Adult Acne

It’s called “Adult Acne” because it’s not normal for an

adult to have acne. Teenagers get acne, not adults.

Because teenagers get acne, society believes adults need a

term to differentiate their acne, mostly due to ignorance.

Cause of Acne

Conventional Medicine will tell you: Adult acne is caused

by sebum, an oily substance produced by the skin’s

sebaceous glands. Sebum clogs pores, which attract bacteria

and become inflamed.

Functional Menopause Medicine: Adult acne stems from

two places: the hormones and/or the gut.

Cause of Acne (cont.)

Gut Acne

If acne presents itself on the cheeks, it is a gut related acne.

This is common for teenagers who eat a crappy diet and

get acne on their cheeks.

Hormonal Acne

If acne is in the T-zone area, forehead, down the face, over

the nose, mouth, and chin, in the “T” shape, we know this is

acne due to hormonal balance discrepancies.

Hormonal Acne (cont.)

Estrogen deficiency is a major cause of acne. When one

hormone is too high, such as testosterone, there will be acne.

When a hormone is too low, such as estrogen, there will be

acne. When one hormone is too high and another too low,

there will be acne.

In addition, women with PCOS will have specifically

patterned acne along with other physical PCOS symptoms.

PCOS is an estrogen deficiency issue and can be eliminated.

PCOS Acne

PCOS acne presents itself a bit differently and tends to flare in areas that are usually on the lower third of the face:

• Cheeks• Jawline• Chin• Upper neck, especially at the angles of the jaw

PCOS acne involves more tender knots under the skin, rather than fine surface bumps, and will sometimes report that lesions in that area tend to flare before their menstrual period.

Period Acne

Women will get cystic acne around day 18 of her cycle, when

estrogen is at its lowest, than any other time of the month.

Stress Acne

Women will get cystic acne when she’s under stress due to

cortisol levels effecting estrogen levels.

Puberty vs. Perimenopause

The root cause of acne is no different regardless of age.

Puberty and Perimenopause are both states of transition.

Puberty is a transition into reproduction, and Perimenopause

is a transition out of reproduction. It’s during these time one

will see more acne than usual because of hormonal increases

and declines through these transitions.

There are a lot of mainstream websites and

people claiming to be experts in treating acne

but I haven’t come across one who is interested

in treating the root cause of the acne. The

following are what WebMD, and many other

reputable sites recommend for treatment:

How Is Adult Acne Treated?

WebMD’s Solution to Acne

There are two primary options for hormonal management of acne according to Bethanee Schlosser, MD, assistant professor and director of the women’s skin health program in the department of dermatology at Northwestern University’s Feinberg School of Medicine:

• Birth control pills • Spironolactone, a diuretic which also blocks the binding of

androgen receptors, blunting the hormonal fluctuations that cause acne

WebMD’s Solution to Acne (cont.)

Schlosser usually starts patients with acne related to a

hormonal condition like PCOS on an oral contraceptive

pill containing both estrogen and progesterone; Estrostep,

Ortho Tri-Cyclen, and Yaz are the three brands approved

by the FDA for acne treatment.

Dermatologists’ Solution to Acne

Conventional Medicine trained doctors are taught to treat

acne with pharmaceutical medication of traditional topical

creams and gels. The most common of these are retinoids,

like Retin-A, Differin, Renova, and Tazorac.

Dermatologists will often combine a topical retinoid with an

oral antibiotic, such as doxycycline, tetracycline, minocycline

or erythromycin.

Functional Menopause Medicine’s Solution to Acne

Treat the root cause.

Hormonal Acne: Optimize hormones with 4th Generation HRT

Gut Acne: Detoxify and clean the gut

Estrogen’s RoleOne of estrogens prime directive is to make a woman beautiful that includes

your skin. When estrogen goes missing The skin dries, the skin begins to thin,

the pores stop working well, the sebaceous glands get clogged. In addition the

role of estrogen in the liver to promote up regulation of certain enzymes of

intoxication which stop working well. Estrogen also is extremely important in

the function of the gut and maintaining normal gut motility, normal function,

normal of regulation of absorption, as well as regulation and modulation of the

immune response. Also with loss of estrogen there is more cortisol in the

system, there is greater impact of testosterone now and both of those functions

predispose a woman and having acne.

Thyroid’s Role

One of the most common Systems that fail when a woman

transitions into menopause is thyroid function. She may

develop overt hypothyroidism or she may simply be

suboptimal in thyroid function. Either case thyroid is

extremely important in skin health and low thyroid is a

recognized cause of acne and other skin blemishes

Insulin Resistance

Something that isn't thought about very often but has a big

impact on the skin is the development of insulin resistance

after estrogen goes low. Insulin resistance increases the oily

production in the skin. It has a direct impact on the

sebaceous glands and production of sebum. Also because

the woman's skin and gut function fall apart after loss of

estrogen she is much more inclined to develop rosacea.

If you need help finding a 4th generation HRT specialist, or

your doctor wants more information, email me at

info@menopausetalkradio.com

Clinically Speaking (cont.)

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While broad-spectrum antibiotic creams may suppress symptoms of

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TREATING THE CAUSE NOT THE SYMPTOMS

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RegeneMax Clinical Applications

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If you are interested in learning more,

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Upcoming Shows

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Additional recommended pharmaceutical

grade supplements and access codes.

Estro Harmony™ is for women who want relief from menopausal hot flashes and support for breast health. Research suggests the ingredients in this formula can also benefit cardiovascular status and bone remodeling.

This all-natural formula delivers a proprietary blend of plant lignan extract and 8-prenylnaringenin (8-PN) from hops, at clinically relevant levels, to support the body’s natural process of healthy aromatase activity and exert phytoestrogen (e.g., enterolactone) and antioxidant activity.

ActivEssentials™ for Women is a combination of four targeted nutritional formulas packaged together to provide convenient and comprehensive nutritional support.

MedCaps Menopause™ is a unique combination blend that is formulated to provide nutritional targeted nourishment for women during menopause. It features specially selected herbs and nutrients that support the adrenal glands’ adaptive response as well as support circulation, relaxation and overall well-being. Featuring a non soy derived source of isoflavones, MedCaps Menopause may also beneficially influence estrogen receptor function.

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RelaxMax™ is an innovative formula in

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The XYMOGEN Mitochondrial Renewal Kit (MRK) is formulated to support and promote mitochondrial biogenesis and function. MRK supplies three active, orally bioavailable formulations—N.O.max ER™, Resveratin™ Plus, and ALAmax CR™—which function synergistically to support the critical role that mitochondria play in metabolism. The patented functional components found in the MRK are safe, well-tolerated, and have been uniquely prepared to enhance both absorption and overall bioavailability in order to maximize patient benefit and satisfaction.

Hormone Protect™ is an ideal combination of DIM (diindolylmethane) and SGS™ (glucoraphanin) that helps protect estrogen-sensitive tissues by promoting healthy estrogen metabolism and supporting detoxification and neutralization of harmful estrogen metabolites and xenoestrogens.

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All the information in this podcast is intended for educational purposes only, and should not be construed as personal medical advice. Marie

Hoag, MBA is not a physician, and does not give medical advice. She encourages you to do your own research and to make your own health

care decisions with the guidance of a qualified physician.