Your site has really inspired me to dig deeper and really research causes behind acne. My hormonal acne has been driving me crazy lately and today I’ve finally put two and two together. My revelation has to do with the mTOR pathway and IGF-1 levels that you have mentioned on your site. I admit I’m a fitness addict and have been supplementing with whey isolate, BCAA’s and upping my protein intake for the past couple of months. I have developed awesome muscle but its come at a cost. I am going to stop supplementing with whey, BCAA and reduce my protein intake to more “normal” levels. However, stopping working out and strength training is out of the question for me, its too important for my happiness and stress reduction.
However I will make some big changes. I will switch my protein to soy protein isolate and use only strategically after workouts. My question is how can I offset cortisol production (which can also cause acne) after an intense workout? Usually I take a high GI carb like dextrose. If I cut that out, what else can I do?? Or is a high GI carb, when used when really needed, ok?
Topical hydrocortisone works much higher up in the skin. It is not a treatment for acne or acne cysts. In general, this category of products, especially its higher potency topicals, can carry side effect of skin thinning. As far as an acne cyst is concerned, it lies much deeper in the skin, and it is unlikely that a weak topical such as OTC hydrocortisone can reach it to have any significant improvement. The skin overlying the cyst surface is already stretched or thin to begin with; therefore, introducing any topical cortisone for its treatment can risk irreversible skin thinning. Another important side effect of cortisone to be taken into consideration here is "rebound or worsening of acne." Yes, these products can contribute to more acne.