Three therapeutic options are offered: the natural (no therapy) therapy, standard (routine acne care) therapy, and aggressive (pedal to the metal) therapy. Natural acne therapy achieved by simply stopping all dairy products and high glycemic load foods, and waiting for the unnatural process of acne to resolve. These individuals usually need no calcium supplementation because of its availability in their diet but may need supplemental vitamin D3.
Standard therapy starts with full dairy restriction. Faster improvement expected by adding a low glycemic load diet. Aggressive therapy must be explain by the dermatologist and understood by the patient. It is impossible to shrink sebaceous glands down to pre pubertal size with standard topical therapy. Isotretinoin prescribed as the only option available to empty out the present plugged pores, calm the fires of active acne, miniaturize the oil glands themselves and decrease the size of the hormone-manufacturing apparatus in the sebaceous ducts and the sebaceous glands themselves.
