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Accutane and other prescription acne treatments may be covered by insurance, but don't think it's free. It's precisely this kind of indulgence that's driving up health care costs for everyone. If people focused on prevention instead of treatment, our health care system would be a lot better off, not to mention cheaper.

The genetic argument is bogus. The genetic variation among western populations is the same as the variation among populations in other parts of the world. Genetics make you predisposed to certain diseases and conditions, but environment and lifestyle have a far greater impact. There have been studies that looked at people who immigrated from countries with a low incidence of acne. What they found is that these individuals developed acne after coming to the U.S. and adopting the western diet.

I don't know where you got the idea that acne has been around a long time. Acne is a relatively recent phenomenon that only came into prominence in the early 20th century. In fact, you'll find that most of today's biggest health problems were not major issues prior to the 20th century. And 100 years is hardly enough time to see a significant genetic change in the population so we can toss out the genetic argument.

The truth is one doesn't need to spends years, even months, experimenting to figure out what foods cause acne. I just did it to confirm what I had already suspected. And it's really just common sense. We're eating processed food that our bodies were not designed to handle and acne is just a reflection of all the internal damage that food is doing. I've had acne for nearly 20 years and all the pills and creams and other treatments may have helped treat the problem, but none ever cured it. Now it's so blatanly obvious what the problem was. The medical establishment won't admit the connection between diet and acne because it's not in their best interests to do so. Your dermatologist makes a ton of money by prescribing accutane as do drug companies. Imagine how much money would be lost if people could prevent acne just by eating healthy or any other disease for that matter.

Your attitude about being able to eat what you want and then running to the derm to get more accutane is what's wrong with America today. People are unwilling to live a healthy lifestyle cause it would mean having to give up their favorite foods and they feel like it's too much work to do so. And the health care industry feeds off of it. Why eat healthy when you can take a pill to lower your cholesterol or treat acne?

If you think acne is just a skin problem, you're kidding yourself. Acne is a reflection of what's going on inside you. Accutane may treat acne, but it doesn't address the root cause. And I guarantee you that the food you're eating that does cause acne is doing other damage as well that may take years to show up.

It is not a herculean effort to eat healthy, it doesn't require spending years figuring out what foods to eat and what to avoid, and it doesn't mean depriving yourself of the foods you enjoy. You can still eat those foods, just not as often. I feel very liberated cause I know how to eat to stay healthy, it doesn't require a lot of effort, and I'm not wasting time and money running to the doctor's office.

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