Acne (looking for advice)

[AllEyeWant]

I'm trying to get rid of my moderate acne (lots of whiteheads along with some papules and pustules). I've been using differin and a benzyol peroxide wash lotion for 8 weeks now, acne improved a bit but I'm still not happy.

I once had nearly clear skin after using topical antibiotics, but then the bacteria probably became resistant. Therefore I'm considering adding duac gel (topical antibiotics) to my routine. Is duac gel (morning)+ benzyol peroxide (afternoon)+ differin (evening) too much? Any advice?

 

[volcelfatcel]

@AcneScars little douchebag, your area of expertise

 

[Deleted member 6785]

tretinoin

 

[LastHopeForNorman]

tretinoin

And blues light therapy
It reduce inflamation and is antibacterial

 

[AllEyeWant]

tretinoin

Doctor won't prescribe it :/. Differin is the only accessible retinoid for me

 

[LastHopeForNorman]

Doctor won't prescribe it :/. Differin is the only accessible retinoid for me

Indian online pharmacy

 

[Deleted member 6963]

Tretinoin 0.05 + azelaic acid in the am

 

[AcneScars]

Isotretinoin or death

 

[AllEyeWant]

Indian online pharmacy

Might be my last resort. Is differin really this much less effective then adapalene (differin)? I've read a study which conclude that they have similar effects

 

[AcneScars]

Might be my last resort. Is differin really this much less effective then adapalene (differin)? I've read a study which conclude that they have similar effects

My first treatment was clindamycin adapalene + minocycline and I had absolutely no response. Then I went for isotretinoin 20mg/day and lymecycline and had better results

 

[DesperadoRatado]

@AllEyeWant go to a dermatologist or a cosmetic who knows better than all these muh tretcels

 

[AllEyeWant]

@AllEyeWant go to a dermatologist or a cosmetic who knows better than all these muh tretcels

That's what I did 2 times and they only wanted to give me accutane and they didn't know what retin a is :/

 

[DesperadoRatado]

That's what I did 2 times and they only wanted to give me accutane and they didn't know what retin a is :/

thats what most dermos do yeah, thats why i said try a cosmetic

 

[AllEyeWant]

&I don't want to take accutane because I'm still in puberty

 

[JosephGarrot123]

tretinoin 0.1% PM , doxycycline , clindamycin phospate topical in morning

 

[bruhcel]

azelaic acid 20% and tretinoin

 

[AllEyeWant]

Indian online pharmacy

tretinoin 0.1% PM , doxycycline , clindamycin phospate topical in morning

Isotretinoin or death

thats what most dermos do yeah, thats why i said try a cosmetic

Ok I now will get 0.05 tret prescription (switch with adapalene), is there anything else I should ask for or should I try tret only for some time? DIfferin actually got rid of y white heads and black heads, but I still have red inflammtion.

 

[AllEyeWant]

DOes somebody have a link to a thread/study about strenght comparison of adapalene and tretinoin 0.05?

 

[LastHopeForNorman]

DOes somebody have a link to a thread/study about strenght comparison of adapalene and tretinoin 0.05?

Topical tretinoin or adapalene in acne vulgaris: an overview - PubMed

Retinoids target several pathoetiologic events of acne vulgaris. The undisputed efficacy of tretinoin, and yet its underutilization, due to apprehension of retinoid dermatitis, triggered a search for newer, well-tolerated retinoids. The discovery of nuclear retinoic acid receptors has provided...

pubmed.ncbi.nlm.nih.gov

Ok I now will get 0.05 tret prescription (switch with adapalene), is there anything else I should ask for or should I try tret only for some time? DIfferin actually got rid of y white heads and black heads, but I still have red inflammtion.

Only tret
Once a week, then 3 times week and go to everyday use

 

[AllEyeWant]

Topical tretinoin or adapalene in acne vulgaris: an overview - PubMed

Retinoids target several pathoetiologic events of acne vulgaris. The undisputed efficacy of tretinoin, and yet its underutilization, due to apprehension of retinoid dermatitis, triggered a search for newer, well-tolerated retinoids. The discovery of nuclear retinoic acid receptors has provided...

pubmed.ncbi.nlm.nih.gov

Only tret
Once a week, then 3 times week and go to everyday use

Thank you, that's what I was looking for!

Regarding the usage frequency: my skin is used to daily differin, don't you think it would be able to handle tret 0.05 everyday?

 

[LastHopeForNorman]

Thank you, that's what I was looking for!

Regarding the usage frequency: my skin is used to daily differin, don't you think it would be able to handle tret 0.05 everyday?

Its different substance so you might not handle it at first.

Try taking it slowly as i said earlier

 

[AsGoodAsItGets]

I'm trying to get rid of my moderate acne (lots of whiteheads along with some papules and pustules). I've been using differin and a benzyol peroxide wash lotion for 8 weeks now, acne improved a bit but I'm still not happy.

I once had nearly clear skin after using topical antibiotics, but then the bacteria probably became resistant. Therefore I'm considering adding duac gel (topical antibiotics) to my routine. Is duac gel (morning)+ benzyol peroxide (afternoon)+ differin (evening) too much? Any advice?

hey bro, your thinking is in the right lane. that is, increasing frequency with noon application. very good. its either increasing frequency or keeping the same frequency and increasing strength, both strategies work well. read Clear Skin by Dr. Kewnneth Flandermeyer. It covers everything related to acne and helped me get rid of my own acne and after that, i helped many other people i know here and irl.

 

[Deleted member 2095]

if you dont wanna take accutane have fun with disfiguring scars JFL

 

[AllEyeWant]

Its different substance so you might not handle it at first.

Try taking it slowly as i said earlier

Okay, I'll do as you said!

 

[RecessedPrettyboy]

Its funny how people dont even think about fixing the root cause of their acne and instead just treat the symptom which is acne and be hooked up to some topical form of synthetic vit A for years at least..

 

[AsGoodAsItGets]

daily differin, don't you think it would be able to handle tret 0.05 everyday

how long have you been on adapalene? i switched to 0.025 after 4 months on adapalene and been on 0.025 for like 6-7 months and introduced 0.05 recently, but had to reduce frequency due to low benefit compared to the issues from it. lmk if you dont know how to introduce new stuff into your routine correctly.

 

[RecessedPrettyboy]

if you dont wanna take accutane have fun with disfiguring scars JFL

Do you know accutane is literally just synthetic vit A in very high dosages that causes vit A toxicity?
Incorporating liver into your diet is pretty much the same thing depending on how much liver you eat. The only difference is you get 0 side effects.

 

[AllEyeWant]

how long have you been on adapalene? i switched to 0.025 after 4 months on adapalene and been on 0.025 for like 6-7 months and introduced 0.05 recently, but had to reduce frequency due to low benefit compared to the issues from it. lmk if you dont know how to introduce new stuff into your routine correctly.

10 weeks I think. What does "Imk" mean? &what does your acne routine look like If I may ask?

 

[AllEyeWant]

Its funny how people dont even think about fixing the root cause of their acne and instead just treat the symptom which is acne and be hooked up to some topical form of synthetic vit A for years at least..

What would be the root cause? I already tried elemination diet and it didn't work. I have a pretty decent lifestyle otherwise I'd say regarding health.

 

[AllEyeWant]

Do you know accutane is literally just synthetic vit A in very high dosages that causes vit A toxicity?
Incorporating liver into your diet is pretty much the same thing depending on how much liver you eat. The only difference is you get 0 side effects.

Source? Never heard of people treating acne with liver (or just vit. A through diet) but sounds interesting.

 

[Deleted member 2095]

Do you know accutane is literally just synthetic vit A in very high dosages that causes vit A toxicity?
Incorporating liver into your diet is pretty much the same thing depending on how much liver you eat. The only difference is you get 0 side effects.

This is actually very wrong. Accutane is a derivative of vitamin A. They arent the same compounds at all and it would be naive to think they are substitutes

 

[RecessedPrettyboy]

What would be the root cause? I already tried elemination diet and it didn't work. I have a pretty decent lifestyle otherwise I'd say regarding health.

You have to find that out yourself. Its different for everyone.

My skin started having acne again recently and only after I started drinking milk kefir and eating some liver did it start to clear up.

Gut health and acne are really closely related. Thats why kefir is so good for acne.

The link between gut health and acne

Acne-prone skin? It might be time to look at your diet.

www.netdoctor.co.uk

 

[RecessedPrettyboy]

This is actually very wrong. Accutane is a derivative of vitamin A. They arent the same compounds at all and it would be naive to think they are substitutes

Youre not wrong it is a derivative of Vit A. Do you think a synthetic derivative of Vit A is better than bioavailable actual Vit A from foods like liver?

 

[AsGoodAsItGets]

10 weeks I think. What does "Imk" mean? &what does your acne routine look like If I may ask?

kcool, usually good derms consider 3 months as a guideline for differin to have done its job of retinizing and that is when youd be at a stage when underlying acne have come up to the surface and cleared up, decreasing frequency of acne. lmk-lemme know

wash face-am, pm, noon
benzo per 5% + clind 1% (1:1) - am, noon
retin A 0.025 - pm
0.05 - pm (once a week or so)

read the book, took me like 15 mins to skim and youll learn the fundamentals to handle acne easy (i had massive three head cysts)

 

[AsGoodAsItGets]

eating some liver

legit, covers so many micronutrients too

 

[RecessedPrettyboy]

Source? Never heard of people treating acne with liver (or just vit. A through diet) but sounds interesting.

Accutane is Vit A right
Liver is Vit A right

Liver is actually whole vitamin A that is highly bioavailable and easily absorbed by your body.

Accutane is a derivative of vit A and synthetic. Youre not even getting the actual vit A. It is not easily absorbed by your body. And you will have symptoms of vitamin A toxicity.

There are no studies that I know that test liver directly to acne. There doesnt need to be any anyway. It just works because it has high amounts of bioavailable vit A.

 

[AllEyeWant]

kcool, usually good derms consider 3 months as a guideline for differin to have done its job of retinizing and that is when youd be at a stage when underlying acne have come up to the surface and cleared up, decreasing frequency of acne. lmk-lemme know

wash face-am, pm, noon
benzo per 5% + clind 1% (1:1) - am, noon
retin A 0.025 - pm
0.05 - pm (once a week or so)

read the book, took me like 15 mins to skim and youll learn the fundamentals to handle acne easy (i had massive three head cysts)

No sunscreen? Do you have a link to the book (free pdf preferred)? I'll look in to it, thanks for the hint

 

[AllEyeWant]

Accutane is Vit A right
Liver is Vit A right

Liver is actually whole vitamin A that is highly bioavailable and easily absorbed by your body.

Accutane is a derivative of vit A and synthetic. Youre not even getting the actual vit A. It is not easily absorbed by your body. And you will have symptoms of vitamin A toxicity.

There are no studies that I know that test liver directly to acne. There doesnt need to be any anyway. It just works because it has high amounts of bioavailable vit A.

Makes sense but wouldn't you have to eat it everyday?

 

[AllEyeWant]

You have to find that out yourself. Its different for everyone.

My skin started having acne again recently and only after I started drinking milk kefir and eating some liver did it start to clear up.

Gut health and acne are really closely related. Thats why kefir is so good for acne.

The link between gut health and acne

Acne-prone skin? It might be time to look at your diet.

www.netdoctor.co.uk

Gut health is indeed crucial for your wellbeing! I already consume lots of diary, also the ones containing probiotica but my acne stays the same :/

 

[RecessedPrettyboy]

Gut health is indeed crucial for your wellbeing! I already consume lots of diary, also the ones containing probiotica but my acne stays the same :/

Do you mean the ones from supermarket or ones which you ferment them yourself?
Kefir has many many more probiotics than yogurt and etc.
Pasteurized milk is also inflammatory. In fact any diary which is pasteurized is inflammatory.

 

[RecessedPrettyboy]

Makes sense but wouldn't you have to eat it everyday?

Not really. Just try to eat it every other day. Should be more than enough.

 

[bruhcel]

You have to find that out yourself. Its different for everyone.

My skin started having acne again recently and only after I started drinking milk kefir and eating some liver did it start to clear up.

Gut health and acne are really closely related. Thats why kefir is so good for acne.

The link between gut health and acne

Acne-prone skin? It might be time to look at your diet.

www.netdoctor.co.uk

does that mean that when people go through puberty their gut health somehow goes to shit? jfl that makes no sense
acne is caused by igf 1 and sex hormones which increase sebum production

 

[RecessedPrettyboy]

does that mean that when people go through puberty their gut health somehow goes to shit? jfl that makes no sense
acne is caused by igf 1 and sex hormones which increase sebum production

Your argument makes no sense
First of all I didnt say gut health was the only cause.
Does everybody get acne when they go through puberty?
What do you mean acne is caused by only igf and sex hormones? What specifically happens and why?
Are there no other causes to acne other than what you mention? Gut health? Inflammation? Diet?

What is the quality of the diet of a typical teenager that goes through puberty? Do you think most teenagers eat healthy and quality foods? Genius

 

[bruhcel]

Your argument makes no sense
First of all I didnt say gut health was the only cause.
Does everybody get acne when they go through puberty?
What do you mean acne is caused by only igf and sex hormones? What specifically happens and why?
Are there no other causes to acne other than what you mention? Gut health? Inflammation? Diet?

What is the quality of the diet of a typical teenager that goes through puberty? Do you think most teenagers eat healthy and quality foods? Genius

why do people before puberty have 0 acne at all regardless of their shitty diet, inflammation and shitty gut health then?

 

[RecessedPrettyboy]

why do people before puberty have 0 acne at all regardless of their shitty diet, inflammation and shitty gut health then?

Because the puberty needs to be properly supported. What supports the increase in hormones and etc during puberty?
Why is there a lot of people that dont get acne in puberty?

 

[bruhcel]

Because the puberty needs to be properly supported. What supports the increase in hormones and etc during puberty?
Why is there a lot of people that dont get acne in puberty?

You're still missing the point... my point is that IGF 1 and sex hormones increase sebum production which will cause acne which is why before puberty no one has acne regardless of other factors.
Diet can certainly help you with your hormone levels and might have an impact on acne. You're just grasping at straws saying that pasteurized milk will cause acne lmao and eating fermented foods is going to have a significant effect on acne.
Acne is mainly genetic just like hair loss so some people might have the exact same hormone levels and one will have 0 acne at all and one will have severe acne.
Tretinoin and isotretinoin(accutane) work because they reduce the amount of sebum you produce therefore curing your acne.
He should go to a dermatologist and ask him to prescribe him azelaic acid 20% which has been shown to be as effective as 0.05% tretinoin with less irritation. He could also try azelaic acid + tretinoin if azelaic acid alone won't be enough.

 

[coolguy1]

Whats ur diet?

 

[RecessedPrettyboy]

You're still missing the point... my point is that IGF 1 and sex hormones increase sebum production which will cause acne which is why before puberty no one has acne regardless of other factors.
Diet can certainly help you with your hormone levels and might have an impact on acne. You're just grasping at straws saying that pasteurized milk will cause acne lmao and eating fermented foods is going to have a significant effect on acne.
Acne is mainly genetic just like hair loss so some people might have the exact same hormone levels and one will have 0 acne at all and one will have severe acne.
Tretinoin and isotretinoin(accutane) work because they reduce the amount of sebum you produce therefore curing your acne.
He should go to a dermatologist and ask him to prescribe him azelaic acid 20% which has been shown to be as effective as 0.05% tretinoin with less irritation. He could also try azelaic acid + tretinoin if azelaic acid alone won't be enough.

Acne, genetic?

Acne is mainly genetic just like hair loss so some people might have the exact same hormone levels and one will have 0 acne at all and one will have severe acne.

Now only hormone levels cause acne apparently

You're still missing the point... my point is that IGF 1 and sex hormones increase sebum production which will cause acne which is why before puberty no one has acne regardless of other factors.

Ok sure, so lets say igf 1 and sex hormones are higher because someone just got into puberty. Are you saying gut health does not help control sebum production and keep inflammation down?

What about when these people get out of puberty and still have acne but normal hormone levels?

Gut health is related to acne man.

Potential Role of the Microbiome in Acne: A Comprehensive Review

Acne is a highly prevalent inflammatory skin condition involving sebaceous sties. Although it clearly develops from an interplay of multiple factors, the exact cause of acne remains elusive. It is increasingly believed that the interaction between skin ...

www.ncbi.nlm.nih.gov

In fact gut health and diversity is linked to literally everything in your body. Even bone health

The impact of the intestinal microbiome on bone health

Intestinal microbial flora, known as the second gene pool of the human body, play an important role in immune function, nutrient uptake, and various activities of host cells, as well as in human disease. Intestinal microorganisms are involved in a variety ...

www.ncbi.nlm.nih.gov

 

[bruhcel]

Acne, genetic?

Now only hormone levels cause acne apparently

Ok sure, so lets say igf 1 and sex hormones are higher because someone just got into puberty. Are you saying gut health does not help control sebum production and keep inflammation down?

What about when these people get out of puberty and still have acne but normal hormone levels?

Gut health is related to acne man.

Potential Role of the Microbiome in Acne: A Comprehensive Review

Acne is a highly prevalent inflammatory skin condition involving sebaceous sties. Although it clearly develops from an interplay of multiple factors, the exact cause of acne remains elusive. It is increasingly believed that the interaction between skin ...

www.ncbi.nlm.nih.gov

In fact gut health and diversity is linked to literally everything in your body. Even bone health

The impact of the intestinal microbiome on bone health

Intestinal microbial flora, known as the second gene pool of the human body, play an important role in immune function, nutrient uptake, and various activities of host cells, as well as in human disease. Intestinal microorganisms are involved in a variety ...

www.ncbi.nlm.nih.gov

there's no point in arguing with you when you think vitamin a and Accutane are the same thing

 

[Luke LLL]

Dnrd swallow 80mg accutane daily