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Welcome to the board! First of all, your build is very similar to mine. I've always been underwieght and am currently 105lbs (average wieght since the age of 12 and I'm 23 now). Of course, I would have loved to have reached 120 (which is actually the avg. wieght for 5'4), but my metabolism just wouldn't allow it. =/
OK, so you've heard how carbohydrates are capable of making people gain wieight, right? You've also heard that carbohydrates can cause of host of diseases and hormonal disorders, right? One of the [B]symptoms [/B] to these problems would of course be acne, as you've partially discovered. Based on what I've learned over the years, especially this past year, now that I think about it, it makes sense that I turned out to be at least on the thin side and with acne.

You see, carbohydrates can be good for us, but there are some that are also bad for us. Or MAYBE it's just because they aren't as "good and healthy" as they used to be, i.e. McDonalds, TV Dinners, Hydrogenated Oils, Refined Grains, etc. Either way you choose to debate this, if you get ENOUGH of an [B]Insulin Rush [/B] in your system, it's going to cause problems.

I'm sure some people must be sick of hearing that, infact, I know people that are beyond annoyed and angry when they hear this, but I can't help it if it's the truth. =) There are acne sufferers that are overwieght and there are those that are underweight and probably of normal wieght as well. In fact there are acne sufferers with a combination of problems or no other (outwardly visible at least) problems. That's because [B]Insulin Resistance [/B] can get your body any way [B][U]YOUR[/U] body sees fit![/B]

That's right, it does come down to genetics and [B]your genetics will decide the type of problems your body will have [/B] as a result of all of this Insulin (or [B]IGF-1).[/B] As such, it also usually comes down to having a healthy [B]liver[/B]. It's rather interesting to see how many enzymes, proteins, vitamins, and hormones that rely on a healthy liver. If your liver is burdened in some way...too much glucose to produce, too much toxins, or a genetic/enzyme defect, you will eventually have problems. The problem or [U]combination of problems[/U] that result from [B]Insulin Resistance [/B] include:

High Cholesterol,
High Blood Pressure,
Heart Disease,
Type II Diabetes (90% of cases, sometimes Type I can result),
HyperAndrogenism (another name for Acne, Hirsuitism, etc),
PCOS (Polycystic Ovarian Syndrome),
Hyperthyroidism (possibly Hypothyroidism)
Certain Cancers

Notice how some of these begin with Hyper? That's due to the [B]IGF-1 and its role in the body to increase cell growth [/B] (cell proliferation). Cell growth is a Good thing, but too much due to overstimulation (enlarged sebum glands or tumors) and it's a VERY bad or even Deadly thing. Therefore, the list can actually go on. I could add to the fact that it [U]increases skin cell proliferation, hyperkeritinzation, and increased sebum production[/U], which of course we know ADD to our acne delimas. In fact, if you can just get those in control, why you use [U]topical DHT inhibitors [/U] such as RetinA, Azelex, etc, or follow [B]The Regimen [/B] or [B]"The Acne Cure"[/B] (these work on the inflammation and proper skin cell shedding aspect), you will more than likely get clear skin, IF your problem, isn't that deeply rooted. However, for those of us that have one of the above problems (if you haven't visited an [B]Endocrinologist[/B] you should), topical solutions just aren't good enough of a solution.

That's why liver cleanses work for some, as do certain supplements such as [B]B5[/B] (hits the cholesterol aspect of hormone production) and [B]Saw Palmetto [/B] (natural anti-androgen). For others, they find that they need [B]Birth Control [/B] (estrodial acts as an anti-androgen by increasing our [B]SHBG[/B] which likes to bind to Male steriod Hormones) and/or another [U]anti-androgen [/U] such as [B]Spironolactone[/B] (accidently binds to androgen receptors). Of course, theres those of us that the above methods STILL didn't cut it and so we moved on to other drugs such as [U]Insulin Sensitizers [/U] ([B]Avandia[/B], Metaformin) or [U]Glucocorticoids[/U] ([B]Dexamethosone[/B]) to help our body's hormones stabilize. Glucocorticoids, help to reduce inflammation and rebalance your adrenal glands (another source for steriod hormone production). Whereas, Insulin Sensitizers, help your body's cells take in MORE Glucose...although it's been debated that FORCING your body take in more glucose when it's already full (form of Insulin resistance) can actually cause more problems down the road (Type II diabetes or Type I Diabetes due to pancreas burn out).

[B]Notice I said NOTHING about Antibiotics[/B]. The only reason these work is by [U]preventing inflammation[/U]. In fact some of these, such as Minocycline and Tetracycline, actually [B]Increase your DHT production![/B] I guess that would explain why some acne sufferers, including myself, brokeout worse the ever before after stopping them. =( Out of all the treatments and supposed cures out there, I think that Antiboitics is the worst of them. It gives us all false hope into thinking that we have attained clear skin, when in fact upon stopping we realize that we haven't.

Then again, the same can be said for [B]Accutane[/B] (temp. solution that works as an anti-androgen by decreasing IGF-1 levels) and practically any other solution, EXCEPT unlike certain antibiotics, they don't secretly increase our male hormones. If you are beyond puberty and find something that clears your skin, I can almost guarantee [U]you will have to stay on this treatment or regimen for the rest of your life[/U]. Therefore, [B]it's best to find the safest, healthiest, and most cost effective solutions [/B] out there, and that's where a change in diet comes in to play ;-)

Granted you can take supplements, or Birth controls, any prescription really, just as long as it works [B]and [/B] you won't experience any negative side effects. If these things will cause you problems or you've discovered they don't work very well, that's actually when dietary changes became so popular. This was actually the last thing I did for myself, although for 10 years I avoided Chocolate and Soda with no results. I wasn't desperate, but I was EDUCATED and aware of my own hormonal condition and along with the testimonies of former sufferers, I took the plunge.

Heck by changing your diet once can reduce inflammation, reduce sebum, reduce/balance steriod hormones (especially those androgens), reduce IGF-1, and Increases SHBG (anti-androgenic) and IGFBP-3 (binds to IGF-1) and Prostaglandins among others so why not???

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