Best Cure Treatment Acne: Acne

Other Causes Of Acne

Diet

diet section of this blog for more information.

Cosmetics

Some cosmetics contain mineral oil. Mineral oil is known to clog pores. Products that clog pores are called comedogenic. People with acne prone skin should look for products labelled “non-comedogenic” or “oil free”.

Medications

Acne caused by medications is called “acne medicamentosa”. Due to the relationship between sebum production and hormones, drugs containing hormones will sometimes result in acne medicamentosa. Some of these hormonal drugs include birth control pills, thyroid medications and androgenic steroids. Other drugs found to cause acne are lithium and antiepileptic medications.

Ailments

Acne may be a symptom of certain disorders of the endocrine system. The endocrine system is the network of glands that secrete hormones directly into the bloodstream. Some of these ailments are polycystic ovary syndrome (PCOS), Cushing syndrome and acromegaly. Acne has also been listed as a symptom to non-endocrine conditions such as Apert syndromes and Behçet syndromes. Please note, acne alone doesn't usually indicate ailments. Other symptoms besides acne are usually present.

Contact Acne

Certain items that come in contact with the skin can cause acne. Makeup applicators, hair care products, cell phones, and pillows are examples of everyday products that can cause acne breakouts. Also hands touching the face can cause breakouts.

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Causes Of Acne

Bacterial Acne

Propionibacterium acnes (P. acnes)

Propionibacterium acnes or P. acnes is the bacteria that is commonly linked to acne. The bacterium lives at the base of the hair follicle. P. acnes feeds on fatty acids found in sebum. Excessive amounts of sebum can cause an overgrowth in the bacteria. During the digestion of sebum, P. acnes, has been shown to create pore clogging byproducts.

P. acnes triggers white blood cells to the hair follicle. Enzymes created by the white blood cells breaks down the follicle wall. The break in the follicle wall causes its contents to spill into the dermis of the skin. The follicle becomes inflamed and triggers an occurrence of inflammatory acne lesions, such as papules, pustules, and/or nodules.

P. acnes is not only present on acne prone skin. The bacterium is also present in healthy skin. Therefore, the mere presence of this bacterium is not the cause of acne breakouts. The malfunctioning of the pilosebaceous unit is the ultimate cause. Keeping the production of sebum at normal levels is usually the key to prohibiting any asing reactions to P. acnes.

Other causes of acne

Hormonal Acne

Generally, acne can be considered a sign of hormonal disharmony. Hormones play a major part in the creation of sebum. Excessive sebum production is a tell-tale sign of an hormonal imbalance. The major hormones involved with excessive sebum creation are androgen (male hormones), estrogen, and insulin-growth factor. Testosterone and insulin-growth factor are the two hormones closely linked to acne.

Androgen (Male Hormones)

Although considered male hormones, androgen hormones are found in males and females. Androgen hormones include free testosterone, dihydrotestosterone abbreviated as DHT, dehydroepiandrosterone abbreviated as DHEA, and dehydroepiandrosterone sulfate abbreviated as DHEA-S. Excessive androgenic hormones in males and females have been shown to overstimulate the sebaceous glands.

Estrogen

Estrogen is usually found only in women. Estrogen is responsible for the development of female characteristics in the body. One of estrogen functions is to balance out male hormones. If estrogen levels are low, androgen hormones become dominant. When male hormones are dominant in women, this triggers an increase in sebum is production.

Insulin-growth factor

Insulin-growth factor is a hormone produced in the liver. Insulin-growth factor is involved in the growth and function of almost every organ in the body. The hormone is similar in structure to insulin. Due to its similar structure to insulin, excessive insulin growth factor in the bloodstream can cause an increase in sebum production.

Other causes of acne

Commercial Acne Treatments

Why Commercial Acne Products?

Perhaps, the main advantage of commercial acne products verses natural acne products is their convenience. Instead of experimenting with homemade acne treatments, consumers can rely on commercial formulas. Another advantage to commercial acne treatments is that consumer reviews are readily available online. The following is a brief description of a few of the popular acne care systems available.

Proactiv+

Proactiv+ is a benzoyl peroxide based acne skin care line. The current Proactiv+ system has been revamped from the the original formula. The 3 step system includes an exfoliating cleanser, pore penetrating lotion, and a skin hydrator. Proactiv+ retails for about $40 for a 30 day supply. Proactiv+ offers automatic shipments on their website.

Neutrogena Complete Acne Therapy System

Neutrogena Complete Acne Therapy System is a benzoyl peroxide and salicylic acid based acne skin care line. The 3 step system includes a salicylic acid based cleanser, a benzoyl peroxide based acne control lotion, and an oil free sunscreen. Neutrogena states that it is the number 1 dermatologist recommended acne treatment system. Perhaps, this is because it is the only popular acne treatment system that includes a sunscreen in its system. The Neutrogena system retails for about $25 for a 60 day supply. Visit Neutrogena's website to purchase online or to find a local retailer.

Clean & Clear Advantage Acne Control Kit

Clean & Clear Advantage Acne control kit is a benzoyl peroxide and salicylic acid based acne skin care line. The 3 step system includes a benzoyl peroxide based acne cleaner, a salicylic acid based moisturizer, and a salicylic acid based spot treatment. The Clean & Clear kit retails for about $20 for a 30 day supply. Visit Clean & Clear's website to purchase online or to find a local retailer.

Natural Commercial Products

Benzoyl peroxide and salicylic acid are the active ingredients in most popular acne skin care products. Benzoyl peroxide and salicylic have been known to cause adverse effects to some users. The following acne treatments active ingredients are natural alternatives to benzoyl peroxide and salicylic acid.

Calendula

Calendula also called pot marigold is a plant that is a natural alternative to benzoyl peroxide. Calendula has proven effective against bacteria, pain and inflammation. Kiehl makes a calendula based cleanser and toner. The cleanser and toner duo retails for $50 for a 30 day supply. The duo is available on their website. California Baby makes a great calendula based moisturizer. The moisturizer retails for about $15 on their website.

Tea Tree

Tea tree oil comes from the leaves of the Australian Melaleuca alternifolia commonly called tea trees. TTO has been shown to have antiseptic and antifungal properties. The Body Shop carries an entire line of TTO based acne treatments. The line consists of products ranging in prices of $9 to $20 dollars. The products are available directly from their website.

Green Tea

Green Tea comes from the leaves of the Camellia sinensis plant. Topical applications of green tea have been shown to reduce sebum production, fight against bacteria, and work as an anti-inflammatory. St. Ives makes green tea based cleansers. The cleansers retail for under $10. Visit St. Ives website to find a local retailer.

Sunscreen

A good sunscreen provides protection from UVA and UVB rays. Due to the complex nature of sunscreen, it's best to use commercial products. Neutrogena currently have 2 sunscreen formulas specifically designed for acne prone skin. Neutrogena's sunscreens retail for about $11 and are available from their website.

Dark Spots

It's important to know the difference between acne spots and acne scars. Scars are permanent demarcations that require treatment in a medical office. Spots often disappear without treatment. Stubborn spots can be treated with products containing hydroquinone and alpha or beta hydroxy acids. These skin lightening agents should only be applied to healed acne spots. Alpha Hydrox Spot Light Targeted Skin Lightener is a popular products for acne spots. Alpha Hydrox products are widely available through online and retail outlets. Most acne dark spots can be corrected with over the counter products. However, stronger strengths can be prescribed by a dermatologist.

Do you want an individualized skin care regime?

See the blog post on natural acne treatments.

Skin Care 101

General Guidelines

Acne prone skin should be washed twice daily, exfoliated regularly, spot treated as needed and protected from the sun. To prevent scarring, acne lesions should never be squeezed. The following is a gentle natural approach to an effective acne skin care regime.

Cleansing

Calendula

Calendula also called pot marigold is a plant that is a natural alternative to benzoyl peroxide. Calendula has proven effective against bacteria, pain and inflammation. Calendula tea can be steeped and used as a face wash. Applications: Steep calendula tea for 15-20 minutes. Be sure to use distilled or filtered water in brewing the tea. Allow tea to cool to a tolerable temperature. Soak a face towel in the calendula tea. Apply to face for 10 minutes. Alternatively, calendula tincture drops can be added to liquid natural soaps such as castile and glycerin. This liquid cleanser can also be used as a body acne cleanser.

Tea Tree Oil (TTO)

Tea tree oil comes from the leaves of the Australian Melaleuca alternifolia commonly called tea trees. TTO has been shown to have antiseptic and antifungal properties. Tea tree oil used in acne treatments should be labelled 100% Australian. Application: TTO drops can be added to liquid natural soaps such as to castile and glycerin. Start with a few drops then add more drops over time to allow skin to adjust to TTO therapy. This liquid cleanser can also be used as a body acne cleanser.

Green Tea

Green Tea comes from the leaves of the Camellia sinensis plant. Topical applications of green tea has been shown to reduce sebum production, fight against bacteria, and work as an anti-inflammatory. Applications: Steep green tea for 15-20 minutes. Be sure to use distilled or filtered water in brewing the green tea. Allow tea to cool to a tolerable temperature. Soak a face towel in the green tea. Apply to face for 10 minutes. Alternatively, green tea extract drops can be added to liquid natural soaps such as castile and glycerin. This liquid cleanser can also be used as a body acne cleanser.

Toners & Astringents

Historically, toners and astringents (toners containing alcohol) held three major purposes. First, they were used to rid the skin of residue left behind by facial cleaners. Secondly, they were used to restore the skin’s natural ph balance. Thirdly, they were purported to close pores. Recently, it has been established that toners aren't necessary due to a number of factors. Those factors being facial cleansers do not leave residue as they did traditionally. Today, facial cleaners do not alter the ph balance of the skin significantly. Most importantly, toners do not close pores.

Basically, it’s becoming more and more conventional for toners and astringents to be considered an optional step. If extra skin care is needed, additional steps can be added to the facial cleansing step. For example, applying the cleanser with a face cloth or facial brush can be done when exfoliating the skin is needed. See more about exfoliating below.

Moisturizing

Sebum production is influenced by the amount of oil on the skin. If the skin is too dry, excess sebum may be produced. Therefore, proper moisturizing of the skin is a key factor in controlling acne. Acne sufferers should use light oil free or non-comedogenic moisturizers. Non-comedogenic moisturizers do not clog pores.

Jojoba Oil

Due to its similarity to sebum, jojoba oil is considered one of the best natural non-comedogenic moisturizers. Technically jojoba oil is a wax that is extracted from the Simmondsia chinensis commonly known as the jojoba tree. Application: A few drops of jojoba oil can be applied as a light moisturizer.

Sunscreen

A good sunscreen provides protection from UVA and UVB rays. Due to the complex nature of sunscreen, it's best to use commercial products. See the post regarding "Commercial Products".

Scheduled Maintenance

A good skin care regime may also include deep exfoliating, steaming, masks, and a host of other treatments. These treatments are based on individual preferences and needs. However, gentle exfoliating is necessary to maintain and achieve a healthy complexion.

Physical Exfoliation

Exfoliating refers to the removal of dead skin cells. Exfoliation can be achieved by physical or chemical methods. Acne sufferers should use gentle forms of exfoliation. Application: Cleansing the skin with a wash cloth or a soft facial brush are gentle physical methods of exfoliation. Apply cleanser directly on the wash cloth or a soft face brush. Gently scrub the face with circular movements. Never exfoliate skin that has any unhealed inflammatory acne lesions such as papules, pustules, nodules or cysts. Doing so will further irritate the skin.

Chemical Exfoliation: White Willow Bark

Chemically, white willow bark can be used as a gentle exfoliator. The white willow bark tree is native to Asia and Europe. White willow bark contains smaller amounts of salicylic acid than commercial products. Application: Add a few drops of white willow bark extract into facial cleansers for daily gentle exfoliation. Start with a few drops of extract and add more drops to allow the skin to adjust to this method of exfoliation.

Spot Treatments

For additional tips on caring for specific acne lesions, see the following posts:

Adult Acne

How is Adult Acne is Formed?

What is Acne?" post. Adult acne is becoming more and more common.

Hormonal Disharmony

Acne can essentially be considered a hormonal disorder. Hormones play different roles during the life cycle. Therefore, adults can experience adverse reactions to hormones just as when they were teenagers.

Males

Males do not experience drastic hormonal fluctuations after puberty. Therefore, acne in adult males is usually derived from outside influences on hormone levels. Some outside influences could include diet, medications, or physical ailments.

Females

Adult acne is more common in females than males. Females experience more hormonal fluctuations.Therefore, adverse reactions to these fluctuations are common. Females are likely to have acne lesions due to pregnancies, menstrual cycles, peri-menopause and menopause. Females are also likely to have acne breakouts after beginning or discontinuing birth control pills.

Find out about acne treatments:

Cookbook Outline

Healthy Fats

What are Healthy Fats?

Healthy fats are those that do not raise cholesterol levels. Fat is an essential nutrient that the body uses for many critical functions. Healthy fats provide the body with essential fats that help to keep our skin healthy. The human body does not make healthy fats. Therefore, healthy fats must be obtained through the diet. Being the Blog focuses on acne and skin care, the focus is on omega 3 fatty acids which have been proven to be beneficial to fighting acne.

Omega 3 Fatty Acids

Omega 3 fatty acids provide the human body with anti-inflammatory benefits. Acne is an inflammatory disease. Arming the body with a diet full of anti-inflammatory foods is an excellent strategy to combat this chronic disease. Perhaps the most important benefit of omega-3s is they have been shown to control the production of leukotriene B4. Leukotriene B4 is a molecule that can increase sebum production and cause inflammatory acne breakouts.

Fish & Seafood

Fish and seafood are excellent sources for omega-3s. Fish choices rich in omega-3s include salmon, mackerel, herring, lake trout, sardines and albacore tuna. Seafood choices rich in omega-3s are oysters and mussels. Also oysters are packed with zinc! For healthy servings of fish and seafood, prepare it baked, broiled, grilled or poached. An acne fighting diet should include two servings of fatty fish or seafood weekly.

Nut& Seeds

Walnuts have the most omega 3 fatty acids than other nuts. Therefore walnuts should be the top choice when consuming nuts. Nuts are high in fat and consuming fats whether healthy or unhealthy should be restricted. Therefore eating walnuts in moderation will provide a good dose of omega-3s. Flax seeds have more omega-3s than other seeds. Sprinkle these favorable seeds over steel oats or salads for a full punch of omega-3s!

Beans

Beans do not have as much omega 3 fatty acids as nuts and seeds. But some varieties contain a fair source of omega-3s. Beans are also full of fiber, vitamins, minerals and antioxidants. Plus beans are also a low glycemic food! Therefore, beans are an excellent addition to an anti-acne diet! Kidney, Great Northern and navy beans are some good choices.

Fruits & Vegetables

Fruits in the berry category have the most omega-3 fatty acids content. These include avocados, blackberries, raspberries and strawberries. Vegetables also contain amounts of omega-3s. The best choices include dark green leafy vegetables such as kale, spinach and watercress. Brussel sprouts also contain omega-3s.

Oils

Flax seed, canola and olive oils are excellent choices for omega 3s. Flax seed oil has more omega-3s than canola and olive oil. Olive and canola oils are easily incorporated into an anti-acne diet because they can be used in cooking. Olive and canola oil are excellent for stir frying and roasting vegetables. Flax seed oil can be added to foods before or after cooking. Canola oil is less expensive than olive oil and can withstand higher cooking temperatures. Additionally, all three of these oils can be used in salad dressings.

Notes

Healthy fats regardless of the health benefits are still classified as “fats”. Therefore to avoid any adverse health effects they should be used in moderation.

For your convenience

Healthy fats are those that do not raise cholesterol levels Healthy Fats

The Blog has taken on the task of compiling recipes that are loaded with healthy fats. Use the Cookbook and take out all the guess work of an anti-acne diet. Download your copy now!
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Trigger Foods

Types Of Acne

Understanding what acne is and how acne is formed should be the first step in treating acne. When we learn how acne is formed not only can we treat acne, we can also prevent future breakouts.

Acne Defined

Acne is an inflammatory and chronic skin condition that is formed when the pores of the skin becomes clogged with excess oil (sebum) and dead skin cells. These clogged pores will often become infected and inflamed and may develop into any number of acne lesions.

Pilosebaceous Unit

Before we further discuss acne, let’s look at where acne is formed, the pilosebaceous unit. The pilosebaceous unit is composed of the hair follicle, hair shaft and sebaceous glands. A properly functioning pilosebaceous unit does not cause pores to become clogged or inflamed. A malfunctioning pilosebaceous unit will often produce clogged pores.

Blackheads

Blackheads are a form of comedones. Comedones is the medical term for clogged pores. Blackheads are produced when sebum and dead skin cells are trapped in the pores of the skin. It’s important to note, blackheads are not trapped dirt. Blackheads have an opening on the surface of the skin. When the clogged pore is exposed to air, its contents become darker.

Whiteheads

Whiteheads are another type of comedones. They are formed just like blackheads. They too are trapped sebum and dead skin cells. However, whiteheads do not have an opening on the surface of the skin. Therefore, its color remain white.

Papules

Papules are small and round elevations formed on the skin. They are hard to the touch and they can be tender. Papules do not contain pus. They are caused by a break in the follicle wall that becomes inflamed.

Pustules

Pustules are small raised bumps on the skin. They are about the same size as papules. However, pustules contain pus. Pustules are formed when there is a break in the follicle wall triggering an increase to white blood cells. The pus in the lesion is a mixture of dead white blood cells, skin cells and bacteria. Pustules look similar to whiteheads, but they have a reddish ring at their base indicating inflammation.

Nodules

Nodules are similar to papules. They too are caused by a break in the follicular wall and are hard to the touch and can be tender. The difference between a nodule and a papule is nodules are bigger and penetrate deeper in the skin.

Cysts

Cysts are large painful lumps that contain pus. They form deep within the skin’s layers. Cysts form when there is an infection at the site of inflammation.

Acne Lesions Classification

Acne lesions can be classified as comedonal or inflammatory. Blackheads and whiteheads are comedonal lesions. The remaining acne lesions are inflammatory.

Acne Classification:

Currently, there is not an universal classification for the severity of acne. Here is a commonly used scale. This scale is based on a count of comedonal, inflammatory and nodulocystic lesions.

Mild Acne:

Mild acne is classified as having less than 20 comedonal lesions, less than 15 inflammatory lesions, less than 2 nodulocystic lesions, and less than 30 total lesions.

Moderate Acne:

Moderate acne is classified as having 20 to 100 comedonal lesions, 15 to 50 inflammatory lesions, 3 to 4 nodulocystic lesions, and 30 to 125 total lesions.

Severe Acne:

Severe acne is classified as having more than 100 comedonal lesions, more than 50 inflammatory lesions, more than 4 nodulocystic lesions, and more than 125 total lesions.

Summary

After reviewing the material on this post, you should be able to identify the different types of acne lesions. You should also be able to classify acne lesions. Lastly, you should be able to rate the severity of your acne breakouts.

Learn more about acne

Additional Resources

Visit the "RESOURCES" page for additional tools and information regarding acne.

Teen Acne

Puberty

What is Acne?" post.

Males

Although acne occurs at the same rate in males and females, males have more severe cases of acne. This could be because males have more male hormones. Also, males have larger pores and more sebaceous glands than females. Unlike females, males cannot wear makeup to cover up their acne breakouts. Teen males are more susceptible to depression as a result of severe acne. Depression is a serious medical condition that should not be ignored. Visit iFred.org if you are you know someone who are showing signs of depression.

Females

Females enter puberty before males. Therefore, females often experience acne breakouts earlier in their lives than males. Females can have acne breakouts anytime. However, the worst breakouts may occur around the time of menstruation. This is due to testosterone being at higher levels than estrogen and progesterone.

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Diet & Skin Health

What is Healthy Skin?

The primary function of the skin is to provide the body a barrier from potential outside dangers. Some of these outside dangers includes unsafe UV rays, bacteria and dirt. Therefore, healthy skin is skin that has the ability to properly function while responding to challenges that could compromise its structure and function.

Organs of Elimination

Organs of elimination are responsible for removing waste and toxins from the body. Along with the lungs, lymphatic system, bowel, colon, liver and the kidneys, skin is another organ of elimination. Malfunctions of the organs of elimination will often result in skin disturbances. Healthy skin is a symptom of properly functioning organs of elimination. One of the best ways of optimizing the organs of elimination is a balanced diet.

Antioxidants & Skin Health

Oxidation occurs when oxygen interacts with cells. Cell oxidation occurs naturally and frequently. A small percentage of these oxidized cells will become damaged in the process. These damaged oxidized cells are commonly called “free radicals.” Free radicals aid the body in killing bacteria and new cancer cells. Adversely, free radicals can attack healthy skin cells leaving the skin with a sallow and uneven complexion. To counterbalance the negative effects of free radicals, the body uses antioxidants such as vitamins A, C, E, selenium and beta-carotene. Some antioxidant rich foods include red beans, kidney beans, black beans, sweet potatoes, tomatoes, citrus fruits, berries, apples, green peppers and green tea.

Essential Fatty Acids & Skin Health

Good fats or essential fatty acids (EFA) are in every cell’s membrane. They are essential because they are necessary for healthy cell membranes. Healthy cell membranes interact well with other cells. EFA create passage ways for nutrients to go in and out of cells. Additionally, EFA transport waste out of cells. They also help cells retain water. The human body does not produce EFA. Therefore, EFA must be obtained through the diet. The dominant EFA are Omega 6 and Omega 3. The body requires a balance of both of these ETA. Omega 6s are well represented in the Western diet. Omega 3s are usually underrepresented in the Western diet. Therefore, a healthy balance of ETA typically requires adding Omega 3s rich foods to the diet. Some healthy sources of Omega 3s include salmon, mackerel, herring, lake trout, sardines, albacore tuna, walnuts and flaxseeds.

Conclusion

Following a diet that is good for overall healthy skin is essential for treating skin conditions. The Cookbook includes recipes that promotes healthy skin and prevents acne breakouts.

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Diet & Acne

Diet & Acne

What's eating you?

What most acne sufferers have in common is the Western diet. The Western diet is loaded with processed foods. Processed foods are known to cause a sharp rise in insulin levels. So what does this have to do with your skin? Well, insulin is one of the major hormones involved in your body's production of sebum. Sebum acts as a skin protector. This is at its normal level. If insulin levels are high, too much sebum is produced. This excess sebum will often clog your pores. Clogged pores cause acne breakouts. Control your insulin level and you control your acne breakouts. It's just that simple.

Low Glycemic Carbohydrates

What most acne sufferers have in common is the Western diet Diet & Acne

Carbohydrates are a vital part of our health. Carbohydrates provide the body with energy and regulate glucose (blood sugar) levels. You're probably thinking, why not avoid carbohydrates and be acne free? Avoiding all carbohydrates is not an ideal alternative to fighting acne. Not all carbohydrates are bad. A healthier choice would be to adapt a diet that includes low glycemic carbohydrates. Low glycemic carbohydrates do not raise blood sugar levels at the same rate as high glycemic carbohydrates. This makes eating low glycemic carbohydrates a win-win situation. By eating low glycemic carbohydrates your body receives the health benefits of carbohydrates while keeping insulin at healthy levels. For more information about low glycemic carbohydrates, click here.

Lean Protein

Another key element to acne free skin is protein. Red meat provides the best absorption of iron and zinc. Iron is essential for maintaining healthy skin. Acne sufferers often have low levels of zinc. Zinc has antimicrobial properties that are essential in fighting acne and other skin afflictions. Red meat and animal proteins are also rich in Vitamin B12. Vitamin B12 helps rejuvenate and repair skin cells. Red meat, fish and poultry do not affect blood sugar levels. Include a source of lean protein with every meal to help stabilize blood sugar levels. For more information about lean proteins, click here.

Healthy Fats

click here.

Water

Our bodies are made up of over 60% water. Just as other body organs depend on water for optimum care, so does our skin. Drinking at least 8 glasses of water is recommended for the proper functioning of body systems. Most importantly, water is essential in eliminating toxins from the body. Water also helps to keep the immune system operating properly. If the immune system is weaken by excess toxins, skin eruptions are soon to come.

Exercise

Exercise is important to skin and overall health. Just as with water, exercise helps to cleanse the body of harmful toxins. Exercise is also beneficial in reducing stress. Stress is another factor behind acne breakouts. Stress stimulates the hormones associated with sebum production. The extra sebum produced during stressful times worsens acne. Regular exercise also lower insulin levels. Ideally, acne sufferers should engage in aerobic exercise at least 4-5 days a week. Yoga is also an excellent addition to any stress reducing exercise routine.

The Cookbook

The right diet, drinking plenty of water and exercising are the keys to a glowing complexion. The cookbook focuses on low-glycemic carbohydrates, lean proteins and healthy fats. The Cookbook is more than a collection of recipes. Download it to an internet capable device, and it becomes an interactive cookbook. All recipes are linked to additional nutritional information, video tutorials, and reviews.

DOWNLOAD NOW! Before downloading, you will be asked to complete a brief offer.

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Best Cure Treatment Acne

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