Ugh, I'll try anything at this point! I feel like I'm one of the only people my age who still gets pimples consistently, regardless of how diligently I wash my face. What am I doing wrong, Jeze-friends??
@InCahoots: You're not doing anything wrong. Acne is about 90% heredity/biology based, says my derm. If you've got insurance, seek out a doc who can treat it (and you) seriously. It sucks. I know.
I know that in theory chocolate doesn't make you break out BUT I rarely eat any and when I do I get the worst spots. This would be full of fail for me.
(Also typo geeks: WHY IS THE 'te' IN CHOCOLATE WHITE? IT'S SO UGLY! Also there are needless italics there. Ugh. Ugh and double ugh.)
Really? Do drug companies really need to take the same approach to medicine that I do when my dog needs a pill?* If it somehow works better, super. If it is a gimmick, then pah, hiss, and boo.
Puppytables' meds are coated in puppy peanut butter, not chocolate. I <3 the puppytables and do not want him to die from chocolate.
@lilbobbytables: I saw these treats at the vet the other day, they were hollowed out so you could stuff the pill in and the doggie (or kitteh) will never even know!! GENIUS.
@stacyinbean: @GirlSailor: Man, right now I have it easy. Puppytables goes ape for the peanut butter and does not care if he has to have a pill along with it. My dog is not a picky fellow.
My neighbor's dog, who I occasionally puppysit, is much more difficult to trick. I will invest in the hollow treats for next time....
@GirlSailor: My dog swallows treats so fast I doubt he can even taste the peanut butter, let alone the pills. Then he licks at his mouth and looks confused all "hey, where'd it go?" It's quite adorable
@HillGirl: i wonder if that theory when women are starting their periods, they crave chocolate. they are also experiencing a decrease in estrogen which makes them break out more so some people thought they were putting 2 & 2 together and decided that chocolate = zits.
The thing with acne is that you have to attack it at its source. Once size doesn't fit all, antibiotics aren't suitable for everyone! Even if you kill the bacteria (which, 100mg of Doxycycline is fairly effective... other than potential diarrhea), you're still left with shitty skin that's flaky and full of oil at the site of eruption. That's where non-antibiotics come in, such as salicylic acid, isotretinoin/retinoic acid, benzoyl peroxide, Differin, and even Accutane. These are known as exfoliants, which basically serve to *irritate* the skin, provoking your body's inflammatory reaction, extrusion of the old skin, and growth of skin. So, antibiotics = not going to work if your skin is still an oily, flaky breeding ground for the bacteria. Fix it with BP or salicylic acid, then consider antibiotics. Also had lots of patients successful with Yaz, especially if the excess oil is due to hormones. My favorite product to prescribe for mild/moderate acne is BenzaClin, a topical combo of benzoyl peroxide and clindamycin (an antibiotic). Clindamycin kills the bugs, benzoyl resurfaces the skin. I even use it myself! For an occasional zit, 2% salicylic acid gel works wonders overnight (like Clinique acne spot treatment gel). BP is good b/c it *also* has some antibiotic properties, and you don't need a prescription up to 10% ("Clean and Clear"). However, %-wise, less is more, unless you know what you're doing.
Cystic/nodular acne, the only real hope is Accutane, which is a systemic (i.e. hardcore and non-topical) Vitamin A derivative that will essentially dry you out and produce fresh, new skin.
@DoctorJezebel: Dr. Jez, I have a question, maybe you can help. I started getting cystic acne in my early 20s, went to a facialist who gave me a product that essentially worsened it about 1000x over, I had cysts all over my cheeks, chin, and jawline. I went to a dermatologist who put me on doxycycline, benzaclin in the AM and differin at night. This has cleared the cystic acne but the result has been incomplete, I still have stubborn blackheads (esp on my nose) and these pimples that are like little flesh-colored bumps on my chin and forehead. I am afraid that going off the antibiotics will just make things worse. Would you recommend a round of Accutane for a case like this? Also, what can be done about scarring (some red marks and a few pitted scars)? My derm says nothing but time will heal these, but I'm wondering about something like a glycolic acid peel.
Resistant acne is not a recent occurrence. I had terrible acne that nothing but nothing worked on from 5th grade on. Hormonal birth control has greatly reduced the oiliness of my skin but I still, at age 26, need to use medicated face wash, masks, and pimple cream. The b.c. has downgraded it from incorrigible to corrigible with daily vigilance.
I am pretty certain that I had a tetracycline-resistant form of acne bacteria, as I went on several rounds and saw zero results. Thank God for Accutane, and please God keep it legal in the U.S.
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(Also typo geeks: WHY IS THE 'te' IN CHOCOLATE WHITE? IT'S SO UGLY! Also there are needless italics there. Ugh. Ugh and double ugh.)
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And Neutra is such an elegant face. how could they do that?!
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Puppytables' meds are coated in puppy peanut butter, not chocolate. I <3 the puppytables and do not want him to die from chocolate.
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My neighbor's dog, who I occasionally puppysit, is much more difficult to trick. I will invest in the hollow treats for next time....
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my dad swears chocolate makes you break out. i try to tell him if he didn't smear it all over his face, he'd have better luck.
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HOT NOT
lettuce chocolate (gives you zits eewwww)
pretty skin acne (cuz it makes you ugly!)
Their world has been turned topsy-turvy.
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Cystic/nodular acne, the only real hope is Accutane, which is a systemic (i.e. hardcore and non-topical) Vitamin A derivative that will essentially dry you out and produce fresh, new skin.
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