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OK OK, I get it. So some of you don't like my diet idea, fine =P He he, for those that want other alternatives, here ya go. Of course, I would be MORE than happy to further explain these and give you the other possible alternative treatments.

I would like to state though, that I've had some form of acne since I was 6, but I didn't get the real breakouts until I was 10. I didn't get the body breakouts until I was 11. I'm now 22, I've been [/b]open minded[/b] enough and thankfully had the ability to try various things and see various doctors to get the answers that I NEEDED and it has gotten me where I am today...99% clear. =)

Ever since I was 11, I KNEW I had an imbalance, but I never knew what it was, and over time other symptoms of [i]my[/i] hormonal imbalance (insulin resistance) have progressed (terrible menstrual cramps, mild hirsutism, hair growth problems). That is EXACTLY why the [b]sooner[/b] you find out the truth (is it just puberty? or worse?) the better and happier you will be.

You may be wondering what else is wrong with me, LOL. To be honest I'm perfectly healthy and haven't been sick in years (if you don't count that odd ear infection last summer). I am NOT a Diabetic Type I or II. I do not have high cholesterol levels or high blood pressure. I am not obese, but actually underweight. Basically I don't fit the Mold, but yes, these treatments, some MUCH more than others, have worked for me.

Like I've mentioned in a few other posts, [b]Insulin Resistance is something that we ALL go through during Puberty [/b]and then it goes away. It is a [b]temporary[/b] part of our hormonal imbalance. Unfortunately for some of us, it can occur while in the womb or all the way into adulthood. As a result other hormonal problems occur, such as Polycystic Ovarian Syndrome (PCOS), Diabetes, Heart Disease, Congenital Adrenal Hyperplasia (CAH or NCCAH), Obesity, Hirsutism, Hyperandrogenism, Hypothyrodism, etc.

Now, I'm not really sure if ALL hormonal disorders are related to this mechanism but the various defects that have acne as a symptom, keep going back to the same gene (cyp450). [b]It's job is to make the enzymes neccessary in controlling our hormones, detoxification, etc.[/b] Infact, some of the treatments below, depending on your hormonal disorder, are a result of our body's being [b]deficient[/b] in a certain enzyme.

That is why I URGE you ALL to see a doctor, a specialist even! [b]If one of them ignores you, then TRY AGAIN and AGAIN!!! [/b] Over a 10 year time span, it took me THREE tries with an Endocrinologist before I got diagnosed and more importantly the neccessary prescriptions (spiro only now). However, there are various herbs and vitamins, and other supplements that can do the SAME job as the medications or diet would do. They all are going to either:

-balance your insulin levels which will balance your androgen levels OR

-they will balance your cortisol levels which will balance your androgen levels OR

-they will reduce your androgen levels, OR

-they are going to inhibit the effects of androgen in your system (sebaceous glands) OR

-they are going to prevent the conversion of testosterone into DHT (super androgen)

The list goes on depending on the disorder, but did anyone notice the key here is [b]ANDROGEN[/b]? Thankfully there's several ways you can go about dealing with this hormone. While, I do not claim that diet will help EVERYONE, what I do know is that it has helped me and others that had tried a great deal of things, natural supplements, medications and I believe that we are really lucky as a result. We [b]might[/b] be able to stop something worse from happening (fingers crossed).

Now, from various reputable sources, doctors, and testimonies, I've found that [i][b]the most popular PRESCRIPTIONS among women are:[/b][/i]

[b]Birth Control[/b] (regular bc - contains estrogen to balances hormones, lowers testosterone)

[b]Yasmin BC[/b] - (see above & has a progestin [synthetic progesterone known as Drospirenone]

[b]Diane BC[/b] - (see above & has Cyproterone to block effects of androgen)

[b]Provera[/b] - (a progestin, synthetic progesterone)

[b]Prometruim[/b] - (oral NATURAL progesterone in peanut oil)

[b]Spironolactone[/b] (diuertic for high blood pressure, DHT conversion inhibitor, inhibits the effects of testosterone, anti-androgen)

[b]Flutamide[/b] (antiandrogen)

[b]Finestaride[/b] (anti-androgen more popular among men)

[b]Prednisone[/b] (anti-inflammatory, corticosteriod that improves cortisol balance)

[b]Dexamethasone[/b] (anti-inflammatory, corticosteriod that improves cortisol balance)

[b]Metaformin[/b] (balances insulin levels)

[b]Avandia[/b] (decreases insulin resistance)

[i][b]The most popular "NATURAL" treatments among women are:[/b][/i]

[b]NAC[/b] (n-acetyl-cysteine)

[b]D-Chiro Inositol[/b] (formed from Lecithin, or inositol)

[b]NPC[/b] (natural progesterone cream)

[b]Vitex[/b] (chaste berry herb, NPC is made from this)

[b]Saw Palmetto[/b] (DHT inhibitor)

[b]ALA[/b] (alpha lipoic acid) / [b] Chromium GTF [/b]

[b]Digestive Enzymes[/b] / [b]Fiber[/b] / [b]Probiotics[/b]

[b]Low Carbohydrate Dieting[/b] (Insulin Resistance Diet, Atkins, Blood Type, Anti-candida diets, etc)

In case I failed to say this, but you DO NOT have to have ALL of the "symptoms" of PCOS (Syndrome X, Syndrome O, & other names) to be dx as such. That's why it's called a syndrome, because there are no set symptoms. You can be thin and have regular periods, and no cysts, like myself and a few others, and still be pcos. [b]The confusing part is whether PCOS is a symptom of Insulin Resistance or if Insulin Resistance is a symptom of PCOS[/b] ;-)

Through some hormonal testing of her own, one woman found out that she had high copper levels. Then she found out that progesterone cream would help balance this and so when she took it, her acne went away and her menstrual cycle regulated. She was PCOS this whole time, but her doctors didn't pay enough attention to her (gave her accutane, but it didn't work 100%). I'm not sure what else she uses, but she doesn't avoid food as "strictly" as I do becaue the NPC has balanced her hormones wonderfully.

So you see, I'm not just all about diet. I'm more about getting you all to be AWARE that there are other reasons and treatments available that go behind possible temporary drugs, such as Accutane and Antibiotics. Cuz to be honest, I don't really care what you use, (I do want you to be healthy) as long as you get the results you DESERVE! Hopefully, if nothing else, you'll at least be more aware of ALL the other treatments that exist and you can pass this along and HELP someone else.

Take care =)

P.S. [b]Yes, MEN can be PCOS also ;-) [/b] Or if it makes you feel better, you can consider yourselves [b]Insulin Resistant[/b], since you aren't likely to have certain supposed symptoms. Personally, I think the term PCOS is just used for those people that the doctors can't find another disorder for. Infact, unless I'm really close with them, most people just think I'm sorta Insulin Resistant as the reason I avoid certain foods. So anyway, because men are just as capable of being Insulin Resitant as women, they [b]can[/b] and [b]HAVE[/b] used MOST of the above treatments to balance/lower their testosterone levels, among other health problems.

[This message has been edited by SweetJade1 (edited 06-15-2003).]
Personally I think that you've just started taking so many new things that you probably don't want to add anything else at this point. If you discover that what you are currently using isn't enough you will either increase the dose (like spiro) or switch to something else. Or perhaps then adding in the B-complex, some other supplement or phytoestrogenic herbs may be what you need. For right now though, I would just deal with what you are currently using.

[b]Skincare Regimen:[/b]
-neutrogena fresh foaming wash (2x a day), it is gentle...
-azeleic acid (nightime)
-neostrata oil free lotion spf15 (am)
-blot with clinique clotting papers a million times a day (lol)

As long as you are sure that none of these are breaking you out and are helping to rid the acne than keep using them.

[b]Internal Regimen:[/b]
-spiro 100mg a day (1 pill)
-dynacin 100mg (2xaday)
-estrogen shot (once every 2 weeks)
-prometrium (100mg, 1 pill for 10 days a month)

I think everything here is good. You basically have something similar to Dianette BC (Diane 35) going on above with the Spiro/Estrogen shot. Then you've got something similar to Yasmin BC going on with the Prometrium/Estrogen shot.

While you may have to tweek the above formula, it looks like you are covered at all angles. You've got your Estrogen replacement, your Natural progesterone to balance your hormones and maintain menstrual regularity, and your anti-androgen. The only thing I'm wondering about is the Dynacin.

I believe that this is just another name for Minocycline. If so, [b]some antibiotics, like this one, actually raise androgen levels[/b] even though they are still acting as anti-inflamatories on the skin. So once you go off of them, you have lots of androgen floating around and it would explain why some of us broke out terribly as a result. I took this drug for only 3 months and it made my skin beautiful (on BC and spiro at the time) and a month after I stopped, I broke out worse than I had in years. The BC and Spiro weren't as effective, I cried depression (blamed the BC) and that's actually what lead me to my current endocrinologist and regimen. However, I understand that you REALLY want this stuff gone, so perhaps in a few weeks you may want to stop taking this antibiotic.

If the other drugs aren't strong enough to support your skin and cycles normally w/o this, then you need to make some more adjustments (took me 5 years and I'm still not 100% there). You don't need any oral antibiotics. Since you have low estrogen levels, how come they aren't giving you a regular bc pill instead (with no progestins) and then taking the Prometruim and Spiro as above?

Nonetheless, YES I believe that you should definately see some results. Hopefully this first combination will work for you and you won't have to test out other forms of medication. Some people note decrease in oilyness within 2 - 4 weeks, I personally don't remember (been on Spiro for 5 years). However Spiro can cause you to have irregular periods (not for me) and that's another reason you may want to check on the BC pill.

Take care and let me know how you visit goes ;-)

[This message has been edited by SweetJade1 (edited 06-15-2003).]

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