|06 Nov 2007
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We will discuss the hormonal involvement as well as
Homeopathic, nutritional and topical approaches. (Topical means what
you put ON your face as opposed to what you might take orally.) Acne is
The most common of all skin problems and occurs in two different forms,
one which affects the hair follicles and oil-secreting glands of the
skin (resulting in whiteheads, blackheads and inflammation) and the
other and more severe form which causes deep cysts and permanent
scarring. The latter usually happens to males, and from what your
mother said to me, you probably don't have to worry about that form of
Acne is a skin disease that usually appears during
adolescence - by 17 years of age 4 out of every 5 American teenagers
have experienced the condition - and by early adulthood it usually
disappears entirely. We are not totally sure about what causes acne
although we certainly know a lot of contributing and aggravating
factors (which means factors that help cause it and those that make it
worse). This makes it rather difficult to treat. We know that
heredity is part of the picture (what you inherit from your parents);
oily skin is a factor; as are diet, exposure to the sun and various
(differing) chemicals, seasonal changes and stress. Allergies can cause
acne to appear in 20, 30 and 40 year old adults. Many Naturopathic
physicians now believe that hidden food allergies may indeed be a major
cause of almost all cases of acne. They (and I) recommend using only
hypoallergenic skin products and cosmetics (or, preferably, none at
all). They even suggest taking hypoallergenic vitamin/mineral formulas
because even the binders and fillers used in commercial supplements may
cause allergic reactions in some folks. You should do a challenge test
to determine if any of the foods you eat are allergens to you (begin by
testing the foods you eat most often as these are usually the culprits).
If your acne worsens and you wish to check into this potential cause,
let me know and I will send you a paper completely explaining food
allergies, the challenge test procedure, etc.
Let's begin somewhere...the next paragraph is from
"Healing Nutrients" by Patrick Quillin, PhD, RD:
A piece of your skin the size of a postage stamp contains
3 million cells, 3 feet of blood vessels, 12 feet of nerves, 100 sweat
glands, 15 oil glands and 25 nerve ends... in 3 layers. The outer layer
is epidermis - all dead cells that have been pushed to the surface by
the middle layer (active, called dermis). beneath the dermis is the
tissue that stores fats to insulate the e body from temperature changes.
The skin produces substances to help fight off infections. much of the
skin in protein., it also contains a lot of fluid. Oils are secreted on
the skin surface to prevent loss of too much water by evaporation.
These oils are also antibacterial. The skin cells are some of the most
rapidly dividing and re-creating of. all body cells... you must provide
yourself with enough of the raw materials your skin needs to have
healthy skin. Vitamins E,A,&C and Selenium are important to the skin
and a regular and rich blood flow must constantly bring supplies of
nutrients to your skin and also this blood flow removes waste products
that are not eliminated through the pores.
Acne begins in the skin pores which are canals through
which hair follicles grow and through which various toxins are
eliminated via perspiration (which also cools us). It affects areas
of skin that have "sebaceous" glands. These glands produce sebum to
lubricate the skin and prevent the loss of excess water. Most of the
sebaceous glands are on the face, lots are also on the back, chest and
shoulders. That's why these are the places where acne commonly appears.
Sebum consists of waxes and oils. The sebaceous glands
can enlarge and produce varying amounts of sebum in response to
stimulation by the hormone called Testosterone. This hormone is often
thought of as a male hormone but is present in both males and females,
being produced by our testes, ovaries and adrenal glands and is
considered to be the major hormonal factor in acne. Actually acne is
not due to excessive amounts of Testosterone but, we think, is due to a
particular enzyme activity which converts the Testosterone to
dihydrotesterone, which is a potent, active form of the hormone.
At puberty both sexes experience an increase in
testosterone but males have higher levels and may also have more of
this enzyme activity in their skin, therefore being more likely to have
really serious cases of acne. Boys are also less likely to wash their
faces often enough or carefully enough, allowing their skin to remain
oily which, though it does not cause acne, seems to aggravate the
The increased level of sebum mixes with keratin - an
extremely tough protein substance found hard in our hair and nails and
soft in our skin tissues. The keratin is, like the sebum, not
water-soluble. In fact most alkaline solutions or weak acidic
solutions cannot break it down and it is barely affected by the enzymes
our bodies use to break down proteins.
Tough stuff, this mixture. It can block the pores and
form blackheads on the skin's surface or just barely below it. Once the
pore is blocked, or if the follicle ruptures due to irritation and
pressure, bacteria which might normally either be excreted or carried
elsewhere in our bloodstream can overgrow (in other words reproduce
extremely fast and build up in numbers) until the bacteria themselves
release enough of their own enzymes to break down the sebum and sneak in
where the sebum was and multiply there, causing inflammation, swelling,
redness, sore sensations and sensitivity to the touch. This is how a
whitehead is formed, how it becomes inflamed and can even infect and can
become painful cysts that, if not properly treated, may lead to
The Clinical Homeopaths of Europe consider acne to be
basically an inflammation of the sebaceous glands due to toxins and/or
micro-organisms such as bacteria and they would suggest the use of a
general detoxifier (which mostly goes towards purifying and
strengthening the colon, spleen, liver , gall bladder and kidneys) at
bedtime, and the use of a formula that addresses acne homeopathically
every morning for several months. If the acne ever becomes painful,
this formula is used a second time, during the afternoon as well.
The Clinical Homeopaths also use Echinacea and Calendula
lotion topically on the skin to relieve the itching and pain and to
promote healing. Some use these as a dressing, covering the face and
then the lotions themselves are covered with food-quality plastic using
bandaids to keep the plastic in place, over night. I have never tried
this approach to using the creams or lotions...I use repeated
applications of the lotions following careful deep but gentle cleansing
using hydrogen peroxide and a cotton washcloth to wash the affected skin
once a day, sometimes twice a day. I use green clay packs at night to
help draw out the poisons.
If you decide to use any topical treatment (that means one
you apply to the skin), whether they are synthetic or natural, please
follow the following practicalities: clean the skin with mild soap
(such as Dove or healtyhfoodstore varieties of oatmeal soap and water.
Don's use harsh soaps or scrub roughly as these could irritate your skin
and cannot reach the bacteria under the skin's surface anyway. Then use
peroxide and dry your face well before applying any cream, lotion, etc.
Apply only small amounts to small areas of your affected skin. Any acne
treatment can cause skin irritation in many people. If you have any
kind of noticeable reaction in the first 3 days of using only tiny
amounts in a few small places, immediately quit using that treatment.
If the reaction (rash, etc.) remains for more 3 days after you quit
using the product, you may have to see a doctor or herbalist.
Hydrogen peroxide (3% - such as the kind you buy in a
grocery store) using a cotton washcloth will help kill the bacteria near
the surface and suspend dirt particles so they may be rinsed. It also
tends to eliminate any oiliness. Some folks react to it, too, however
(though not many) so it should also be experimented with slowly and
carefully at first.
Squeezing pimples (blackheads or white) can cause
inflammation, infection and scarring. Only if it is already infected,
with yellow pus, is squeezing a good idea and in this case the pimple
will respond easier and less painfully if you first take a fairly hot
bath or shower and then apply a warm moist compress to the area for a
few minutes first... these procedures will open the pores. Wash
carefully afterwards and be sure to disinfect with the peroxide.
Products available at the drugstore, without a
prescription, that do work for some folks include Benoxyl, Clearasil and
Oxy 5/Oxy 10, all of which contain benzoyl peroxide, the most popular
allopathic treatment for acne that is not severe. To work well it must
be applied every day and it works best in superficial pimples that are
red and sore. Side effects are pretty minor and include skin dryness,
redness and peeling. Some folks experience a burning, stinging
sensation when applied (happens with hydrogen peroxide too,
sometimes...)... Some folks even develop an allergic rash. Please do
remember that any topical preparation you might try should be used
sparingly and only in a small spot for a few days to test for any
unwanted reactions that you might have.
In rural America the most popular approach among
physicians trained in the 1950s-80s is tetracyclene or erythromycin,
which are broad-based antibiotics, to "keep the bacteria under control".
Broad-based means they go after all kinds of bacteria as opposed to
specific ones which only affect certain bacteria. These drugs require
prescriptions. They include creams such as EryDerm, Erycette and
others. They can prevent whiteheads, not blackheads, if applied
regularly. But it takes as long as a month to produce noticeable
improvement for most users. Side effects include dryness, tenderness,
itching, inflammation, a burning sensation and, for some folks (many
more than for the peroxide) - an allergic rash. Diarrhea may also occur
and, in my opinion, as the antibiotic is absorbed through the skin and
into the bloodstream and carried to various body sites, it interferes
with our own immune and digestive systems which depend to a large degree
upon the proper bacterial combinations. You see, these broad-based
antibiotics indiscriminately kill all bacteria with which they come in
contact including the beneficial ones.
To quote Robert M. Giller, MD, from his book "Natural
Prescriptions", "Severe acne is usually treated with antibiotics to
prevent scarring. However, there are problems associated with long-term
antibiotic therapy. Yeast infections, one of the most frequent side
effects, clear when the antibiotic is discontinued, but the acne
When we are born we have a lot of beneficial bacteria that
our mother has given us...and they grow and multiply and stay strong
enough to keep the numbers of the potentially dangerous bacteria at
levels that are helpful rather than harmful. These synthetic
medications alter the natural balance and then it is difficult to insure
rapid growth of the healthy bacteria while restricting the growth of the
Yes... this is true whether the antibiotics are taken orally,
by injection, or applied topically. Tetracycline is the usual choice
among dermatologists in the US to treat acne because it is thought to
have less side effects than most other antibiotics. If intolerance or
pregnancy counterindicates the use of tetracycline, erythromycin is used
orally. Again this works best with the superficial form of acne
affecting the face and it works by suppressing the growth of bacteria.
The most common bad effect of these broad-based
antibiotics is probably the fact that it kills off most of the badguys
but allows a few to live and they develop immunity to our antibiotics
and pass this immunity on to other bacteria (and maybe other
micro-organisms that live in and on our bodies). We are presently
facing epidemics of antibiotic-resistant bacteria throughout the world.
Another common side effect is the overgrowth of yeast such
as candida albicans in our gastrointestinal tract (digestion system) and
genito-urinary tract (sexual and urination organs) as well as yeast
infections in the mouth (thrush) or rectum. It can even lead to
systemic candidiasis in which organs and entire systems are compromised
and an unbelievably varied assortment of symptoms can be produced.
Other adverse reactions to broadbased antibiotic use
include allergic reactions, nausea, diarrhea and vomiting; loss of
appetite; and colon inflammation (the colon is where the food is finally
broken down into pieces small enough to enter the bloodstream and where
the toxic and excess ingredients are separated and moved out through the
rectum). The result of all of the above is that food is not properly
digested, if even consumed, and the nutrient levels necessary for a
healthy body and a healthy immune system are not maintained.
Retin-A is another product that some doctors use as a topical
treatment of more severe acne and is only available via a prescription.
It decreases the keratin formation of the cells lining the skin pores so
that the sebum moves through and pimples do not form. I do not
recommend it for most persons. It takes a long time to notice
improvement if it works at all and the condition will often deteriorate
for 3 or 4 months first. And its continued use, which is necessary to
maintain the improvements, poses serious problems. The skin nearly
always becomes dry and irritated, will probably peel and it can actually
be burned quite severely (if you use this and have such a reaction, use
the Homeopathic oral remedy called Cantharis followed, if necessary by
Causticum which are specific for chemical burns).
Also, absorption through the skin of synthetic vitamin a
can cause severe reactions and even lead to death... just as oral use of
synthetic vitamin a has been proven to be quite dangerous.
Another drug that is again a synthetic form of Vitamin A is called
Actuate or isotretinoin or isoretinoic acid and is used orally. It is
only to be used, according to its manufacturers, for severe acne. It
inhibits the production of sebum and must be used continuously for as
long as 6 months before an improvement will be noticeable. It may cause
an initial worsening of the condition. It is extremely toxic. It
causes dryness of the nose and mouth including dry skin, itching,
chapped lips, peeling of the skin in the palms and soles and elevations
of fats in the blood including triglycerides and cholesterol. The
vagina will often dry and the menstrual cycle will be interfered with
for many, if not most, women. The liver is liable to be damaged
seriously, there may be hair loss, arthritic like aches and pains,
abnormal bone development, etc. PLEASE DO NOT USE. PERIOD. Even if a
doctor wants you to do so.
YOUR DIET CAN AFFECT YOUR ACNE PROBLEM. Excess iodine (from over use
of table salt) can produce acne. Insufficient zinc, essential fatty
acids (Omega 3 and 6) and other nutrients too. The best diet is one of
natural whole (and if possible organically grown) veggies, fruits, whole
grains and beans. Low-fat and high fiber diets, supplemented with proper
vitamins and minerals will usually have a noticeable effect within 3
months. Eliminate all refined or concentrated sugars including honey
and molasses and isolated fructose (meaning other than in whole raw
fruit). Trans-fatty acids are created when vegetable oils or animal
oils are heated or hydrogenated... they are toxic and they stress our
livers and kidneys... trans-fatty acids are found in foods such as milk
and dairy products (other than yogurt, I think), margarine, shortening
and all synthetically hydrogenated veggie oils and fried foods. They
must be avoided. You should only eat cold-pressed oils such as Olive
and Canola and try to avoid eating foods cooked in oil at all.
Chocolate is high in sugar and in fats. Dairy products
contain traces of hormones including the hormones that are now fed to
and/or injected into the cows.
The use of greasy creams or cosmetics can exacerbate, if
not cause, acne. Even the detergents used to wash your pillowcase can
leave residues of chemicals, colors or fragrances to which you may be
allergic and which can cause acne to develop by affecting your skin and
can also affect your liver. Remember when your liver doesn't work
right, the skin often becomes your major eliminative organ.
Most physicians use chemical topical and internal
"medicines" to treat acne. I will now discuss several natural
alternatives that have, in tests and clinical studies done in the past
10-20 years, been proven to have similar results to these medications,
with none of the side effects.
I believe that a comprehensive approach is probably the
best, approaching the healing from within rather than relying on the use
of topical preparations or counting on any one vitamin, nutrient,
mineral, food, herb, etc., to do the job completely.
Zinc is extremely important for healthy skin. It is
involved in the activation of hormones, in forming new skin, in the
creation of proteins that bind vitamin A and allow it to work, in
activating our immune system and controlling inflammation. Kids nearing
or in their teens need higher zinc levels due to growth spurts, hormonal
changes, sexual maturing...and they tend to get less because they tend
to eat junk food too much... According to Carl Pfeiffer, MD, PhD, acne
is often a symptom of a marginal (slight) zinc deficiency.
Low levels of zinc tend to cause testosterone (often
thought of as the male hormone, but actually present and created in
women as well) to be converted into a more active form with the very
long and unpronounceable name that I listed up above somewhere in this
report. Adequate levels of zinc have been shown to inhibit this
conversion. The development of acne seems to be directly in proportion
to this conversion. Thirteen and fourteen year olds usually have lower
levels of zinc in their blood than any other age group as well as sudden
boosts of testosterone production and the enzyme activity that is
involved in testosterone conversion.
Numerous double-blind studies (in which nobody knows who
is taking what and in which those taking one substance switch with those
taking another, without either knowing about the change) have proven
that zinc works about as well as tetracycline in superficial acne and
actually is superior in deeper acne problems. A major group of studies
done in Sweden proved that this therapy takes, on the average, 12 weeks
to begin working noticeably. The few studies that did not have this
result used zinc sulfate, which is poorly absorbed (used) by our bodies.
Zinc gluconate and zinc citrate are the forms of the mineral which
repeatedly show benefits in the treatment of acne.
Usually it takes 3-4 months for zinc to cause noticeable
improvements, although some users showed immediate and dramatic
improvement. Zinc picolinate is another form of the mineral that is
quickly and easily absorbed in our bodies, but no studies that I know
of, have tested the use of this form in treating acne...theoretically it
would work even faster. Whichever form one would choose, a safe and
effective dose would be 30 mg per day. But I should also mention that I
read one study where 58% of the patients had their acne almost totally
clear up when given 600mg (!) of zinc sulfate daily for 12 weeks Of
course, 42% didn't have such good luck...and taking zinc at more than 30
mg daily for more than 3 months could begin to cause a heart problem
because it can cause less of the healthy kind of cholesterol and
therefore too much of the unhealthy kind of cholesterol... And,
according to Prescription for Nutritional Healing, by the Balches,
taking less than 100 mg daily of Zinc enhances immune responses while
taking more than 100 mg daily can depress the immune responses. If you
had a bad case I'd say get together with a good dr. or nurse who
understands about nutrition and such and then you might consider a short
time of using higher "therapeutic" doses but you don't need to... just
do the smaller amounts if you wanna try that... zinc supplements are
cheap... or you mom can try feeding you more foods high in zinc which
include fish, beans, chicken, turkey, nutritional yeast, whole grains,
egg yolks, pecans, pumpkin and sunflower seeds, and lecithin.
Some physicians reportedly are using high levels of
Vitamin A to treat acne. High doses of this vitamin, however are
potentially quite dangerous. Do not take more than 10,000 Units per
day, and even at this dosage if you are taking a synthetic form it might
prove dangerous. I prefer to take or recommend beta carotene which our
bodies convert into however much vitamin A we, as an individual, need,
as long as our livers are relatively healthy and functioning properly.
25,000 units of A taken as beta carotene, along with Vitamin E and Zinc
will promote healthy skin. These nutrients will virtually eliminate
milder cases of acne. The A even seems to reduce the production of the
sebum which clogs the pores in the first place. Taking the Vitamin E
with the A (both are oil-soluble nutrients rather than water-soluble)
enhances your absorption and use of the A.
DO NOT EVER USE TRETINOIN OR RETINOIC ACID OR RETIN-A OR ANY OTHER
SYNTHETIC FORM OF VITAMIN A ORALLY OR TOPICALLY EITHER... THESE HAVE
PROVEN TO BE EXTREMELY DANGEROUS, CAUSING SKIN PROBLEMS SUCH AS
IRRITATION AND DRYING, CHEMICAL BURNS, ETC...AND EVEN LEADING TO DEATH
FOR SOME PEOPLE.
VITAMIN E & SELENIUM
These are called, today, antioxidants... which is a
misnomer (an incorrect name). They should be called free radical
scavengers, meaning they hunt out damaging free radicals in our systems
and attach to them, creating compounds that we can easily excrete
through normal channels. Acne sufferers have been shown to invariably
have decreased levels of "antioxidant enzymes". These can be normalized
by taking Vitamin C, E and Selenium (a trace mineral) on a daily basis.
These nutrients work synergestically, which means that
each helps the other to work better than it would alone. They seem to
help prevent the formation of toxins from trans-fatty acids in our sebum
(which you remember from above is one of the 2 ingredients in the acne
pustules). 200-400 IU of Vitamin E and 50 mcg (NOT mg) of Selenium
should probably be taken once a day for 2 weeks and then twice a day for
several months... once the improvement is well on its way, you might
try to cut back to once a day.
I already explained how E helps A work. E itself is
extremely important for healthy skin. Selenium supplements have helped
clear up severe postule-filled acne cases and these patients invariably
are deficient in this trace mineral.
Eating a lot of raw plant foods should provide these free
radical scavengers but this is also dependent upon one's digestive
system... You may want to take a good digestive enzyme supplement to
help you get the nutrients you need from the foods you eat. Since I am
not around you day to day any more I do not know whether or not you
probably need these enzymes. Papaya and Pineapple (actually its the
stems not the fruit) provide a lot of these enzymes called Papain and
Bromelain respectively. These are probably the most important ones,
unless you are eating a lot of animal proteins in which case you also
might need. Protease enzymes.
ACIDOPHILUS AND BIFIDUS
These bacteria are important to help us create B Vitamins
and use the ones we eat, they are crucial to our digestive systems and
they keep the dangerous bacteria in our intestines at controllable
levels. They are also wiped out easily by drugs such as broad-based
antibiotics (tetracycline, etc.) and must always be supplemented
whenever one is using or has used such drugs.
These are important first, because Vitamin B6 works
synergestically with Zinc (for this purpose you might take 50 mg of B6
once or twice a day but remember that whenever taking a single B vitamin
it is important to also be taking in a complete B complex). Secondly,
the B Vitamins are extremely important to digestion and assimilation of
all nutrients. In my opinion, the best way to take B vitamins is to eat
at least one tablespoon twice a day of Nutritional Yeast, which tastes
really good on popcorn (I'm sure you remember that), on cereals, cooked
veggies, pasta, in drinks, etc.
According to Dr. Giller's book, 50 mg of Vitamin B6 is
particularly important "for women who experience flare-ups of acne
before and during their menstrual period. Some experts recommend taking
B6 for the week before and the week after a period; my patients have
found better results by taking it every day all month." Some texts even
advocate taking 50 mg of B6 three times a day for awhile! Sounds like
overkill to me, but I don't suppose it could hurt if you are eating 2-3
tablespoons of Nutritional Yeast those days as well.
I would remind you that nobody should ever supplement with
a single B vitamin unless they are also taking a B complex supplement or
eating a sufficient amount of Nutritional Yeast or you are likely to
interfere with the balance of the various B vitamins so necessary to
Chromium is another important mineral. Many studies have
suggested that acne is often the result of an inability to properly use
sugar either because we are not metabolizing it correctly or because our
skin is not sensitive to the insulin hormone we create in our pancreas.
Even when blood sugar levels are quite normal, acne patients often have
impaired skin-glucose tolerance.
In this regard please remember that all sugars, not just
refined sugars, are part of this problem for some people. Honey,
molasses and even fructose that has been removed from fruits contribute
to the problem. Eating whole fruit seldom adds to the condition.
Our pancreas needs chromium to create high quality
insulin. It is also part of the enzyme system that regulates blood
sugar. It also seems to affect the insulin sensitivity of cells
throughout our bodies. The insulin is the hormone messenger that tells
our various cells to take sugar out of the blood and use it to create
energy. Without sufficient chromium in our diet, it is possible that we
will not utilize the glucose (sugar) properly.
Several studies have shown that chromium-containing yeast
(Nutritional yeast) can produce rapid improvement in acne patients but
there is some disagreement about this since no double-blind studies have
yet been conducted. However chromium is a totally safe nutrient,
especially eaten in the form of Nutritional Yeast
ESSENTIAL FATTY ACIDS
There are so many reasons to be sure to get enough of
these that whole books have been written on the subject. The essential
fatty acids (also called Omega 3 and Omega 6) are incredibly important
in the prevention of and treatment for skin diseases. They are
effective against pain and inflammation. These are edible oils of both
linoleic and linolenic acids and the best sources for them are 1)
flaxseed oil or flaxseeds themselves (we take 1 tablespoon of flaxseed
oil a day for so many many reasons...if you are interested, I will send
you information about these essential fatty acids) or 2) evening
primrose, hempseed, borage seed or black currant seed oils . The flax
is the least expensive and I believe it does it all. Hemp is possibly a
bit better, possibly not, but Hempseed Oil is expensive at this time and
difficult to obtain in rural America.
According to an article in the Journal of the American
Academy of Dermatology (that means skin stuff) in 1986, acne sufferers
have been found to have too little of the linoleic acids in their skin.
And eating the wrong kind of fats - hydrogenated and saturated, can
cause a deficiency of the linoleic acids... as proven by a study
published in Nutrition Research that same year...when test animals were
fed a diet containing 10% of their calories from hydrogenated fats they
developed a deficiency of the linoleic acids...and most Americans today
eat a lot more than 10% of their calories... nearly 40 % probably... tho
the government recommends only 30% of your calories come from fat...most
Americans eat a lot more than that, and nearly 70% of the fat that
Americans eat is hydrogenated... tell your mom to only use cold-pressed
or extra virgin olive oil... no other kind... and try not to eat foods
even cooked in olive oil... take a tablespoon a day of flaxseed oil (I
put mine on pancakes, in drinks and in salad dressings, on cooked
veggies... usually tastes OK when mixed half and half with olive
oil...and stay away from chocolate and any food that has on its label
any hydrogenated or paritally hydrogenated oils... do not use grocery
store oils that do not say cold-pressed for anything... ever... do not
eat margarine or anything cooked with margarine...
Many folks use tea tree oil or sulfur compounds TOPICALLY.
Some use mercury. I strongly suggest that nobody uses Mercury
containing medicines... I became severely allergic to Mercury from using
one when I was about 18 years old. Among other things, this meant that
I have an allergic reaction whenever I eat shark or tuna, had to have a
tattoo removed and went through a horrific experience that lasted for
Any health food store should sell safe sulfur or tea tree
oil products... but I don't recommend them... For topical treatment I
prefer washing with a pure oatmeal soap 2 or 3 or more times a day,
using Hydrogen Peroxide daily to deep clean (test first for sensitivity)
and using a green clay pack once or twice a week to draw out the toxins.
I do not suggest tea tree oil containing soaps because, if for no other
reason, the oil can interfere with Homeopathic remedies you might take
for the acne or any other reason.
This will effectively remove the excess sebum from the
skin and prevent overgrowth of bacteria. Washing with hot water will
open the pores, once they have been cleaned, rinsing with very cold
water will close the pores. Eating a healthy diet will support your
body in its attempts to remain healthy.