My seventh grade science teacher used to recite a quote, to give us the essence of the biologic world:
“Big fleas have little fleas upon their backs to bite ‘em, and little fleas have smaller fleas, and so on, ad infinitum.”
And so it goes with rosacea. A portion of the people with rosacea have organisms living in the follicles that may be part of the cause of the rash.
One of the organisms that has been found in increased numbers in the hair follicles is a mite (not a flea, but a very distant relative), named Demodex folliculorum. A propos to the quote, Demodex is inhabited by a bacteria called Bacillus Oleronius, which itself has been suspected to be a stimulus of the inflammation seen. Would you believe, this bacteria was first identified in rear gut of a termite? It may be involved in causing the downfall of both your appearance and your house!
More on Acne Rosacea and treating acne naturally, soon.
“You’re giving me gray hair!” a cry that I’m sure I was not the only one who heard this from their mother when their difficult behavior caused her stress. True or not, it all sounded a little like a folk tale, until now. New studies from the laboratory of Dr. Robert Lefkowitz at Duke University show that chronically elevated levels of the stress hormone adrenaline damage the DNA in specific ways that could lead to a spectrum of conditions from gray hair to tumor formation.
The damage was shown to break down p53 protein, the protein that protects the genome against cancer by helping potential cancer cells either repair their cancerous nature, or self-destruct.
In this report in the August 21 issue of the journal Nature, they also showed more detail of the pathway by which adrenaline cause this damage. This included the role of a molecule called beta–arrestin-1 in the process of causing the damage.Two major conferences were held at the New York Academy of Science in the late 1960’s on the effects of psychological factors in causing cancer. An impression of this effect was present for a long time, and supported by numerous studies.
This recent paper by Lefkowitz brings a new level of proof and understanding to the relationship between chronic, excessive stress and the onset of gray hair and cancer. While other factors certainly contribute to onset of these conditions, we can now pinpoint one factor over which we may have some control.
Exercise, meditation, breathing exercises and other stress-management techniques may contribute to longer, healthier, and less gray lives.
As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.
This winter, be sure to protect your skin from the sun, snow, and wind. Here are five tips for your best dry skin protection.
To your health,
Alan M Dattner, MD
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As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.
Treating your acne rosacea naturally can bring up a bit of shock. People are often horrified to find out that there are tiny organisms living in the follicles on their nose and the center of their face. Some of those organisms include tiny mites that burrow into the hair follicles with their tail sticking out.
These mites, known as Demodex, are shaped like tiny cigars, with legs at one end. Identifying an abundance of them under the microscope after scraping the skin can be very helpful for the treating dermatologist, and for the patient as well.
Nevertheless, they can bring up great disgust when the patient sees them, wiggling under the microscope after being scraped off their skin. There is an old morbid old children’s rhyme: “the worms crawl in, the worms crawl out, the worms play pinochle on your snout.” Sounds like rosacea to me.
What’s more, these mites have bacteria living inside of them, which may be a stimulation for the inflammation seen in rosacea. To top that off, this is only the beginning of the list of organisms living in the hair follicles that are suspected to play a role in causing rosacea. Treating rosacea naturally can be the safest, longest-lasting way to clear it. More on treatment methods in the next blog.
Pomegranates are back on the shelves, and hopefully, back in our hearts! I have just spotted Pomegranates on the shelves of my local produce stores at rock bottom prices, meaning they are in season nearby. They contain valuable anti-oxidants that are well known to protect the heart.
What’s news is that they also have been shown to have protective effects on the skin. Dr. Hassan Mukhtar, who I met over 10 years ago when he presented his findings on the anti-oxidant protective effects of green tea extract, EGCG,recently published studies on the protective effects of pomegranate extract against Ultraviolet (UV) radiation damage. His group’s studies, published in 2005 showed that pomegranate extract inhibited UV damage in cultured human skin cells by inhibiting the changes in two molecular pathways associated with cancer (known as NF-kappaB and MAPK).
More recent studies showed that feeding Pomegranate extract to mice protected against a wide variety of biological markers related to UV light induced development of cancer. This information is important because it substantiates the mechanism by which pomegranate protects against skin cancer induced by UV light. Some of those mechanisms of UV damage also contribute to aging of the skin. So data is emerging suggesting that food derived anti-oxidants such as pomegranate may protect against both skin aging and cancer.
You can pick up pomegranates at your local produce store and enjoy them as a snack or desert. I eat them with an old dark sweat shirt or apron on, and not my favorite light colored clothing, as the red juice from the seeds has a tendency to squirt and stain when you cut them open. It may take you a few tries to get used to the slightly tart taste.
The seeds are the size of corn kernels, and have hard seeds inside. The white pulp around them is slightly bitter, but is also loaded with anti-oxidants, so I eat some of that along with the delicious red juice in the seeds. I make sure that the seeds have the rich purple color, and toss away those that have turned brown, in some sections of the fruit.
Pomegranates have been revered for thousands of years in the Middle East. If you travel to those lands, you will notice the familiar round shape with a wide, protruding stem in paintings and jewelry. Perhaps they were revered because of benefits seen in those who ate them over generations. It’s exciting to know studies simply confirm that you now can protect both your skin and your heart by enjoying this tasty fruit.
The Holidays are a time for parties, celebrations, and special treats. Candies, cookies and cakes appear as gifts and thank you’s at all sorts of homes and businesses at this time of year. It is not uncommon to hear a nudge to eat that “forbidden treat”- “Go ahead, it’s the holidays.” In the process, a lot more sugar gets eaten at this time of year. Other rich foods, like egg nog, and alcoholic drinks, and even foods suspected of being allergic, get consumed as well.
Some people date the onset or aggravation of their skin problems to this time of year. Sugar aggravates acne and other conditions by a variety of different pathways. It
favors overgrowth of yeast in the digestive tract, which leads to leaky gut, absorption of allergens from food, and inflammation of oil glands.
A spike in blood sugar is answered by a spike in insulin levels, and then a rise in Insulin-like growth factor (IGF). This IGF has been shown to affect the follicular area in more than one way that leads to acne formation. This is just one way in which too much sugar can lead to a skin problem.
Other rich foods, alcohol, and allergy producing foods all have ways in which they can aggravate not only acne, but other skin problems.
So I wish you a sweet New Year and Holiday season, filled with love and deeper joy, but light on the sugar in its many forms. This is the one of best possible natural acne treatments.
To your health,
Alan M Dattner, MD
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As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.
Natural acne treatment is complex, and there are a number of factors determining what will cure your acne, as compared with someone else’s.
Here’s one issue: there have been a number of studies regarding acne that have confused rather than clarified the understanding of what to recommend for acne problems. One of the biggest confusions comes because acne sufferers differ in what causes their acne:this is not a single condition with a single cause.
Studies on acne and chocolate have been done because there are many people who, over the years, have observed acne outbreaks after eating chocolate. For some of those people, eating chocolate occurs when they also binge on sweets or eat poorly and leave out vegetables from their diets. These factors are often left out of studies.
One key study on the effects of feeding chocolate bars, versus similar-tasting bars without chocolate, was published by Dr. James Fulton in 1969. The study observed no difference in acne in those who ate the chocolate versus the placebo bars, and concluded that chocolate had no effect on acne. Thus, an entire generation of dermatologists was trained to believe that chocolate had no effect on acne based on this and other studies.That study is now considered to be flawed in its methods, and its conclusions not valid.
Clearly, there are some people who break out from eating chocolate, some people who beak out from binging on chocolate, and others who seem to have no outbreak. Some may be additionally aggravated by the milk products, sugars, or oils in milk chocolate, or be eating the chocolate to deal with stress or depression, any of which factors could aggravate acne.
So, the relationship between eating chocolate and acne is not a simple matter, and should not be dismissed with a simple statement, but rather be evaluated in the larger context of the overall habits and responses of the individual. If there is a suspicion of a relationship (between a particular food and an outbreak), and you want to treat acne naturally, without drugs, chocolate should be stopped, and re-added later to see if it causes outbreaks.
As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.
While I generally deal with holistic dermatology, I have lots of experience with integrative medicine as it relates to the immune system. During cold and flu season, I tend to avoid flu vaccine. So, over many years of working long hours in my practice, I have perfected my method for cold and flu prevention and care.
The moment I become aware of a lowered resistence–a sneeze, a tired feeling, an ache in my head or neck–is the moment a cold or flu can be prevented with a regimen of natural remedies. If I wait a bit and don’t catch the symptoms until several hours or a day after that moment, I may not be able to prevent the illness, but I can lessen its severity and duration.
Steps to take at the pivotal moment:
stop whatever you’re doing. Take a nap if possible. If not, rest your eyes for a few minutes.
take a very hot bath, and when you emerge from the tub, bundle yourself up, climb into bed, and let the body “sweat out the cold.” (Be sure not to do this alone, as hot water can increase chance of fainting)
take healthy, regular doses of vitamins A, C, and E
take some echinacea or oregon graperoot
drink hot tea and keep the body full of fluids
Several hours of focused self-care at the right moment can prevent several days of illness, discomfort, and lost work–and it can keep you from spreading a cold or flu to loved ones.
As always, the content of this blog is for information and education purposes only, and should not be used to diagnose or treat illness; please see your physician for care.
I recently read an article in the Science Section of the New York Times by Tara Parker-Pope entitled “Telling food allergies from false alarms”. The article focuses on the efficacy of food allergy antibody tests (only one of many kinds of allergy tests there are.) It suggests that people avoiding a number of foods face malnutrition and inconvenience.
The article overlooks the great value in helping patients eliminate foods which trigger a wide variety of conditions, most of which have an inflammatory etiology. Any blood test, be it of antibody reactivity, neutrophil change, or lymphocyte response, may be helpful to point out foods to test for potential clinical improvement by elimination and challenge.
I have seen numerous conditions including acne, eczema, irritable bowel, hidradenitis, migraines, and fatigue improve with food elimination. A physician experienced in multiple forms of food testing can help associate symptoms with exposures, choose appropriate tests, and interpret results. This kind of natural acne treatment is a lot cheaper than prescription drugs.
One things I do agree on is that allergy tests can give a wide variety of food and allergen sensitivities which may or may not indicate the cause of a patient’s presenting condition.
The absolute best way to learn what foods are causing skin or any other problems is to eliminate all possible trigger foods, check to see if the problem clears, and then every few days, add a food back to the diet to find out which is the culprit. The value of trials of food elimination to improve disease should not be overlooked for lack of definitive testing in major centers.
To your health,
-Dr. Alan M Dattner, MD
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As always, the content of this blog is for information and education purposes only, and should not be used to prevent, diagnose or treat illness; please see your physician for care.