glycemic Load meals, drinks. And about the nutrients and habits that improve the body's ability to manage blood sugar and insulin response. Just know that every time you consume more sugar than your cells can take in at that time, damage will occur. Your body can counter damage. Just not at the rate that's become normal in this soda drinking, nutritionally void refined food consuming, chronically stressful, unsleeping, sedentary society we've become. Also, many hormones are involved in blood sugar regulation. Insulin sends blood sugar down and cortisol sends blood sugar up. And cortisol is a major culprit in metabolic syndrome. Part of the reason sleep, stress and physical activity are as big a players in the formation of diabetes and acne and related conditions. Basics: Glycemic Index - is a measure of the effects of a food on blood sugar levels. Glycemic Load - as above but takes into account the amount of food eaten. For example, a small piece of candy can have a lower GL than a bigger amount of a lower GI food. Simple chart of the GI and GL of some common processed and unprocessed foods. http://archderm.ama-...TABLEDOB10212T1 Nutrition Data article on GI and GL and their own Fullness Factor index Insulin Index- A measurement of blood insulin levels in response to various foods. Turns out that certain amino acids also stimulate excess insulin and so even low GI foods can be insulinemic. http://www.marksdailyapple.com/dairy-insulin Dairy is insulinemic, being high in the most insulinemic amino acids: leucine, valine, lysine, and isoleucine. Discussion: http://www.acne.org/...ex-t259695.html and website http://www.mendosa.c...sulin_index.htm So, The Good Things for Blood Sugar/Insulin: Diet habits -Avoiding foods and drinks that spike blood sugar like sugars, refined grains, high GI foods not eaten in combination with low GI foods, - making a high GL meal. -Eating Fats, protein and fiber to lower the GI of a meal, doesn't mean diet needs to be high fat or high protein. And very high fiber might not be good for you either. -Avoiding over eating. High calorie meals can also be high GL meals even when composed of fat and protein. And because cell mitochondria are capable of processing only so much glucose so consuming more than your body can handle will result in excess glucose in the blood stream causing serious health problems. -Resistant Starches -Consuming vinegar before carb meals - acetic acid in vinegar blocks a digestive enzyme as well as improving stomach acid PH. Have a couple spoons of ACV in glass of water or have salad with vinaigrette prior to meal. -Intermittent fasting or calorie restriction - Skip a meal now and then. Or spend a day having minimal calories, now and then. -Eating foods high in the nutrients listed below. Anything that improves circulation, Blood pressure, cholesterol, so: -Exercise!!! - also increases insulin activity in order to provide energy for exercise, especially beneficial is short bursts of very intensive activity like interval training such as walking combined with sprinting, stairs, or hills. Or weight/resistance training. Any short bursts of intense exercise will help blood sugar, so take the stairs!! -Omega 3 EFAs - from fish, krill oil, flax seed, chia -The Omega 6 EFAs: G.L.A and linolenic acid -Anthocyanins - phytonutrients primarily in red and purple fruits and veg, strengthens capillaries. -Capsaicin - from chili peppers -GINKGO BILOBA - for circulation -Ginger - for Blood Pressure -Limiting salt - also for blood pressure -Potassium - blood pressure - balances sodium intake -B3/Niacin/Inositol/Niacinimide - helps improve just about all the bad things in your lipid profile as well as circulation & BP. But high doses can reduce insulin sensitivity and harm the liver. -Chamomile tea - studies show it both improves blood sugar and complications of diabetes as well as being calming to help with stress and sleep. -Curcumin - in the spice Tumeric, so have some curry with plenty of veggies! Or yellow mustard. Nutrients specifically involved with insulin signaling and glucose/fructose metabolism -Chromium - essential for insulin activity -Biotin - works with chromium? -Cinnamon -Fiber - slows metabolism of carbs. If you must cheat, such as to have a slice of birthday cake, you can take a supplement like psylium or Glucomannan -Alpha lipoic acid - Insulin signaler, helps insulin transport glucose into cells -Vanadian - same as above -Magnesium - part of carb metabolism, helps body use carbs for energy, may stimulate release of insulin. Study finding magnesium supplementation reducing insulin resistance. -Vitamin D - It's actually a hormone, not a vitamin. Helps maintain insulin levels. Also helps Blood Pressure, immune system... -Zinc - involved in insulin storage and release -CoEnzyme Q10 - carb metabolism -B3/Niacin/Inositol/Niacinimide - also involved in the activity of in enzymes that transport and break down fats, proteins, carbohydrates. Has been shown to improve blood sugar, androgen levels, hirsutism and acne in women with PCOS . But high doses can reduce insulin sensitivity and harm the liver. -See also d-chiro-inositol from buckwheat and d-pinitol from Carob -Taurine -Thread also has a lot of info on fructose malabsorption. -Melatonin -Sulforaphane- sulfur compound in Brassica veggies like broccoli, cabbage, watercress.... -Resveraterol - especially beneficial for insulin signaling in the brain. (yes the brain makes it's own insulin.) Other nutrients that have been shown via studies to play a role in lowering blood sugar/things people with insulin resistance/diabetes tend to be deficient (although we all tend to be deficient)/Things that supplementation has tended to lead to improve insulin resistance for whatever reason: -Vitamin E -NAC - shown to increase insulin sensitivity and lower androgen levels in women with PCOS. - Inositol part of the B vitamin group, comes in many forms d-chiro-inositol -abundant in buckwheat and Myo-inositol also high in seeds have both been studied and found beneficial to insulin sensitivity/carb metabolism and sufferers of hormone disorders such as PCOS. They have have insulin-sensitizing capabilities. Myo-inositol is integral to properly functioning insulin-receptors and has also been linked to the activation of serotonin. Myo-inositol is a component of the phytic acid found in seeds. -Salt -polysaccharides in Tea- and there's more in black tea than in green, white or oolong And lots of things that help deal with damage from and/or degree of poor glucose metabolism like C, B vitamins, E, zinc, CoEnzyme Q10. All kinds of antioxidants. Other habits/issues: -Sleep/Circadian Rhythm- You need bright light exposure in the daytime and darkness at night and regular sleep. Affects melatonin/seratonin, insulin sensitivity, carb metabolism/insulin sensitivity, hormone production and release, stress, digestion. Researchers have begun to believe sleep plays just as big a role in the development of diabetes as obesity and exercise. -A healthy liver - part of sugar metabolism, especially regarding fructose. -Healthy Adrenal function - for proper cortisol levels, which is involved in glucose metabolism. Adrenals also involved in hormone production. -Low body fat - visceral fat(around your middle) secretes hormones that impair insulin sensitivity. -Muscle mass improves insulin sensitivity. -No smoking - Smoking reduces insulin sensitivity. Also, some people may suffer from Fructose Malabsorption or even be fructose intolerant and may need to take steps to improve fructose malabsorption or avoid fructose. See also Good Things for Liver, Sleep/Circadian Rhythm - adequate bright light exposure in daytime affects carb metabolism. Fructose is best absorbed when in equal amounts of glucose. See this Chart of fruits and the amounts of each type of sugar to help you avoid those fruits with excess fructose. And There's evidence that Saturated fat lowers insulin sensitivity and low fat diets have been found to improve diabetes. And this was posted by a member here, but I don't yet have any additional source: Also, see this list for reasons besides acne that you should try to keep blood sugar stable: 146 reasons why sugar is destroying your health. Except that it's not just actual sugar, but refined carbs easily turned into sugar by your body, and any high glycemic or insulinemic meal.
  6. I've been suffering with acne since 13, and I'm about to turn 14. I have an oily t-zone area, and I have pimple on my chin, nose, and my cheeks that is close to my nose, and I also have it on my forehead. I've tried a bunch of creams and cleansers, and still nothing is working. I'm currently using a Clinique acne solutions kit that a lady at Ulta told me to get but i guess she was in it for the money, since it's not really working. Im considering using oils but I dont know which oil is great for fighting hormonal acne and oily skin. My acne is very stubborn to say the least. Im getting so depressed, I dont want to go to school because I feel ugly. Sometimes I feel like acne is torturing me. If someone could please tell me some acne products or oils for acne that work, please do. Im so depressed and I keep crying and I feel like that life like this isnt worth it.
  7. Life after acne

    Hey guys, I really want to crete a conversation about life after acne (once you cure/temporary fix your acne). This is a topic that is not discussed a lot and i think its important. I have been acne free for 1 year and i no longer have any pigmentation either. I no longer find the need to wear makeup, and i never worry about my skin anymore. I remember when i had acne i was self-conscious and i would tell myself "when i have clear skin i will have no worries." The truth is yes you may not be conscious about your skin, but other insecurities appear.I realised that i no longer obsess with my skin, instead i would be conscious about my weight or how thin my hair is. Its important to mention that i am on birth control (what fixed my acne) and i have gained 15 pounds, have a headache everyday and my hair is thin. However, the fear of going off birth control and have my acne back is still strong. I guess what i want to get out, is that i find that once you fix one problem, another becomes obvious. thats what makes us human. I have learnt to love myself and i think thats the real cure. I have been off birth control for a week and my hair is great again, my headaches are gone and i have lost alot of water weight. My acne may come back, but at this point i've decided to deal with it. I would love to hear everyone else's experience of 'life after acne' or even if you have temporarily fixed your skin issues.
  8. Okay well, I've been on Accutane (Roaccutane for me cause I'm in Ireland) for 18 days now and I decided to make a log for people who are considering going on the drug or that are on the drug and what to get tips or info that I can give! So anyways, I'm a 19 year old male and I've had oily skin and acne since I was like 13/14. I got really bad acne including nodules and really oily skin, so oily people would comment on it sometimes! I tried many oral and topical treatments to try get rid of my acne including differin, dalacin and tetryasil (I don't think I spelt that right ). The only thing that did any good was the differin and dalacin topical treatments which i applied twice daily but they didn't help the oily skin! I had reeeaaally bad ice pick scarring on my temples and cheeks which have kind of faded since but are still pretty red. My acne continued to get a bit better and from the age of 18 it wasn't too bad (compared to how it was before) but was still annoying and all i could ever think about. it really destroyed my confidence and it holds me back from being more social and happy! Anyways, a few months ago I went to my doctor, totally fed up with dealing with acne, and asked him to refer me to a dermatologist to see my options because i decided that this was the year i would get rid of my acne cause i don't want to be waking up 5 years from now and still going to the mirror and applying these topical treatments and hating how i look! The dermo said that (ro)accutane was a good option for me cause i pretty much tried everything else. As for how you get your hands on accutane, i don't know if it's harder to get it in the US than it is to get it in Ireland but i basically had to do a blood test before getting the prescription which i got a few days after my bloods came back. i have to go for monthly blood tests and visit my dermo each month after the blood test. So, basically I began Accutane 18 days ago and I started with a dose of 30mg per day. My dermo said i'd probably be going up to 60mg a day after the 1st or 2nd month, depending on how I'm doing etc. My treatment is for 6 months! (btw, i also have some acne on my chest and back) As everyone pretty much knows, there's a lot of side affects when taking Accutane. So far, I've only encountered dry/flaky skin around my nose and lips and chin and dry lips. I use Clean and Clear oil free moisturiser for the dry skin, which i could apply constantly cause the dry skin is pretty much impossible to get rid of and regular lip balm for the dry lips which i carry around with me everywhere because my lips just get so dry. I also take vitamin E and C supplements every morning to help my scars heal. Okay so what have i noticed so far? Well, apart from my skin becoming waaaaayyyyy less oily (yay!) and the side effects (dry skin and lips) my skin has improved a bit already. Considering that I'm using moisturiser and not using my topical prescription treatments thats really good! I still get breakouts but they seem to go in a day or two except for some red spots which hopefully will go away soon! I also notice that in the morning one of my nostrils might have some blood in them, i think nose bleeds are a common enough side effect of Accutane so I'm not worried about that! I still have blackheads but my scars have healed a bit and redness has gone down a bit too! Skin care routine on Accutane: Okay so basically all i do to my face since i started accutane is apply moisturiser multiple times throughout the day. i try and shave every two days to exfoliate the skin (it seems to be driest around areas i shave) and i wash my face afterwards. i don't really wash my face that much at the moment cause i find it makes my skin more drier. I was also recommended to use sun screen when going outside and to be honest i haven't used it since starting treatment (cause it makes my skin dryer and i might be too lazy ) Diet: Okay so i try to be as healthy as possible anyway but since i started Accutane I've started increasing my intake of Vitamin E along with taking a vitamin E tab every morning because it is good for healing scarring and caring for your skin. I have a smoothie with spinach or kale and a mixture of fruit (banana, strawberries, blueberries etc) with almond milk every morning to try and increase my intake of vit E and healthy food. Anyways, I'm gonna try and post updates every few days/weekly and if you guys want to ask me questions please feel free to do so Since i've only been on Accutane for 18 days and have already noticed positive changes to my acne and scarring I'm hoping that this treatment will be the final treatment i ever have to take for god damn acne!! Okay so this is my first Accutane log ill post an update in a few days and answer any questions or comments you guys have!
  9. Hello, i have suffered with acne since I was 11 years old and have had it under control many times. First, my acne started on my forehead and I went to the dermatologist about two years after it started. The doctor prescribed me with topical medications, and the acne was under control until about three years later. Then, I went back and was prescribed an oral antibiotic that I was on for about a year. The acne was cleared up until then. Then, it wasn't helping any longer, most likely because I built a resistance to it, so I quit taking it. Went back for an appointment and was given new topical medication. Didn't work. Tried some stuff on my own and it did not work. So, I went to a new dermatologist and was given a new topical medicine and that never really worked so went back and was given more oral antibiotics. Never really worked. So a couple weeks ago, I decided to get a facial and get everything extracted from my excessive oily skin. There was a lot. The esthetician gave me Yonka products which I have been using for the past two weeks. I still have terrible bumps on my forehead and am developing bumps on my chin. I say bumps because I am wondering if it is foliculitis. The esthetician said I may need probiotics. Any input would be appreciated. I do have little hairs on my forehead.
  10. Hey there Acne.org users, (all my questions/points are in bold, the rest is just waffling/background info ) I've been browsing these boards a lot recently and 5 days ago decided to start the 'Caveman regime', I've read a lot of mixed feelings towards it on these boards, but can't seem to find anyone specifically writing about the question I have... A little background, i'm 23, male and have suffered with mild acne since I was about 16 - when I was 16 to 18 the acne was at its worst and daily I got new spots and they were all over. At the moment and for the past couple of years I get maybe 1 new spot every 2 or 3 days and my skin doesn't look so bad, but my skin is OILY, like on pictures that get taken and put on facebook my face just shines and looks horrible and I hate it, as i'm the only one in my group of friends with this problem - I know i'm not alone in this and probably everyone on here feels the same (sucks dont it!). ANYWAY.. Will the caveman be good to get rid of my oily skin? as i'm sure this is now the main cause of my acne, and if I didn't have oily skin, I wouldn't have acne... Also, i'd accept the few spots if my skin wasn't oily, it's the oil that is really upsetting me! It's day 5 on the caveman regime, I havent let water touch my face even in the shower, and i've got noticeably more whiteheads, like 5 on my face at the moment - generally I have no more than 3! I think from my research this is normal, Am I correct? Any other pointers on how to relieve my oily skin on caveman regime, or any advice that isnt related to the caveman regime? I'd really appreciate ANY input on this, as like everyone on here, i'm just sick and tired of having terrible skin, and mines not even the worse by far so I feel for those who are worse off than me. JRK
  11. I've noticed that whenever I get acne on my cheek area it leaves a red mark that lasts forever, I also noticed that the scars look milder when I first wake up which leaves me confused. My mom told me not to pick at my scars or they'll become permanent but I haven't noticed any improvement whatsoever.
  12. Acne // Nothing is working

    I've gotten small bumps all over my forehead and I have a lot of blackheads on my cheeks. I have oily skin, and I wash my face twice a day and follow up with a light mosturizer. I've stayed clear of makeup for 2 weeks and if anything, my skin got worse. I've been eating healthy, staying away from greasy and unhealthy foods and my skin looks the same. Nothing is working and it's getting worse. I feel so insecure.
  13. My log/blog/epitath

    Yeah I'm Ben 23 from the UK. This log is gonna show how I face life with acne etc. A very brief history of my acne is below: My acne started when I was about 14/15 and it was pretty annoying. I didn't really do anything about it til I was 16 and my parents more or less kept shouting at me til I went to the doctors. The dr gave me benzamycin gel and for a few weeks my acne, which was moderate at this point, seemed to subside, but it was only a mild improvement. I kept on using the benzamycin though, but although acne pissed me off at this point, it didn't ruin my life. When I was 17 I went back to the Dr's because my acne was still pretty bad. He added 100mg of doxycycline per day to my prescription. This made little difference. Round about june 2000 I stopped the Benzamycin and the doxycycline as they didn't seem to be doing anything for me. Over the next coupla months my acne went very quiet and I got barely any outbreaks which made me feel a bit more confident. Then after the summer my acne came back and really exploded. I was getting huge papules, pustules and possibly nodules. I was not a pretty sight. In early 2001 I went back on benzamycin and doxycycline, but again it didnt do much. In about may 2001 my doxycycline got increased to 200mg per day. After a week I looked in the mirror and a helluva lot of my acne had just gone. I was pretty shocked at the improvement and my acne gradually disappeared. After about 6 weeks I was more or less 100% clear. My life turned fucking great! Girls were suddenly interested in me and lots of other things in my life just seemed to come into place! I got a GF and for the next year or so, things were great. I would get maybe 1 whitehead a month and the occasional papule. Every 3 or 4 months I would have a breakout of 5 or 6 spots, but they cleared up pretty quick. I must add that my skin has been oily all throughout this story. After about 15 months, production of benzamycin stopped in the uk. I got put on to zineryt and it broke me out like crazy. I was really upset that I had finally got clear and then my skin fucked up again overnight. I went back to the doctors and they put me on isotrexin which gave no improvement. Then followed about 6 months of hell with my skin. I suffered a few scars in that time, nothing major, but noticeable. My personality also changed. No longer did I wanna go out about 3x a week. I avoided my friends as well. It certainly affected my relationship with my GF, I just wasn't the person she'd met when we first started going out. But I was too embarrased to tell her what was making me feel like this. around xmas 2002 I went on 5%BP and erythromycin. It got a little bit better, but nothing major. In spring 2003 benzamycin was available again, I went back on it but it didnt seem to work as well as it had previously, maybe it was because I was on erythromycin tablets now instead of doxycycline. Then a new dr at my surgery whose speciality was dermatology took me off the erythromycin tablets as I'd been on them for several months. My acne got worse again! I went back on the erythromycin and over the next 6 months, i got fairly clear and got a lot of confidence back. Then after 6 months I again got taken off the oral antibiotics and just had benzamycin to play with. I thought that my skin would fuck up again, but I actually stayed pretty damn clear for about 3 1/2 months, but then one day my skin started breaking out again. I saw a derm a couple of times but didnt get on roaccutane. I got put on differin and some oral antibiotics which did little good. I felt really shit in this time. I was exceptionally close to getting on roaccutane in the past summer, but high liver enzymes meant I never got to go on it. I did get put on differin and benzamycin though, which I'm still on 5 months later and its got me pretty clear. I still get 3-5 spots a week, but no more pustules and only 1 or two whiteheads a month. I dont look great though, no matter how much mild acne I have, it still looks bad. My oily skin makes it all look worse too Well thats a not so brief history of my acne hell! I thought the new year was a good time to start a blog up, so here it is! At the minute I'm on differin in the morning and benzamycin at night. I've also just changed my cleanser from clean and clear oil free to cetaphil cleanser, hopefully this will help with the redness that my face seems to have. I'm also using lukewarm water to wash my face with instead of cold water, I read that cold water can help to irritate your face and that makes sense to me.
  14. I registered today just to tell my story that I feel compelled to share with others. After 22 years of suffering from extremely oily skin and acne I have finally found what I believe is my own personal cure. It's been a very long road to get here and I still can't quite believe it, but Vitamin D supplements have COMPLETELY eliminated my super oily skin and acne. I'm not talking a little bit here, not a 50% or even 90% reduction. I'm talking 100%. I still can't get over it having suffered for so long. I know some of you aren't going to believe what I just said or what I am about to explain. I would have my doubts too if I were reading this just a few months ago, but I am 100% telling the truth of my own personal experience. So here I go... I am a male, now in my late 30's and have suffered with excessively oily skin (way way way too much sebum) and severe acne since puberty around 14yo. I have taken EVERYTHING over the years. This gets said a lot around here by 16-18 year old acne sufferers, and I can certainly sympathize, but trust me when I say I have had over 20 years of experience trying EVERYTHING from prescription meds to over the counter topicals to various supplements. I have tried every systemic and topical antibiotic prescription known for acne. I have tried every topical retinoid. I have been on 3 courses of Accutane. I have been on doctor prescribed very high doses of Vitamin A (a safe aqueous form) after my 1st course of accutane when my acne flared back up after treatment. I have tried and used many of the over the counter washes, scrubs, masks with BP, salicylic acid, tee tree, etc. over the years. Fed up with prescription meds that never fully worked (or in the case of Accutane worked only while on them), over the last few years I have also tried various supplements, including fish oil, cod liver oil, B5, vitamin B multivitamins, antioxidant multivitamins, borage oil, and others. About 4 weeks ago I began supplementing with Vitamin D3 1000IU. Why? Well a year ago I got a blood test done showing my Vitamin D level was low. It was a 19 which is considered quite deficient (normal I think is 50-70; reference values have been upped recently). At the time my doctor prescribed Vitamin D over a 3 month period but at the time I saw no results so stopped after 2 months (this was to try resolving fatigue not acne anyway). But this winter I started reading up on Vitamin D again as my fatigue was increasing again and came to find out that the Vitamin D that is prescribed via a pharmacy is of the D2 form which some studies have now shown is ineffective in vivo. So I decided to start taking over the counter Vitamin D (in the D3 form), like I said about 4 weeks ago. Again, the intent was to possibly help with fatigue and perhaps immune support, not necessarily help with my oily skin or acne. But to my amazement, about one week in I began to see significant reduction in sebum on my skin. By week two my skin had become COMPLETELY normalized. I can't even believe I am saying that after so many years of super oily skin. The only medication capable of doing that for me is Accutane (isotretinoin). Nothing else could reduce or control sebum production for me. Not prescriptions or supplements of any kind, even B5. Remember I'm a male, so there is no other option other than Accutane for us males like BC or Spiro to try and normalize hormones/oily skin. After taking Vitamin D for 4 weeks now my skin is tighter, smoother, looks normal, and I haven't had a new pimple of any kind surface in 2 weeks which for me is nothing short of a miracle. Most amazingly is my oily skin is completely gone and hence why I'm confident this is going to work long term for me. In fact the results, both sebum and acne elimination, are just as good if not better than Accutane (Accutane can be super drying in normal doses and can affect wound healing). I was going to wait 3-6 months to tell my story because I know there will be naysayers that say 4 weeks isn't long enough to judge long term efficiency, or maybe this is just an anomaly, or something like that. But after 22 years I have more than enough experience with my oily skin and acne to know that this is a fundamental change in my skin that I have never seen before (other than again with Accutane usage). So I just couldn't wait that long to post. I felt compelled to do so today in the hopes that my experience might help some others right now, not months from now. So anyway, completely amazed by this result I have experienced with Vit D I have been doing quite a bit of research online about it and the more I research the more things make sense of how this is affecting my skin. Vitamin D is actually a hormone and was mislabeled a long time ago as a vitamin because at the time researches didn't realize the body (skin) can actually produce vitamin D. In a strict sense, vitamins must be supplied by diet, while hormones are produced in the body. Now, we all know acne is a result of what is most likely an imbalance of hormones in the body. This is why it is very rare for pre-pubescents to have acne, their pubertal hormones haven't kicked in yet which is when most acne first appears. "Vitamin" D, being a HORMONE needed in vital bodily functions, can be one of those hormones that is deficient. Vitamin D is produced via UV light action on the skin. In fact, it is produced in the oily cells (sebocytes) in the skin. Interesting but slight gross side note - I read somewhere that dogs and cats actually get their Vitamin D intake from licking the sebum on their face and hair follicles where the vitamin D is created (their skin cannot directly absorb the vitamin D through the skin). Apparently (and luckily for most humans) human skin can directly absorb vitamin D on the skin . So I've been pondering, perhaps very oily skin (and associated acne) is a negative feedback of low vitamin D levels in the body. With lower and lower Vitamin D in the body, the skin produces more and more sebum in efforts to create more Vitamin D to bring the body in balance. Perhaps those like myself who have consistently super oily skin have an impairment in the ability to create or absorb Vitamin D in the skin. (I don't really see a reduction in oil during the summer when I get a fair amount of sun). For me, perhaps the only way to increase my vitamin D levels is not through sun exposure but through supplementation. There are very few sources of foods with sufficient levels of vitamin D so the only way to get it in sufficient amounts is through vitamin supplements. In my research I also found out that Vitamin D will bind to some of the same skin cell receptors as certain forms of Retinoic Acid (one of the metabolites of Accutane). I believe this is likely why Accutane works in a similar fashion (normalizes sebum production) by binding to the same Vitamin D and related receptors in the skin. Now this is my own hypothesis here, but perhaps when those receptors have vitamin D or retinoic acid bound to them, they in essence tell the skin they have enough Vitamin D and not to produce any more sebum. Perhaps Accutane works by substituting for and mimicking Vitamin D in the skin . This could possibly explain some of the side affects of Accutane like bone and joint pain which can be a symptom of Vitamin D deficiency (accutane thereby exacerbating the Vit D deficiency). I could go on about this but this is getting a bit tangential to the subject. Anyways, I am completely beside myself that Vitamin D has worked better than anything else out there, and that I have suffered with acne for so long due to what appears to be a simple Vit D deficiency. I really implore others to try this too. It is cheap and easy to do with no side effects. The amount I am taking is 1000IU and is considered a relatively low and completely safe dose. I am not going to state this is the cure for everyone as I am a case study of one right now (although I have read here and on other websites others having great results with Vit D as well). But if you have very oily skin, especially into adulthood, I would give vitamin D3 a try. Not that I think it matters, but in light of full disclosure, I am taking "Natures Made" Vitamin D(3) 1000IU tablets once a day. I don't think the brand will matter so much, just make sure it is Vitamin D3 and not D2. I am also taking Safeway brand Vitamin C 500mg tablets at the same time (this is your generic ascorbic acid Vit C). Note these are run of the mill vitamin brands, not anything special. It's possible the Vitamin C is adding a synergistic affect to the Vit D; I really don't know. But I do know Vitamin C alone hasn't done squat for me over the years that I have taken it so Vitamin C alone isn't causing the amazing results I'm seeing. (I am taking Vitamin C for immune support). These are the only two supplements I am currently taking. I have dropped all topicals other than washing my face in the morning and night and have just begun moisturizing at night with Aloe Vera Gel. I'm hoping others will try this as perhaps this might be the solution for them as well. I'd be more than happy to answer anyone's questions.
  15. Ingredients For Reducing Sebum

    Below is a list of ingredients, along with relevant studies or anecdotes, that are indicated to help reduce sebum production, either directly or indirectly. I posted this on the Oily Skin forum, but I want it here too so that it has a greater chance of helping anyone else who is also searching for an oily skin cure. My next blog post talks about a new experiment I'm doing involving products that contain a number of these ingredients. If you suffer from oily skin and are desperate for a cure, please consider experimenting with products that contain some of these key ingredients. The only way we will find a solution for oily skin is if we experiment. Green tea (camellia sinensis) 60% reduction of sebum after 8 weeks using a formulation containing 3% green tea extract: http://bjbms.org/arc...0-3/mahmood.pdf “Twenty mg of (-)epigallocatechin gallate (EGCG) in 0.2 ml 70% ethanol was applied to the left forehead twice a day for 6 days (FIG. 25). The L/R ratio decrease from 1.20±0.02 to 0.71±0.04 during this period . . . Clearly EGCG was more effective in reducing the sebum production from forehead than (-)epicatechin.” http://www.freepaten...om/5605929.html “we examined the effects of EGCG, the major polyphenol in green tea, on human SEB-1 sebocytes and in patients with acne. In SEB-1 sebocytes, we found that EGCG reduced sebum” http://www.ncbi.nlm....pubmed/23096708 “Steady and statistically significant reductions in sebum secretions were noted for mono (green tea) and combined treatments (green tea plus lotus) compared to placebo treatment.” http://www.ncbi.nlm....les/PMC3738281/ Ketoconazole (Nizoral) “The sebum casual level appeared to be decreased by KCZ” “A 19.4% decrease in the mean sebaceous gland area was observed in the KCZ group” [Yes, the ketoconazole decreased the actual size of the sebaceous glands.] http://vipadenievolo...ampoo_Study.pdf “The sebum excretion rate is reduced with ketoconazole (-6.54%)” http://www.hairlossh...zoral1study.cfm Sea buckthorn (hippophae rhamnoides) “Concentrated sea buckthorn (H.rhamnoides) fruit extract was entrapped in the inner aqueous phase of w/o emulsion. . . the Formulation showed statistically significant (P < 0.05) effects on skin sebum secretion.” http://www.ncbi.nlm....les/PMC3146084/ Licorice (Glycyrrhiza inflata or glycyrrhiza glabra) Among the herbal extracts tested, polyol-soluble licorice extract P-U (product name) derived from Glycyrrhiza inflata showed the most potent testosterone 5 .ALPHA.-reductase inhibition, androgen receptor binding inhibition and antimicrobial activities, which are closely related to sebum secretion. In addition to the findings on polyol-soluble licorice extract P-U, clove extract and peppermint extract showed testosterone 5 .ALPHA.-reductase inhibition, arnica extract and rose fruit extract showed androgen receptor binding inhibition http://sciencelinks....804A0230063.php Clove Licorice study. Arnica Licorice study. Rose hip/fruit Licorice study. “Effects of rose fruit extract on sebum secretion were evaluated by determining the inhibitory effect on TSR activity and androgen receptor binding. Rose fruit extract showed inhibitory effects on TSR activity and androgen receptor binding.” http://www.personalc...aspx?Story=4113 Peppermint Licorice study. I experimented with peppermint oil and saw results firsthand: Saw palmetto (serenoa repens) Study: " The study participants applied a cream containing saw palmetto extract, sesame seeds, and argan oil twice daily for four weeks. . . a significant reduction of sebum levels was noted—up to 42% in oily spots." http://onlinelibrary...0306.x/abstract “In a study of 34 men and 28 women (18-48 years) topically applied SR [serenoa repens] extract in lotion and shampoo base for three months led to 35% increase in hair density and 67% increase in sebum reduction” http://www.ncbi.nlm....les/PMC2840915/ Sesame seed First saw palmetto study. Argan oil First saw palmetto study. Cedarwood oil "The two extracts- cedarwood and poplar bud extract retained their activity at 0.5%. and effectively reduced the sebum levels." “Cedar wood and elubiol application led to a significantly greater fall in the sebum reading at 6 weeks as compared to 3 weeks” http://www.freepaten.../EP1172087.html Anecdotal “After a couple of weeks, I noticed the chin was "dryer", indicative of less sebum being secreted than the other side . . . I can certainly assert that cedarwood alone helped that side of my chin to make less sebum." http://www.hairlosst...oil-test-notice L-Carnitine “topical in vivo application of a formulation containing 2% L-carnitine for 3 weeks significantly decreased the sebum secretion rate compared to the treatment with vehicle.” http://www.ncbi.nlm....pubmed/22360332 Hydrolyzed wheat and soy protein “Mean sebum readings charts showed Hydrolyzed Wheat Protein and Hydrolyzed Soy Protein exhibiting similar profiles versus Elubiol, with sebum readings decreasing with time, from 124-138 mu g/cm<2> at baseline to 68-81 mu g/cm<2> at week 12.” “a similar trial in Australia on Australian teenagers . . . again showed Hydrolyzed Wheat Protein and Hydrolyzed Soy Protein exhibiting similar profiles to elubiol with sebum readings decreasing from 145-155 mu g/cm<2> at baseline to 117-124 mu g/cm<2> at week 12” http://www.freepaten.../EP1172087.html "We have demonstrated the inhibitory activity of [soy] isoflavone . . . suggesting that genistein and isoflavone would be used as an effective agent for androgenetic acne and for the inhibition of secretion of sebum by modifying androgen conversion" http://ift.confex.com/ift/2004/techprogram/paper_24710.htm Lavender "Transactivation of the MMTV-luciferase reporter plasmid by 0.1 nM DHT was inhibited in a concentration-dependent manner by both lavender oil and tea tree oil" http://www.nejm.org/doi/full/10.1056/NEJMoa064725#t=article Anecdotal: "About a month-6 weeks ago I started using about 1 drop or less of lavender essential oil in my nightly moisturiser (Neutrogena Essential Moisture) . . . Since I made this change (and I have pretty much kept everything else in my pretty simply routine the same) I have noticed a huge difference- I now don't get shiny skin at all, but it doesn't really feel dry.” http://www.acne.org/messageboard/Lavender-Essential-Oil-O-t227604.html “I noticed that Lavender oil helped reduce the oiliness. But it also dries out your skin if you don't moisturize.” Tea tree oil Lavender study. Seaweed extract (laminaria digitata) “The findings taken together suggest that SOZC can significantly ameliorate symptoms of acne vulgaris, particularly in terms of reducing sebum production and populations of Propionibacterium acnes.” http://www.ncbi.nlm....pubmed/23752036 Green apple rind extract “These results suggest that GAR-E can be applied in cosmetics to reduce facial pore size and sebum secretion.” http://www.ncbi.nlm....pubmed/23563562 Zinc “Zinc displays 'in vitro' some antiandrogen activity through an inhibition of the 5 alpha-reductase activity” ttp://www.ncbi.nlm.nih.gov/pubmed/8252759 Niacinamide “The results of the Japanese study demonstrated that the SER of the two groups was not significantly different at baseline, but the 2% niacinamide treated group demonstrated significantly lowered SER after 2 and 4 weeks of application. The results were somewhat different in the Caucasian study. After 6 weeks of treatment, the CSL was significantly reduced, but the SER was not significantly reduced.” http://www.ncbi.nlm....pubmed/16766489 Pumpkin seed oil “The oil fraction of pumpkin seed has been shown to inhibit 5 alpha-reductase. The mixture of delta 7-sterols has been shown to inhibit the binding of DHT to androgen receptors.” http://www.web-outpa...hp?Article_Id=5 Other Other ingredients that are purported to have an anti-androgenic or sebum-reducing effect but don’t have studies or significant anecdotal evidence to back them up (that I can find). Topical: Thyme, sage, nettle, rosemary, pygeum, azelaic acid. Oral: Curcumin, resveratrol, magnesium, lithium.
  16. Hello everybody, Firstly i apologize for my bad english because it's not my language. I'm a man, 29 years old and i have a extremely very very ......oily skin. Many of you will recognize, after wah my face maybe 20 30 minutes sebum makes it appaerance on my face and i am obliged to dab my face several times a day with a tissue for exemple. Psychologically it's using, it's hard to live... I try several things like oil jojoba drink water retinoids (differine, locacid)...but not improvements And i decide to consult an another dermatolgist and there is one to propose to me as a treatment a low dose of isotretinoin. After having researched testimonies on internet i decided to accept the treatment after the blood test. My derm propose to me to start low dose isotretinoin with 20mg a week ( one pill of 20mg monday) I see thederm about a month and half after and bad news not improvements, the face is always oily so the derm decides to increase the dose to 40mg a week (one pill 20mg monday and one pill 20mg thursday) I started taking 2 pills from 10 days but for the moment always oily I know you have to be patient but i really want to see results. i have seen that some people take 10mg a day, other 20mg a week...... each is different it is necessary to find the right dosage I hope it will good for me after how long the medication is taking effects ? Please do not hesitate to share your experiences and i will keep you informed of developments
  17. My name is Elizabeth, I am 24 and suffer from hormonal acne from opiate abuse and now a methadone taper. (13 months clean and down to 25 mg from around 90) this is adding stress to my life, as well as generalized anxiety. I've always had acne. Have done the money wasting chemical peels which took years off my face but aren't permenant as are expensive. My derm is a drug pushing cosmetic doctor. Ladies, which birth control for acne do you suggest? I want a weight neutral pill! The acne I currently get is large white heads and clogged pores. I always have atleast one or two of these! Ugh. On tretinoin, aloe vera, lavender oil and cereVe sun block and cleanser, fish oil, vitamin c. do you reccomend vitamin b-5?
  18. Hello! Unfortunately, I have been blessed with oily and acne prone skin. My oiliest areas are the T-zone, which I find I need to blot every hour, and I have yet to find a solution to this. Are there any good products that oily people have had good luck with? I wear makeup if that makes a difference. I wear Becca mattifying primer and Estee Lauder Double Wear foundation.
  19. I've been struggling with acne right on the apples of my cheek. This has been going on for a year now and yet again, I'm completely stumped. I'll sometimes get a few spots around my hairline or on my forehead, but my main concern is the cheeks. I don't even go out anymore. I'm obsessed with acne and conjuring up a "cure." As much as I try to let it go and wait for it to fade, it bothers me to the point where I feel completely depressed. My lifestyle, habits, everything is controlled by this acne. I've tried products, diet, working out, doing yoga to relieve stress, expensive facials, vitamins- everything. I know I have oily skin and the pores on the cheeks are very small. I'm assuming it's from excess oil but I'm definitely no expert. I've been told to change my pillow cases- I do twice a week. I've been told to cut out dairy- I did. I've been told to workout- I do everyday. It did start after I moved to a big city, so the environment could be an issue? But I don't understand why it would only be on one side. It used to be on both cheeks, always worse on the right though. I'm so confused about that. It's gotten to a strange place where it's really bad on the right side of my face and almost completely clear on the left. I'm hoping this is a sign as to what is causing the acne. My forehead also just recently broke out in these small, colorless bumps (the picture didn't pick it up.) Any advice is so appreciated.
  20. Hi, First time poster, lurked the site for a while now however couldn't really find anything relating to this. on my third month of accutane, taking 60mg/day, weigh 120lbs. Problem areas are on my cheeks, red spots and cystic acne since starting the treatment. Two weeks ago my face was close to clear it looked amazing, and suddenly I'm back to breakouts on my cheeks and now in between my eyebrows. The issue is as well, my face feels oily (but still flakes). Even when I wash my face it feels like there is something sitting on it, if that makes sense. Has anyone encountered this? Any advice? Is there hope? Current moisturizer is Ultra Repair Moisturizer First Aid... because of oily face feeling I stopped using it (or is that bad to do?) thank you
  21. Pityrosporum Folliculitis - FAQ Introduction A lot of people are struggling with that they think are acne primarily on their chest, shoulders and back. It may also develop on the face(primarily the forehead). After trying countless acne medications or simply by trying to wait it out the condition still persists. The fact is that many "body acne" sufferers got some sort of folliculitis and when the lesions develope on the upper body it's often Pityrosporum Folliculitis they got. The same questions pop up under the body acne section, and by creating this thread I'm hoping to answer some of this questions. However, be advised that I'm not a dermatologist or expert on the field. The information I'm providing is mostly from what I've read(countless hours of reading up on the subject online) and from what I have experienced. This thread is a working progress and I hope others also will participate with information they have on the subject. Questions regarding this FAQ or contributions can be done by replying in this thread, but general questions regarding Pityrosporum Folliculitis can be asked in this thread. It has a lot of great information and users own experiences with PF. What is Pityrosporum Folliculitis? The first thing you should do is research the subject on your own. There's a lot of information found on the net and here are some good links: http://www.emedicine.com/DERM/topic338.htm http://www.americanchronicle.com/articles/16713 http://www.aocd.org/skin/dermatologic_dise...orum_folli.html http://archpedi.ama-assn.org/cgi/reprint/159/1/64.pdf http://dermatology.cdlib.org/rxderm-archiv...um-folliculitis http://www.vgrd.org/archive/cases/2005/pit/pit.htm Do i have Body acne or Pityrosporum Folliculitis? This is the first question that people with "Body Acne" ask themselves when they are confronted with the term Pityrosporum Folliculitis. However this is often the hardest one to answer since "Body Acne" and Pityrosporum Folliculitis look a lot alike. Also a lot of people have them both at the same time since both acne and Pityrosporum Folliculitis thrive on oily skin. Some things you should consider to find out if it's acne or Pityrosporum Folliculitis: - Go to a dermatologist(This is the safest thing you can do to find out if it's body acne or Pityrosporum Folliculitis). Be sure to contact the derm before you schedule an appointment to be sure that he can do a biopsy or something like that to find out what your condition is. - Have you tried acne medication without success? If you have it's more likely that you got Pityrosporum Folliculitis - Have you used antibiotics previously. If this made the condition worse or if you got the spots on your body after the use of Antibiotics it's most likely Pityrosporum Folliculitis you got. - Does it sometimes itch. If it does it's probably Pityrosporum Folliculitis - Do you got Acne on your face too? If your face it's pretty much clear, but your body breaks out it's more likely that Pityrosporum Folliculitis is what you got. Pityrosporum Folliculitis can develop on the face to, but it's much less frequent. - Does it get worse in hot, humid or sweaty environments or in periods where you don't shower much. If it does it's more likely Pityrosporum Folliculitis you got. - There is no comodones or cysts associated with PF. It's Papules and Pastules and the material expressed from pustules is white to yellow - Try some sort of medication against Pityrosporum Folliculitis(see treatments below) and see if this improve your condition. A safe bet is to buy a cream containing 2% ketoconazole(Nizoral, Daktarin Gold or something like that), and try it for a couple of weeks to see if it improves the condition. - Check out the pictures of Pityrosporum Folliculitis below to see if it looks like what you got. What does Pityrosporum Folliculitis look like? http://www.aocd.org/images_ddd/Pityrosporu...itis_1_high.jpg http://www.aocd.org/images_ddd/Pityrosporu...itis_2_high.jpg http://www.cmaj.ca/cgi/reprint/171/8/851.pdf http://www.skinatlas.com/pityrosporum.jpg http://dermnetnz.org/common/image.php?path...img/pitfol1.jpg http://dermnetnz.org/common/image.php?path...img/pitfol2.jpg http://dermnetnz.org/common/image.php?path...img/pitfol3.jpg http://162.129.70.33/images/folliculitis_1_010901.jpg http://162.129.70.33/images/folliculitis_2_010907.jpg http://162.129.70.33/images/pityrosporum_f...is_1_040505.jpg http://www.acne.org/messageboard/index.php...st&id=12078 What kind of treatments are there? Topical Most popular on acne.org: Ketoconazole Description: Widely used chemical for PF and can be used topically either as a shampoo(leave on for about 5 min in shower before washing of) or as a cream. It's usually available in 1 or 2% concentrations in various products. Research/information:- The in vitro antifungal activity of ketoconazole, zinc pyrithione, and selenium sulfide against Pityrosporum - Dandruff and Seborrheic Dermatitis Products: - Cleanser/wash: Nizoral, Fungoral - Leave on product: Nizoral, Daktarin Gold, Fungoral Zinc Pyrithione Description: Not as effective against Pityrosporum ovale as Ketoconazole, but used with great success by a lot of members on acne.org. Head & Shoulders has 1% Zinc Pyrithione in it and that is probably why it works so good for a lot of people. Zinc Pyrithione is both antifungal and antibacterial. However, I recommend trying something like ZNP bar since it has 2% Zinc Pyrithione in it and is designed for use on the skin, not specially for the hair. Research/information:- How I got rid of my bacne - Using only Head & Shoulders - i'm clear using head and shoulder shampoo - The in vitro antifungal activity of ketoconazole, zinc pyrithione, and selenium sulfide against Pityrosporum - Dandruff and Seborrheic Dermatitis Products: - Cleanser/wash: Head & Shoulders, ZNP bar Propylene Glycol Description: Used by a lot of members on acne.org with great success. Very easy to use since one option is to just spray it on using a spray bottle. It's fast, cheap and easy to apply to f.ex your entire upper body. With a cream it's hard to apply it to f.ex your entire upper body and it's therefore likely that the PF might spread. Propylene Glycol is often used in a concentration with water(50/50 of each). Sometimes you can buy 100% percent Propylene Glycol, but then you should dilute it with water before applying. If you look at the ingredients list on a lot of cosmetics you can see that Propylene Glycol is almost always on it. However, don't expect that your regular acne medication might work since it has Propylene Glycol in it. It's often a very low percentage of actual Propylene Glycol in the product. Research/information:- Pityrosporum folliculitis: a common disease of the young and middle-aged Products: - Leave on product: PG from chemistrystore.com, 50/50 PG/Water from Cubancrafters.com Mandelic Acid Description: There is very little research on the antifungal effect of Mandelic Acid, but it's a popular product on this board against Pityrosporum Folliculitis. It's claimed to be both antifungal and antibacterial and exfoliates the skin. Therefore it's also good against red marks left from acne/PF. I personally receommend the product from Vivant for Pityrosporum Folliculitis on the body since it's a strong product(15% Mandelic + 2% lactic), it has very little ingredients besides the Mandelic and has some Propylene Glycol in it. However, the serum is very expensive and therefore it might be wise to buy the toner(9% mandelic) if your economy is tight. Research/information:- Mandelic acid is amazing against blackheads and acne ... - Nucelle changed my life Products: - Cleanser/wash: Vivant Mandelic Acid Cleanser - Leave on product: Vivant Mandelic Acid serum, Vivant Mandelic Acid toner, Nucelle Mandelic Acid Other treatments: Salicylic Acid Description: Used against both acne and Pityrosporum Folliculitis and is always a safe bet if you aren't 100% sure what you got. Mostly used in a concentration from 1,5% to 3% and either as a cleanser or a leave on product. A leave on product is nearly always the best bet since the Salicylic acid in cleansers doesn't sit on the skin long enough to do anything. Also, a Salicylic Acid product has to have a low pH to work(no higher than pH 4 is recommended). Most if not all cleansers has a higher pH than that and therefore the Salicylic Acid is pretty much ineffective. Research/information:- The antifungal activity of Salicylic Acid - Dandruff and Seborrheic Dermatitis Products: - Leave on product: Dan's Salicylic Acid, Paula's Choice Liquid BHA, Salicylic Acid from dianayvonne.com Sulfur Description: Isn't the most known chemical against Pityrosproum Folliculitis, but has has antifungal, antibacterial, and keratolytic activity. Very drying when used as a leave on product and is therefore often used as a cleanser/wash and washed of after 5-10 min. Research/information:- The use of Sulfur in dermatology - Dandruff and Seborrheic Dermatitis - Topical Sulfur Products - Increase cell turnover (dead skin cant harden to create sebum) Products: - Cleanser/wash: Sulphur Soap(10% Sulphur), Sulphur(10%)/Salicylic Acid(3%), Grandpa's Thylox Soap Selenium Sulfide Description: Selenium sulfide is highly active in inhibiting the growth of P. ovale. It's usually used in shampoos and is washed of after about 5 min on the skin. Research/information:- Pityrosporum folliculitis: a common disease of the young and middle-aged - Dandruff and Seborrheic Dermatitis Products: - Cleanser/wash: Selsun Blue, Selseb shampoo, Head & Shoulders Intensive Treatment Tea Tree Oil Description: Both antibacterial and antifungal and effective against Malassezia furfur(the same as P. Ovale) Should be diluted with f.ex another oil like emu or jojoba. You can also find it as a shampoo. Never buy Tea Tree Oil in plastic bottles. Also it's best if it's stored in dark glas bottles. Research/information:- Tea Trees and Their Therapeutic Properties Products: - Leave on product: Desert Essence Organic Tea Tree Oil Manuka Oil/honey Description: Manuka Oil is 20-30 times more active than Australian Tea Tree Oilfor gram positive bacteria, and 5-10 times more active for fungi. However, there's a lot more research on Tea Tree Oil and it's effect on the Pityrosporum yeast. Research/information:- East Cape Manuka Oil, Manuka Cream and Manuka Soap - Tea Trees and Their Therapeutic Properties Products: - Leave on product: Living Nature Manuka oil and honey gel, Manuka oil from http://manukaoil.net/ Ciclopirox olamine cream Description: Antifungal often used to treat Pityrosporum folliculitis Research/information:- Monograph - Ciclopirox Olamine Products: - Leave on product: Can be bought from drugstore.com Econazole cream Description: Treats fungus infections Research/information:- Pityrosporum folliculitis: a common disease of the young and middle-aged Products: - Leave on product: Can be bought from drugstore.com Oil of Oregano Description: Antifungal Research/information:- More information on this Products: Leave on product: Oil of Oregano from North American Herb and Spice Apple Cider Vinegar Description: Malic Acid is found in Apple Cider Vinegar and is antifungal. It can be used directly on the skin, but should be diluted first. Research/information:- Apple Cider Vinegar Cures - Apple Cider Vinegar* Pictures On First Page, Reduces Oil, Red Marks, Acne, Dry Skin, Regulates pH levels & More Products: Leave on product: Bragg Organic Apple Cider Vinegar Oral Azole antifungal agents Description: The two most used are Ketoconazole and Itraconazole. It's very effective, and if it is indeed PF you got these mediacations should make a remarkable clearing. However, you are lucky if the results are permanent and one should continue topical medication afterwards. Research/information:- Short term treatment of pityrosporum folliculitis with itraconazole Products: You need a prescription to get this medication legally, and therefore you have to contact your doctor to get this stuff. Isotretinoin Description: A lot of people try Accutane after years of struggling. In a lot of cases it's effective against Pityrorsporum Folliculitis since the yeast thrive on oily skin. However, it's not always effective and some people on this board has experinced that their Pityrosporum Folliculitis has come back after the course of Accutane. Research/information: Products: Ask your dermatologist if you want this drug. Does diet, hygiene or physical activity affect Pityrosporum Folliculitis? When it comes to diet and Pityrosporum Folliculitis I'm not an expert. It's always hard to know if something is breaking you out or not. Some people say the fungus feed on sugar, but I have yet to see any hard evidence supporting this. So when it comes to general diet guidelines to help treat Pityrosporum Folliculitis there is a long way to go. However, there are several things that you can eat which should help to treat the condition from inside. This is a great list of natural antifungals Pityrosporum Folliculitis often affects athletes. This could be due to the sweating, rubbing from clothes etc. However I don't think working out and sweating makes PF worse if you take a cool shower right after you sweat using a medicated cleanser. Some people on this board feel that the Pityrosporum Folliculitis/acne increases due to bodybuilding. . I'm not sure about the direct connection between working out and Pityrosporum Folliculitis. The reason people feel that they get PF due to bodybuilding could simple be that they sweat a lot, wear to tight clothing or experience rubbing from weight bars or machines. I work out a lot myself an for a long time I tought Pityrorsporum Folliculitis were a result of that, but I have now realised that I manage to keep it under control by taking a cool shower right afterwards and use a medicated cleanser. However, I will break out if I go days with physical activity and no showering. What is your experience with Pityrosporum Folliculitis? Started getting what I tought was acne on my forehead around december/january 2006/2007. I used hair care products full of shitty ingredients and had long hair that touched my forehead. This caused several papules/pastules. However, the damage was done, and now I didn't want to cut my hair to reveal my shitty forehead. After a while I cut my hair and stopped using any products in it, but the problem persisted and got worse. During the following months I tried Dan's regimen, several diet changes, washes and more. However nothing seemed to do any good for my forehead. Summer 2007 I went on vacation and was in the sun for hours each day. I got a nice tan and all my acne on my forehead "cleared up". What I actually was doing was damaging my skin and disguising all the red marks behind a nice tan. I still regret this to the very day since it made my red marks stay for ages. At that time I hadn't acne on my body at all(just some spots on the top of my back). However, I got a pretty severe sunburn, and a lot of dead skin on my shoulders and upper back. A couple of weeks later I started getting "acne" on my shoulders, upper back and chest. Mostly I got Pastules and what looked like whitehead on my chest(see the last picture under pictures) and the little deeper kind of pastules/papules on my shoulders/upper back. Mostly it only itched on the upper back and sometimes on the chest. However the itch was far from irritating and was never really a problem. Through the winter(2007(September)-2008(January)) I didn't do much to the problem. I was hoping it would go away on it's own, and it was winter so I didn't have to reveal my upper body. When the summer got nearer I realised this shit wasn't going away, and I started trying different kind of products. After a while I started vitamin B5. It worked well on my forehead, but didn't do much for my upper body. Read my progress on this in my log Around april 2008 I started reading about Pityrosporum Folliculitis, and I soon realised this was what I had. Since then I've spent countless hours researching the subject. Started using Head & Shoulders, but without great results. After a while I also started using Mandelic Acid and it began to clear up. However it didn't hold the folliculitis in check and soon I satrted a new topical regimen including a Sulphur/Salicylic Acid soap(sal3.com) and Daktarin Gold(Ketoconazole 2%) cream. it worked well for a while, but the PF soon started to occur again. The next thing on the agenda was Propylene Glycol which seemed to work great for the first couple of days/the first week, but as I had previously experienced PF is a bitch and after 3 weeks I still got spots on my chest and shoulders/upper back. September 11th I started Itraconazole 200 mg/day and a new chapter in my treatment history is about to begin. Without this forum I would have never realised that it's Pityrosporum Folliculitis I have, and I would probably still be struggling with different kind of acne treatments. It's about time I give something back to this community, and I hope this post will help other members. If I can help one person to get clear by creating this FAQ it's all worth it. Good luck!
  22. I'm a 16 year old girl who has been suffering from mild-moderate acne for around a year (I know it isn't that long and that it's completely normal to have acne as a teenager because hormones but it is seriously wrecking my self-esteem). Around a year or so ago, my skin was completely fine. It was slightly oily but I suppose that is normal and I had a pimple or two on my face every now and then from eating greasy/oily foods or because of hormonal factors. I didn't use any facial cleansers and I only washed my face with water. My face and pimples were manageable back then. I forgot when it was but I started using a clean and clear facial wash. It didn't cause any severe breakouts or anything but it didn't particularly help either. When school started my face started breaking out really bad, especially on my forehead. I've always had a slightly oily t-zone (thus causing it to be pimple-prone) and my mother suffered from severe acne back then (genetics). My pores started clogging up and I had big red pimples all over my forehead I'm not sure why i started breaking out. Forehead acne is caused by an unhealthy diet (i eat pretty healthy), lack of water (i drink LOTS of water), build up of toxins, lack of exercise (I run/hike daily) and stress. It might've been stress but it kept on getting worse. There was a phase when I tried every single DIY acne treatments like oatmeal masks, tomato masks, lemon juice, ice cubes, etc. IT ALL DIDN'T WORK FOR ME. I started using St. Ives apricot exfoliator (with salicylic acid) and clean and clear oil control face washes for almost a year and nothing really worked. Sometimes my forehead would get better but it always gets worse again no matter how hard I try. However, the thing about my forehead acne/pimples is that I'm not sure what it exactly is. I have a lot of clogged pores that look terrible in the light and make my forehead look super bumpy. These clogged pores turn into whiteheads. However, it's itchy (it's itching right now), thus causing me to wonder whether or not it's Pityrosporum Folliculitis. I've recently started abandoning my face washes because I realized that it all started getting worse when I washed my face with cleansers. I started washing my face with only water. I started this a few days ago. In the first few days, it seemed to start working, but now my forehead is breaking out with tons of ugly whiteheads. if it is Pityrosporum Folliculitis, I'm not sure whether "washing my face with only water" will work because it is after all a yeast infection. I've heard that Nizoral shampoos or even head and shoulders work, but I'm scared it will cause my forehead to break out like mad. I've attached several pictures of my situation (it's what my forehead is like currently, not the worse but it's all I've got right now. Can someone please tell me if: 1. My acne is Pityrosporum Folliculitis or not? It's itchy but apart from that I'm not sure 2. If so, should i continue with my "washing face with only water" regime? 3. Will Nizoral shampoo or head and shoulders help with my clogged pores? 4. are there any ways to unclog my pores? Has anyone else been in a similar position as I am in right now? Thank you so so much! My forehead is totally wrecking with my self-esteem it's terrible
  23. Large Pores, tiny acne

    I've had acne since I was in fourth grade, it was very mild back then but then when middle school came I started using this product. It opened up my pores and my pores were large and noticeable, especially on my cheeks. I have these tiny holes all over my face and some have white stuff in them but that's by my eyes. I'm pretty sure these are pores but I don't know how to make them smaller or unnoticeable. They are everywhere on my face, my nose, my forehead. It's basically everywhere where my acne is. I barely wear makeup and I have been using the Regimen for a month almost two. The acne seems to be getting smaller. Also, when I star etch my chin, I can see small dots full of white stuff. Anyways, please help.
  24. Hi all! I started using spironolactone about three months ago for my moderate acne after trying nearly every antibiotic (doxycyline + clindamycin <- worked for about 6-9 months before it stopped working ) and topical cream (benzoyl peroxide, salicylic acid,etc.) in existence. I'm an 18 y/o female, and I find that I get large breakouts before or during my period. When I visited my dermatologist he suggested I try spiro with clindamycin lotion in the morning and retin-a (.1%) at night. I had been diligently taking 50 mg of spiro and using clindamycin and retin-a (I worked up to using this regularly) daily and have seen minimal progress. I recently bumped up to 150 mg spiro and I'm getting close to 4 months on it. I'm now wondering if my acne is hormonal at all. My acne tends to concentrate on my cheeks and I almost never get pimples on my chin. After 4 months of spiro, the area around my nose and my forehead still get EXTREMELY oily while my chin and mouth area remain smooth and dry. Is it possible that spiro won't work because my acne is not hormonal? Any advice would be appreciated!
  25. acne , clogged pores :(

    From the album eva

    Ahh, do not know how to anymore deal with this skin. Recently got this clogged pores I have used so many products, but nothing really works for me. clindamycin, differin as well. Does anybody have the same issue? please let me know how you deal with it. :):( Blessing to you all :)