To understand how physicians interact with their patients you need to understand how they are traditionally taught. When we study and pass our medical board to become an MD, then pass our higher boards to become a specialist, all the knowledge we are given comes out of text books and peer reviewed medical journals. These text books and peer review journals, in order to maintain integrity and pass on only proven knowledge, have to adhere to strict guidelines pertaining to what is published. This system, as it should, prevents “huckster” type ideals from being introduced into the mainstream. However, it is also too cumbersome to exchange knowledge rapidly.
In the acne forefront there is a lot of new knowledge that is available now, but will not show up in peer review journals or text books for several years. One interesting point is that if you read a dermatology text book about acne, it will tell you that a person’s diet has no affect on one’s acne. Scientists are now realizing that the patients knew more than they did all along, and in fact what a person eats can exacerbate their acne.
There is always the patient who notices they break out after eating greasy fast food, drinking too many sodas, drinking too much caffeine, or over-indulging in dairy products. In traditional dermatological text books and peer review journals large studies could never prove this diet relationship. However, now the anecdotal evidence has become overwhelming and we know that hormones that are present from the dairy cow do make it through into the products that we humans ingest. Those hormones can affect the glands in our skin, promoting a larger gland that produces oily, sticky secretions that can lead to acne. It has also been observed that certain other dietary products, fatty acids and even caffeine can be pro-inflammatory to the skin and once the inflammatory cascade happens in the skin acne formation begins (Ugh! White heads and black heads!).
Also the dermatologist may not yet be aware that traditional benzol peroxide production was a very dangerous milling process that led to an inferior large molecular size – too large to get to the deep source of the pore affected with acne. Now there is a novel new way to produce these benzol peroxides for human use that consistently generates a small particle size benzoyl peroxide molecule, one that can go down the pore and meet acne head-on where it starts. This new novel benzoyl peroxide, combined with innovative and exciting natural ingredients to decrease inflammation and speed healing have created the most exciting new acne products of our generation. Unfortunately these new exciting products will not make it into the medical literature for quite some time and we learn from them first in forums like this.
This article is authored by Jeffrey Parks, M.D., a board-certified dermatologist dedicated to providing each patient with the highest quality of care. Dr. Parks’ memberships and professional affiliations include: the American Academy of Dermatology, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Mohs Surgery, Laser Institute Society, as well as numerous state and local organizations.