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How do I treat painful hormonal acne? 1. Check hormonal levels with endocrinologist. The normal range is quite large, but it's good to check to see where you are in that bracket. Higher male hormones can add to the formation of moderate to severe cystic acne. What accompanies that can be more facial hair. Up your estrogen levels by eating more yellow and orange vegetables. 2. Journal what you eat daily for breakfast, lunch and dinner. Stay away from foods that can affect the hormones such as red meat, egg yolks, cow milk, protein shakes, whey powders, peanuts, peanut butter, almond butter, oily foods, kale. 3. Drink plenty of alkaline water throughout the day. 4. Stay away from inflammation foods, such as tomatoes nightshades (potatoes /eggplant) bell peppers, spicy food, red wine, refined sugar, gluten. 5. Start with the basic home care regimen. You don't want to over do anything as this skin is painful, irritated, and often over processed with a weakened skin barrier. AM & PM regimen for the next two weeks is Rejuvi k cleanser, h healing gel, p normalizing cream (darker skin tones use the P normalizing cream for open acne) the purifying mask to be used every three days. Ice the skin each night with cryo 30seconds. The skin will start to improve, so we need now to add in a couple of more items customized for your individual skin. It's very important to be on a good consistent home care regimen so that the skin heals and is not left with scars. Shop Rejuvi at educateyourskin.com 6. Sunblock - I recommend the loose mineral powder from @labelladonna as it caters to all skin coloring and has an SPF50. It is incredibly healing, has great coverage and I absolutely love it. #hormones #acne #cysticacne #papules #understandingskin #aesthetician #estheticianschool #askneridajoy #skincaretips