In cases of severe and chronic acne, there are factors that must be considered to achieve complete control.

Stress: Stress has a strong relationship to acne and a profound impact. When under stress the body produces hormonal steroids, such as cortisol (a corticosteroid hormone frequently called hydrocortisone). Like other hormonal steroids (testosterone, dihydrotestosterone, etc.). These chemicals target the skin in a disruptive manner and acne flare-ups may coincide with increased stress.

While it is easy to suggest the avoidance of stress, this is not likely to be accomplished. Begin recognizing stress levels and potentially stressful events or situations. During these times, cleanse very thoroughly, or cleanse three times a day rather than two. Increase the use of some products from once daily, for example, to twice. Use the Green Tea/Clay Poultice more frequently. In short, step up the daily skin care regimen to offset the skin’s response to stress. When the stressful situation passes, return to the normal daily skin care regimen.

Diet: A good diet is an effective tool in controlling acne, especially fruits and vegetables rich in antioxidants, combined with adequate protein. A healthy and well-balanced diet affects the health and efficiency of the body and that includes the skin. Every organ in your body relies upon the same vitamins, minerals and nutrients to function. Since the skin is at the end of the food line, it suffers greatly from an improperly balanced diet. Foods with high antioxidant content (colorful fruits and vegetables) are very helpful in promoting the healing of acne infections.

Coffee: Research suggests that coffee (with or without caffeine) stimulates the production of cortisol (see the section on stress) and acts just like stress. Coffee may be a promoter of acne and its consumption should be limited. Green or white teas are healthier beverage selections. When stress levels rise, it is advisable to reduce coffee consumption to achieve a reduction in cortisol levels which promote acne.

Wheat: People who have tried numerous prescriptive and non-prescriptive acne treatments without success will probably succeed with BiON products. If not, the problem may be wheat induced acne, which makes acne treatment unsuccessful. BiON products and diet modification successfully achieve control of wheat-induced acne in almost all cases. People with wheat-induced acne (gluten intolerance) have usually had moderate to severe acne for a few years to many years. They don’t usually have whiteheads and may or may not have blackheads. The acne can be cystic or vulgaris and they have normal to oily skin rather than dry or combination dry skin.

BiON suggests clients continue to use the BiON products but eliminate wheat and gluten from their diet for 2-3 weeks to determine if this is directly stimulating the acne. This includes wheat, barley, rye and oats, flour made from these grains, most bread, most pastries, most pastas, wheat cereals, beer, hot dogs, snack foods, breakfast-type and energy-type bars, etc. There are several cereals that are wheat free, such as rice cereals (be sure to check the ingredient labels). There are breads on the market that are made exclusively from rice flour, quinoa flour and other wheat free ingredients. Corn tortillas are usually wheat free, but again be sure to check the label to determine if the manufacturer is using wheat as a filler. Specialty or health food stores carry pasta made with rice flour, corn flour, quinoa, ets. And a multitude of products for the millions of Americans who cannot tolerate wheat or gluten. Rice can be substituted in your diet for pasta and other similar foods, like quinoa, are interesting options. Vegetables, fruits, meats, dairy, nuts, ets. Are all wheat free and most of these foods are high in antioxidants and protein to help speed the healing of current infections. Look at food product labels before assuming foods do not contain wheat, barley, rey or oats. For example, we think soy sauce is made from soybeans, but most of these products list wheat as the second ingredient. There are soy sauce brands made exclusively with soy. Many pre-packaged convenience and snack foods contain wheat. Who would think there is wheat in ice cream, yet many brands contain wheat.

Wheat induced acne, or celiac disease, is not affected by topically applied compounds that contain wheat, or wheat components. Only wheat products consumed internally have an effect.

Dairy: A smaller segment of the acne population may react to milk and\or dairy products. Milk contains hormones which can promote the potential for acne infections. Milk stimulates increased sebum production and hyper keratinization of the follicles because of the volume of steroid hormones in milk. Hormonally induced acne frequently follows the chin and jaw line. If milk is a factor in the promotion of acne, the patient has usually tried numerous prescriptive and non-prescriptive acne treatments without success. They will probably be successful with BiON products because the products reduce the skin’s volume of dihydrotestosterone and sebum. If control is still difficult to achieve, limiting daily intake of dairy can be helpful.

BiON suggests eliminating ALL dairy products from the diet for females beginning about 3-5 days before her period and continuing with no dairy for 2-3 days into the period to see if this reduces the breakouts. If so, she should eliminate dairy in this fashion with every monthly cycle. Males on the other hand would just eliminate dairy from their diet for a couple of weeks and observe if there is any improvement. Dairy induced acne for males is less frequent than females but it does happen in some cases.

Essential Fatty Acids: If a patient has a volume of multiple whiteheads and/or blackheads, they may have a deficiency of linoleic acid (omega 6). They may not digest or absorb linoleic acid well. This condition makes acne treatment unsuccessful because of excessive follicular congestion. BiON products and diet modification successfully achieve control of linoleic deficiency-induced acne. A volume of whiteheads are almost always involved with linoleic acid deficiency and they can develop very quickly. Blackheads may or may not be present. The condition may or may not have developed into acne, usually cystic acne. In most cases the skin tends to be dry and may be prone to inflammation, but this may not always be the case.

BiON suggests clients continue to use the BiON products and purchase flaxseed oil supplements in the1000mg size. Take one capsule daily. Do NOT take the supplements if pregnant or nursing. The supplements take 2-3 weeks to have an effect and the sebaceous glands will begin producing the linoleic form of sebum. This will reduce the volume of new plugs but may not eliminate them all together. The supplements usually resolve issues with dry skin and in general improve the appearance of the skin. Flaxseed oil supplements will not dissolve pre-existing plugs but will work in conjunction with BiON products.

Smoking: A German study published in 2001 showed acne is 62% more prevalent in active smokers than in non-smokers. Additionally, a significant dose-dependent relationship was observed between acne severity and daily cigarette consumption.

Hormone Supplementation: The development of adult onset acne following the initiation of hormone supplementation or significant modification of an existing program may be caused by the dosage. Speak with a physician about this subject and modifying the dosage so it does not promote acne.

Heredity: Acne appears to have genetic linkage and people may get a better understanding of the possible extent of their condition by discussing  this subject with their parents. Ask questions about the severity of their acne and the duration.

Menses: Like stress, there is a relationship to acne. The body increases its production of hormones, which indirectly stimulates the production of sebum and the subsequent chemical reactions that promote acne. 3-7 days before the cycle, step up the daily skin care regimen and return to the normal regimen at the end of the period. Use the Green Tea\Clay Poultice twice daily as per the instructions.

Oral contraceptives: In some instances, oral contraceptives may reduce the severity of acne and in other cases they can trigger skin problems, including acne. If an oral contraceptive is contributing to acne, speak with the physician about “low-Progestin” contraceptives or other options. Changing to lo-progestin contraceptives has shown to reduce acne in some cases. An oral contraceptive containing ethinyl estradiol and levonorgestrel may provide benefits for moderate acne.

Once these factors are corrected, BiON products are effective in the control of acne in nearly 100% of cases. Exceptions involve poor compliance with the daily regimens or the integration of benzoyl peroxide products which promotes inflammation.