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    • Related Articles Image Gallery: Wandering Demodex mite in vivo under ultraviolet dermoscopy of rosacea. Br J Dermatol. 2019 Aug 20;: Authors: Singh N, Yang H, Pradhan S, Ran X, Ran Y PMID: 31432494 [PubMed - as supplied by publisher] {url} = URL to article
    • I have tried the Soolantra and posted my results here. I have tried the Durvet horse paste and prefer it over Soolantra. I like the horse paste 'gel' better than the oily 'cetaphil' Basis for the Vehicle in Soolantra. Hope you have good results with Soolantra, since many do report it works for them.  As for your eyes, many have reported that the Cliradex towels work. As for shampoo there are a number of tea tree oil shampoos that many have reported works for them, i.e., Ovante or DS Shampoo, and there are many others.  Ivermectin generally takes 12 weeks for clearance, after that, you can figure out your own maintenance routine, hopefully, one or twice a week.  As for the human microbiome, there are ten times as many virus in a human as there are bacteria. The Russians and Eastern Europeans have traditionally looked into using bacteriophage (virus) for over ninety years and are way ahead of Western Medicine into research on this subject, using bacteriophage as an 'antibiotic' in treatment of disease. The Western bias of focusing on bacteria as the culprit of everything and dismissing all the other microbes besides bacteria clouds the health issue. For more information on the human microbiome. 
    • Well the links you provide were very enlightening. With so many experts on this stuff you would have thought they would have come to a consensus on it by now. I still have a flushness to my face but my face is still healing. But the color is becoming less red which is a big improvement. Regarding the oral antibiotics I would avoid them as much as possible now that I know more about my microbiome and how we all live symbiotically with the better strains of bacteria. There is so much more they have yet to figure out with it all and messing with them can mess things up worse. The medical community only likes to talk about antibiotic resistance angle but in reality when you wipe out key strains in the body by taking oral antibiotics it can affect your health dramatically. Doctors don't really want to start the conversation on how they have done harm this way. But the only tools they are given to deal with many conditions. Damned if you do and damned if you don't take them when there is nothing else that will work. There are these oxygen reactive strains they never knew we had until they did The Human Microbiome Project and the researchers had to develop a special technology to be able to harvest them without oxygen present. We didn't know what we didn't know about these. So taking probiotics is not going to replace those strains for sure. I think the reason they focused on bacteria in TMP was due to the fact you have like 10 times more bacterial cells on and in you than human cells. After they conducted The Human Genome Project they went on to do the Microbiome Project since they realized all these bacterial cells are really keeping us alive and healthy and they wanted to sequence the bacterial strains next. I feel like we are the dumb vessels for these complex bacterial organisms. Bacteria DNA is much more complex than human DNA sequence too. But I agree that they should also be looking at identifying and categorizing and sequencing these other things that grow on and in us like fungus etc. I wondered if I would have to use this ivermectin forever so I appreciate the advice that maybe I could experiment with just using it twice a week for maintenance. This would be nice if that works for me since I really don't like putting this stuff on all time. Had an interesting call today. Got a call from our local drug store and they said Soolantra will be in tomorrow. We said no we are not paying hundreds of dollars for that and we told them that before. We were surprised to hear back from them since it was over a week ago we talked with them. Turns out our insurance does cover it. OMG we had asked them at least twice if not more on this and they said our insurance doesn't cover it. But for some reason someone actually checked closer or something, now they said it wouldn't cost a thing. That is really hard to believe since the metronidazole was about 14.00. I feel a bit guilty now being able to acquire this stuff for what we all should be able to acquire it, at a reasonable price. I will use the Soolantra and see if it does as well as the Agri-Mectin ; )  What do folks use on their hair and eyes? I was told to use We Love Eyes on my eyes by my optometrist, it has tea tree oil in it. It is a foam you wash your eyes with. She also told me to buy this expensive eye goggle kit to wear at night but OMG that is just beyond annoying. I don't use the goggles. But her theory with using them is because she thought my eyes are open at night and they dry out. I beg to differ now that I know demodex infestation is the real culprit on my face. But maybe the goggles will keep the demodex out of the eyes at night? I wish patients had warranties from doctors when they get a diagnosis. If they are wrong then the doctors can buy back the useless expensive crap then steer us towards. So many dead ends I have had trying to find real answers on my conditions. Plus we get charged so much for these visits to the doctors too. It feels like I have been scammed in a way. I won't hold my breath on getting more accountability from doctors. Do others use anything better for their eyes? How about the scalp? Certain shampoos that have tea tree oil in them work better?
    • Related Articles Large Rhinophyma Treated by Surgical Excision and Electrocautery. Case Rep Surg. 2019;2019:2395619 Authors: Al Hamzawi NK, Al Baaj SM Abstract Rhinophyma is a benign condition characterized by a large, bulbous nose with prominent pores. It is commonly associated with untreated cases of rosacea. The disease can carry a substantial psychological impact that causes patients to seek advice about how to improve their physical appearance. Many treatment options are available for rhinophyma, but there is no standard treatment protocol. Here, we describe the case of a 65-year-old man with a large rhinophyma that caused him cosmetic and psychosocial embarrassment. The condition was treated by surgical excision and bipolar electrocautery. No complications occurred after the procedures, and healing was completed 2 weeks later by secondary intention and reepithelialization. A simple surgical removal using a scalpel to shave off the abnormal tissue with electrocauterization of the bleeding points can be considered as a good treatment option for rhinophyma, as it results in an excellent cosmetic outcome and has short recovery time. PMID: 31428506 [PubMed] {url} = URL to article
    • [Rosacea - manifestations and treatment options]. Ther Umsch. 2019 Aug;76(2):84-91 Authors: Lohbeck A, Anzengruber F, Navarini AA Abstract Rosacea - manifestations and treatment options Abstract. Rosacea is a common dermatosis of the face with a prevalence of up to 22 %, according to the current literature. The known trigger factors include caffeine, alcohol, sunlight, hot and spicy foods, psychological stress, menstruation and extreme temperatures or temperature fluctuations. Diagnosis is most often clinical, however, due to the numerous differential diagnoses, performing a biopsy may be helpful in atypical manifestations. Depending on the symptoms, in addition to the avoidance of trigger factors, physical therapeutic options as well as topical and systemic drugs are available. PMID: 31429390 [PubMed - in process] {url} = URL to article
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