Dr. Cordain talks about the role of Insulin like Growth Factor Binding Protein-3 (IGFBP-3), IGF-1, "high levels of male hormones circulating in the blood stream" -- too much androgen, too little SHBG, dietary lectins, and "localized pro-inflammatory hormones called cytokines" (Interleukin 1 alpha) in acne.
I've eliminated high glycemic load carbohydrates, milk and other dairy products (except ghee), vegetable oils (except coconut and olive oil) and 4) grains and legumes containing dietary lectins.
Still something must be causing IGF-1 to be too high, too much androgens, or excess cytokines.
High protein diets can cause IGF-1 to increase, as can exercise that involves heavy lifting (squats?).
So what is the perfect diet and exercise regime for paleo acne?
Are pullups, ab workouts, and some medium-light intensity free motion machine (chest, biceps, triceps) exercises going to send IGF-1 too high?
If acne is non-existent in traditional cultures, then how can it be existent when eating little to no processed foods, inclusing lots of vegetables, grass fed beef, sardines, wild caught salmon, ghee, coconut milk, cococnut oil, red palm oil, omega3-egg yolks?
Is it a matter of eating more bone marrow and offal?
Or is acne just a matter of the facial skin being hyper-sensitive to some hormones at the follicle level (DHT, IGF-1,Interleukin 1 alpha, androgen, etc..), much as in the case of male pattern baldness?
Basically I follow a diet that should reverse diabetes, but why isn't it working for "skin diabetes" aka acne vulgaris?
You may want to get hormone levels checked? Also, bacterial imbalance is part of the acne puzzle. This is why over-cleansing and cleansing with alkaline stuff is BAD! There is a natural balance of ph and bacteria which tends to be acidic. This is the acid mantle of your skin. It is naturally protective against bacteria getting a foothold in the pores. Just tap water itself is about a 7 on the ph scale, the acid mantle shold be about 4.5! So you need to oil cleanse (Cave Girl Eats has a great post on oil cleansing!) or find an acidic cleanser and moisturizer. Otherwise the bad bacteria overrun the good. That is why glycolic, salicylic, and lactic acids are helpful for acne. Paleo man did not wash his face "several times a day" and cretainly not with basic (alkaline) cleansers! I have seen this over and over with clients.
Cave girl eats did a write up on the Oil Cleansing Method. I do this religiously and I incorporated baking soda 3 x's a week as an exfoliant. I had flare ups prior to doing OCM and now, I've got it almost under control. My 12 year is prone to nasty breakouts and she did the same protocol as me and the results are jaw-dropping.
Just like we have learned eating paleo, most of what mainstream tells us is opposite for an optimal lifestyle. I've found the same to be true when it comes to skincare products.
Also - WATER!!! Water is essential.
The only thing that has finally been working in keeping me completely zit-free has been doing the autoimmunity protocol from Wolf's book: essentially just strict paleo without nightshades and eggs.
Before this i had really minimized my n6s, which im still doing. Started supping with GLA supplements, which im still doing. But with that i was still getting zits.
Then i realized, hey I eat tomatoes damn near every day. And eggs most days. So I thought i'd try without them and lo and behold no zits at all.
Acne is an inflammatory condition above all else. I actually worked as a makeup artist and skincare specialist for 9 years, so I have alot of background in this. I can tell you that whatever reduces inflammation will help acne. Try to be sure you have all your inflammatory factors under control. Be sure you cut every source of excess omega 6 that you can. Be sure Vitamin D levels are good. Sleep is a very big factor as far as hormonal balance and inflammation are concerned. You know the drill- 8-10 hrs in a pitch black room. I have heard the brewer's yeast works great for people. Also, very alkaline (harsh/oily skin) cleansers can do more harm than good. Specifically WHERE is the acne? Chin and jaw? chest and back? forhead? all over? Also, are you male or female? How severe is the acne? There can be other causes depending on severity, location, your age, and sex. If I had a little more info I could probably give more targeted advice.
Hi- It can get very complicated, the underlying reasons for acne- what finally worked for me was adding the following on to a Paleo diet- adding Fermented Cod/Butter Oil and BioK probiotic, and using the Clarisonic Mia (expensive but WORKS miracles).
Three pretty simple things but before those 3 I had tried EVERYTHING (normal fish oil, normal probiotic, organic skin care for acne).
I would suggest calming down, and maybe washing your face several times a day with a mainstream moisturizer containing soap (Dove, Lever 2000, Kirkland sig brand, etc). Maybe re-examine shaving habits as well. Skin irritation is fairly common when shaving with a blade razor or a heavily alcoholic shaving lotion. Use an electric maybe?
Your basically throwing around old unproven clinical research (that probably went no where for a reason) and strange theories about acne that are unsupported by any medical text or plausible mechanism. Acne ends up having a lot of genetic variability anyway, and I don't think anyone cared enough to do a worldwide acne study in the powdered whig days when there was a genetically diverse base of different undeveloped cultures.
Records to the early pre-agriculture empires are really sketchy. We know a decent bit about history at the time of the Roman empire, but even that is not going to include a detailed worldwide medical survey...... I don't see how you can just say that modern living causes acne.