Acne vulgaris is a condition that affects millions of teens - and increasingly, adults - in this country and other civilized countries around the world. In fact, it is the most common skin condition treated by dermatologists. Acne occurs when the culprit bacteria, Propionibacterium acnes (P. acnes) - which usually serves a useful role in maintaining your skin's sebaceous (oil) glands - blocks your hair follicle and then the follicle, or pore, become inflamed or infected. Your sebaceous glands are found primarily on your face, neck, chest, and back. Hence, the reason these areas of your body can become plagued with acne.

Most traditional acne-fighting strategies focus on exterminating the bacteria from the outside, through use of topical drying products or harsh anti-bacterial commandos. Some other strategies use guerrilla warfare from the inside, through use of antibiotics such tetracycline or dangerous drugs such as Accutane. These strategies can be effective at temporarily treating the symptoms of acne, but they cannot permanently give you the clear, radiant skin that you desire. When you stop using the products, the acne usually returns. Thus, you are forced to continue to buy and use these products to "maintain."

The Root Cause of Acne

If you understand the root cause of your acne, then you can address the relevant issues and begin to transform your skin.

There are three related primary factors that make up the root cause of acne:

1. excess sebum (oil) production in the skin;
2. excess levels of male hormones in the body; and
3. inefficiency of the immune system at destroying P. acnes, the acne-causing bacteria.

How do you even begin to address these complex-sounding issues? Glad you asked - and the answers are much simpler than you might think.

The first two factors, excess sebum and male hormone production, are so inextricably linked that I will be discussing their role in acne formation together. With respect to the presence of male androgens (hormones) in the body, this is one factor which is definitely beyond your control! Not only do men and boys have this hormone circulating in their systems, which causes them to develop "male" physical traits, but women and teenage girls have lower levels of these hormones in their systems, as well. These lower levels of male hormones keep the ladies in balance.

During adolescence and puberty, increasing levels of male hormones in the bloodstream of boys - and girls - lead to excess sebum production. Therefore, teens (and many pre-teens) already possess one element of the root cause of acne formation.

That said, eating a diet that rich in refined carbohydrates and sugars tends to:

• raise your insulin levels and insulin-like growth factor (IGF-1), which,
• can lead to the body's producing excess levels of male hormones, which, in turn,
• can cause your pores to produce excess sebum. That excess oil in your pores
• attracts - yep, you guessed it - and feeds too much of P. acnes, the bacteria responsible for forming the acne to start with.

A fine example of a vicious cycle.

Although the video is great for the most part, it expressed a passing comment at the very end which I believe promotes false and ultimately harmful ideas about the genetic component of acne. There is much more evidence that acne is impacted by processes in the body - hormones, immune system, and inflammation - than that it is a function of errant genetic code. Families that have two or more members who suffer from acne usually have diet and lifestyle factors in common, not genetics, that are the true source of the problem.

That does place the responsibility for change, some say blame, on the doorstep of the acne sufferer. I see it differently - it is not about blame, but about empowering the one who suffers with the ability to slay the acne beast rather than be doomed to be a victim of his or her genetics. Which do you prefer - to be master of your own body or to be held captive to expensive pills, lotions, programs, cortisone injections, lasers, and other medical treatments?

One obvious solution is to eat a diet that does not promote spikes in your insulin levels. A visit with a registered dietician who understands the principles surrounding the glycemic index (GI) - a fancy scientific method of representing a food's impact on your blood glucose levels - and glycemic load (GL) could be very helpful. Or if you are the kind that likes to dig into things for yourself, you could check out a book from the library on the subject. Good choices: The New Glucose Revolution: The Authoritative Guide to the Glycemic Index and Dr. Bob Arnot's Revolutionary Weight Control Program. Or, for instant gratification, visit David Mendosa's online site at http://www.mendosa.com/gi.htm for a detailed article on glycemic index and glycemic load, which includes a link to a table of GIs and GLs for over 2,480 foods.

The final major factor of the root cause of acne is the inefficiency of the immune system at destroying P. acnes. The body has an innate ability to seek and destroy bacterial, viral, and parasitic invaders and to repair and heal itself. This ability is a function of our truly awesome immune system. When the immune system is strong, bacteria such as P. acnes do not stand a chance to multiply to quantities that pose a challenge or threat to the health of the bodily system(s) where it is found. However, when your immune system is weakened, bacteria such as P. acnes can gain a foothold, and can wreak havoc in the system where it is found - in this case, the skin - by causing inflammation and infection. Acne is the end result.

There are certain things you can do to boost your immune system measurably while, on the other hand, you avoid weakening it or actively promoting inflammation in the body, and in the skin.

1. First, avoid eating refined sugars, since they immediately suppress immune function and reduce the efficiency of the immune system for hours.
2. Get sufficient amounts of Vitamin D through conservative daily exposure to sunlight - about 15 to 20 minutes a day - with your arms and legs bare. Your body can produce about 20,000 I.U.'s with this kind of exposure to the sun. Sufficient quantities of Vitamin D in the body activate over 200 antimicrobial peptides in the body. These antimicrobial peptides are the "soldiers" that are positioned on the front lines of your immune system. They act like broad spectrum antibiotics, which seek out and kill harmful bacteria, such as P. acnes that, in large quantities, causes inflammation and acne in the skin. Warning: This recommendation is not carte blanche to sun-worship! Please never, and I mean NEVER, allow yourself to sunburn.
3. In the alternative, take a Vitamin D supplement in the D3 form when you cannot get daily sunlight, particularly during the winter months if you live in the northern half of the country. If you choose to supplement with Vitamin D, get regular blood tests to monitor your blood levels of Vitamin D. Please, always discuss dosage with your doctor before beginning supplementation.
4. This advice is not new, but it is critical. Get enough rest. Lack of rest depresses the immune system, while sufficient rest supports great immune function.

These measures support the immune system so that it is strong enough to seek out and destroy the bacteria that causes acne. A good immune system renders prescription antibiotics unnecessary for fighting the formation of cystic acne, for which antibiotics like tetracycline are often prescribed.

Avoid Animal Products with Growth Hormones

Another solution, perhaps less obvious, is to be aware of and careful to avoid foods in your diet that promote excess hormone production in the body. This unintended effect occurs when we consume animal products that come from animals fed with growth hormones (used to increase increase milk production and the body weight of livestock intended for sale at market). The FDA does not require these drugs to be identified on food packaging, as they claim them to be safe for human consumption.

Unless you are among the small percentage of our society that is vegan, you need to be concerned about these chemicals in your food. Think about the many sources of growth hormone in foods we eat everyday. The hormone rBGH or rBST can be found in most milk and meat products. Exactly how much growth hormone do we consume daily in the milk we eat with our cereal and coffee for breakfast, the cheeseburger and milkshake we eat for lunch, not to mention in that juicy steak for dinner? You get the idea.

Avoid growth hormone in your foods, and you will avoid a source of excess hormone production in your body, which you will recall leads to excess sebum production in your skin.To eliminate growth hormones in your diet, shop for foods that are labeled "rBGH free, "no added hormones," or "no artificial growth hormones." You may have to shop at grocery stores with an emphasis on health foods or at local farms that practice sustainable farming techniques to find these smarter (and skin-friendly foods). However, many local grocery stores are beginning to offer these healthier choices.

A dietary approach to the acne challenge requires self-discipline, but it can have far-reaching impact on your overall health, including the REAL value-added bonus of weight loss or weight control made simple. Just eat foods that keep your blood glucose levels on an even keel, and avoid ALL animal products with growth hormones.

Final Words: Rest in the knowledge that YOU CAN take very definite steps to address the root cause of your (or your child's) acne. Beautiful, clear skin is a natural result of addressing the conditions that are in place before acne can begin (or continue) its destructive attack on your skin. It is a badge of your radiant inner health. The best news - you will reap health benefits far beyond clear skin, and your gorgeous new self-image will discover the confidence to exude that radiance to the world at large.