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Found 12 results

  1. "In conclusion, the present study indicates that the administration of lutein and zeaxanthin provides multiple benefits to the skin...Although these benefits were obtained regardless of whether lutein and zeaxanthin were administered orally or topically, the study demonstrated that an additional benefit is achieved through the simultaneous administration of these xanthophylls by both routes." [1] Marcello, a lawyer, says, "Ten days ago, I bought Lutein-Z with zeaxanthin (10 mg) from Jamieson brand and started to take it with Canola oil (to improve lutein's absorption). That, of course, was to protect my eyes and nothing else. Then a couple of days later I noticed that I had no more new pustules on my face. Not a single new one !!! I was honestly wondering what was happening, then I realized that the only thing that could explain it was my new intake of lutein. It's been 10 days now since I took my first pill and my face is still completely clear." [post no. 1] Also see post no 20 in this thread] "Lutein from Latin luteus meaning "yellow" is a xanthophyll and one of 600 known naturally occurring carotenoids." Wikipedia"Zeaxanthin is one of the most common carotenoid alcohols found in nature. It is important in the xanthophyll cycle." Wikipedia Lutein is distantly related to isotretinoin since Lutein is a naturally occurring carotenoid (an organic pigment that have vitamin A activity meaning that Lutein can be converted to retinol), while isotretinoin is a retinoid, "a class of chemical compounds that are vitamers of vitamin A or are chemically related to it." Wikipedia This may be related to a deficiency of Vitamin A which has been "associated with chronic malabsorption of lipids, impaired bile production and release, and chronic exposure to oxidants, such as cigarette smoke, and chronic alcoholism (in secondary deficiency). Wikipedia "Dr Lange also likes to add 6 mg of astaxanthin along with some lutein and zeaxanthin in moderate to marked cases of blepharitis for the additional anti inflammatory properties when used together with omega 3." Natural Treatment for Blepharitis by Dr Michael Lange ElaineA says, "My meibomian glands are making the oily tear film much more easily now. And my eyelids feel and look less swollen. My vision seems much sharper as well. Having a working oily tear film really helps the eyes." If you decide to try oral Lutein with Zeaxanthin please use our Amazon Affiliate store by clicking on the banners below (we get a small fee if you purchase through our store and you will helping our non profit organization). We have found one topical at Amazon that contains Lutein, Nucerity Rejuvenating Barrier. Another topical containing Lutein is FloraGLO™ Lutein Topical (not available at Amazon). Please post your experience in this thread. Mahalo. The color of an egg yolk is from the xanthophyll carotenoids lutein and zeaxanthinImage courtesy of Wikipedia End Notes [1] Skin Pharmacol Physiol 2007;20:199–210 DOI: 10.1159/000101807 Beneficial Long-Term Effects of Combined Oral/Topical Antioxidant Treatment with the Carotenoids Lutein and Zeaxanthin on Human Skin: A Double-Blind, Placebo-Controlled Study P. Palombo, G. Fabrizi, V. Ruocco, E. Ruocco, J. Fluhr, R. Roberts, P. Morganti
  2. This is the official US Government clinical trials reported by the U.S. National Institutes of Health: http://clinicaltrials.gov/ct2/results?term=rosacea&pg=1 The above page changes and is updated, so check it out!
  3. Gastrointestinal issues with rosacea have long been noted in literature. "PATIENT AT the Skin Clinic of the Women's Medical College. Rosacea is a chronic disease of the middle period of life. These "rosy drops" sometimes present a central point of a somewhat darker hue. In severe cases a fiery triangle may be seen on either cheek. In the most remarkable form of the disease the nose may attain the size of the fist. The eruption had troubled her more or less for six years and had been much worse than usual during the last month. She complained greatly of discomfort after eating and often vomited her food. The gastric irritability having subsided under a restricted diet, she was ordered Aug. 6, 1878, a mixture containing sulphate of iron and sulphate of magnesia, and for local application an ointment of sulphur, four parts, cosmoline, ninety-two parts. This was followed by rapid improvement, and when seen again on Sept. 17, all trace of the eruption had disappeared, and she felt much stronger and better." Margaret K., age 45, Ireland: ROSACEA, Art and Medicine The RRDi is classifying Gastrointestinal Rosacea [GR], aka Gut Rosacea, as a rosacea variant. [1] This is because treatment of rosacea using antimicrobial drugs, as well as other drugs through the gut (i.e., 'a mixture containing sulphate of iron and sulphate of magnesia'), systemically, has been an accepted treatment for many years, and in recent years, probiotics have become an accepted treatment which also is transmitted through the gut. Leonard Weinstock, MD, who volunteers on the RRDi MAC is involved with improving rosacea though the the gut and received a Galderma educational grant through the RRDi to increase the knowledge about this subject. Dr. Weinstock states on his web site, "There is a 45% chance that rosacea starts in your intestine, not in your skin or in your eyes. The results of a simple test will determine whether or not treating a bacterial imbalance in your intestine may improve your rosacea symptoms." Dr. Weinstock has written a paper which you can download here: Rosacea_and_SIBO_Weinstock.pdf There are a number of bacteria associated with rosacea: Helicobacter Pylori Chlamydophila pneumoniae Propionibacterium Bacillus oleronius [2] Staphylococcus epidermidis [3] Possibly Staphylococcus aureus [4] Other Microorganisms have been associated with rosacea as well, such as demodex mites. There are a number of other bacteria associated with Demodectic Rosacea (whether these bacteria associated with demodex end up in the gastrointestinal tract remains to be seen). We have no indication that the bacteria from the demodex can somehow survive the gastrointestinal tract but it may be possible? Nevertheless, there are oral systemic treatments such as oral ivermectin that is used to treat rosacea patients through the gut systemically (however, in this case the variant Demodectic Rosacea is preferred in distinguishing this variant of rosacea). Associated Gut Diseases with Rosacea There are a number of associated gut diseases with rosacea, including Inflammatory bowel disease, SIBO, and Ulcerative Colitis [7] . When systemic or topical treatment for rosacea using antimicrobial drugs [whether antibiotic, antifungal, antihelminthic or antiparasitic drugs] or any oral drugs that are released in the gut improves rosacea or the treatment method involves the gut this would indicate using the term Gastrointestinal Rosacea [GR] if the patient exhibits some gastric issues as well. The classic example is the eradication of gastric Helicobacter Pylori improves rosacea in many cases which is done through the gut using antibiotics. [8] Probiotics Also Probiotics have been shown to improve rosacea. Dr. Whitney Bowe, who serves on the RRDi MAC, has been an advocate of probiotics for rosacea and you can learn more here. Low Gastric Acid Level and Rosacea When treatment for low gastric acid level improves rosacea this would be an indicator of using the variant Gastrointestinal Rosacea [GR] in classifying this type of rosacea. For more information on Low Gastric Acid and Rosacea. Conclusion Therefore, if treatment of the gut for rosacea with antimicrobial drugs improves symptoms or using probiotics improves gastric and rosacea symptoms, along with any signs/symptoms of gastrointestinal complaints in patients, Gastrointestinal Rosacea [GR] seems an appropriate variant name to use and is valid as other variants used in the classification of rosacea into phenotypes and variants. The origin of this variant name was inspired by a discussion with Lady Cappuccino in post no 37 at RF in this thread. If you think of a better name for this variant post in this thread, please. One study concluded, "Rosacea is associated with certain gastrointestinal diseases, but the possible pathogenic link is unknown. Gastrointestinal complaints in patients with rosacea should warrant clinical suspicion of disease." [5] "Rosacea is a disorder with various gastrointestinal symptoms closely related to gastritis, especially involving the antrum mucosa, with Hp expressing cagA in the majority of cases and elevated plasma levels of TNFalpha and IL-8; 2)." [6] The AARS has a video on this subject. [9] End Notes [1] Br J Dermatol. 2016 Dec;175(6):1405. doi: 10.1111/bjd.15052. Epub 2016 Oct 17. Association between rosacea and gastrointestinal disorders. Alexoudi A1, Alexoudi I2, Gatzonis S1. [2] Mite-related bacterial antigens stimulate inflammatory cells in rosacea. Lacey N, Delaney S, Kavanagh K, Powell FC. Br J Dermatol. 2007 Sep;157(3):474-81. Epub 2007 Jun 26 Positive correlation between serum immuno-reactivity to Demodex-associated Bacillus proteins and Erythematotelangiectic Rosacea. O'Reilly N, Menezes N, Kavanagh K. Br J Dermatol. 2012 Jun 18. doi: 10.1111/j.1365-2133.2012.11114.x. Demodex-associated Bacillus proteins induce an aberrant wound healing response in a corneal epithelial cell line (hTCEpi). O'Reilly N, Gallagher C, Katikireddy K, Clynes M, O'Sullivan F, Kavanagh K. Invest Ophthalmol Vis Sci. 2012 Apr 24. The potential role of Demodex folliculorum mites and bacteria in the induction of rosacea. Stanislaw Jarmuda, Niamh O'Reilly, Ryszard Zaba, Oliwia Jakubowicz, Andrzej Szkaradkiewicz and Kevin Kavanagh. Journal of Medical Microbiology, 2012 DOI: 10.1099/jmm.0.048090-0 Article at PubMed Media reports have highlighted demodectic rosacea. More info [3] Staphylococcus epidermidis: A possible role in the pustules of rosacea. J Am Acad Dermatol. 2010 Oct 11; Authors: Whitfeld M, Gunasingam N, Leow LJ, Shirato K, Preda V J Am Acad Dermatol. 2010 Oct 11. [4] "No study in rosacea met our inclusion criteria....No studies could be included that assessed S. aureus colonization in patients with rosacea. Also in current review literature S. aureus is not implicated in the pathophysiology of rosacea ...As S. aureus is common at all depths of the skin...For patients with acne a relation between colonization and the disease was less evident and for rosacea no information about colonization could be obtained from the literature." A systematic review and meta-analysis on Staphylococcus aureus carriage in psoriasis, acne and rosacea J. E. E. Totté,corresponding author W. T. van der Feltz, L. G. M. Bode, A. van Belkum, E. J. van Zuuren, and S. G. M. A. Pasmans Eur J Clin Microbiol Infect Dis. 2016; 35: 1069–1077. Published online 2016 May 5. doi: 10.1007/s10096-016-2647-3 [5] Br J Dermatol. 2017 Jan;176(1):100-106. doi: 10.1111/bjd.14930. Epub 2016 Oct 31. Rosacea and gastrointestinal disorders: a population-based cohort study. Egeberg A1, Weinstock LB2, Thyssen EP2, Gislason GH3,4,5, Thyssen JP1. [6] J Physiol Pharmacol. 1999 Dec;50(5):777-86. Helicobacter pylori and its eradication in rosacea. Szlachcic A1, Sliwowski Z, Karczewska E, Bielański W, Pytko-Polonczyk J, Konturek SJ. [7] J Am Acad Dermatol. 2018 Apr;78(4):786-792.e8. doi: 10.1016/j.jaad.2017.09.016. Epub 2017 Oct 26.Comorbidities in rosacea: A systematic review and update.Haber R1, El Gemayel M2. [8] Helicobacter Pylori And Rosacea [9]
  4. Please Note: This post will continue to be updated as more facts are known. If you have something to add look for the reply to this topic button and add your thoughts or facts. Claims of Nutritional Deficiencies in Rosacea Have you asked this question and wondered if rosacea sufferers have nutritional deficiencies? This is a common question and many answers are published on the internet. When discussing rosacea, diet triggers always come up. One may logically conclude that possibly something is deficient in the diet? Or are we over consuming in our diet something that triggers the rosacea (i.e., too much sugar and carbohydrate) which may deplete certain essential nutrients? There are web sites that claim rosacea is due to a nutritional deficiency but have little, if any, clinical papers to cite their claims. For example, consider the following citations: "Studies conducted in the 1940s (that have largely been forgotten) showed that people with rosacea have both a low amount of stomach acid and many also have B vitamin deficiencies," however, there are no citations to any clinical papers. A google search found one paper in 1947 by Louis Tulipan, MD, which said, "that most, if not all, cases of rosacea are due to a vitamin B complex deficiency and that all the causes heretofore mentioned may be exciting or underlying factors, but are not immediately causal." [1] Another website says, "proponents such as orthomolecular therapist Billie J. Sahley theorize that a deficiency in certain amino acids can contribute to skin problems," promoting lysine, which "plays an important role in collagen production, which is a substance your skin and other connective tissues are made of," also with no citations for any lysine deficiency in rosacea sufferers. [2] Zest reports, "Nutritional deficiencies including EFAs, hydrochloric acid and malabsorption of B vitamins present in Rosacea sufferers," again, with no citations or proof of this claim. [3] Cindy Marteney writes, "Three nutritional deficiencies seem to be important with rosacea: (1) lack of enough stomach acid to digest proteins, (2) lack of the pancreatic enzyme lipase to digest fats, and (3) insufficient Vitamin B2 (riboflavin), the last deficiency being particularly interesting. It turns out that research on large doses of B-vitamins in treating rosacea has been around since at least 1929." At least Cindy cites some papers which are also listed in the end notes, but unlike Cindy, few will cite any papers that have shown nutritional deficiencies in rosacea. "Nutritional deficiencies including EFAs, hydrochloric acid and malabsorption of B vitamins present in Rosacea sufferers; the more we understand about these aggressors and triggers the easier long term management of Rosacea becomes." [15] "Rosacea may be caused by factors such as a deficiency of B-complex vitamins or hydrochloric acid (HCl) in the stomach. Some researchers suspect that yeast may cause rosacea." [16] Photo Damage may be something to consider which WebMD suggests what nutritional supplements might help. [19] While there are little clinical papers on this subject logic dictates that there must be something to this underlying nutritional deficiency theory for rosacea. So lets see what we do know with the following nutrients. Let's also find as many clinical papers published on this subject as possible. If you would post in this thread any clinical papers that need to be added, this would be helpful. Wouldn't it be nice to have help writing this article? That is what volunteers do, help. Please, post a clinical paper or article that substantiates that a nutritional supplement improves rosacea. We need more citations that show evidence that rosacea may be due to nutritional deficiencies. One of the goals of the RRDi is "To allow volunteer members to have a platform to voice their concerns about rosacea and to contribute information about rosacea." Please do some research and reply to this post your findings. Diet and Rosacea "Dietary triggers are frequently cited by patients as playing a role in rosacea exacerbations. At this time, patient-reported triggers fall into four categories: heat-related, alcohol-related, capsaicin-related, and cinnamaldehyde-related. One suggested mechanism of action is via activation of TRP channels, which result in neurogenic vasodilation. Diet may also impact rosacea via a gut-skin connection. While epidemiologic research supports this connection, research is underway to determine the pathophysiologic mechanisms. At this time, patients may be advised on measures to promote a healthy gut microbiome, including the importance of a fiber-rich (prebiotic) diet." [20] Vitamin B Complex "Taking a vitamin B complex will correct or prevent the deficiency in B vitamins occasionally noted in people with rosacea. In addition to B complex, an extra amount of vitamin B2, riboflavin, encourages the secretion of protective mucus by skin cells (thus reinforcing vitamin A), and helps eliminate cellular waste. Likewise, extra vitamin B12 is essential to the growth, repair, and replication of healthy skin cells (and other cells of the body)." [4] "The relationship between B vitamins and rosacea is unclear, one study found it caused rosacea-like symptoms, other preliminary reports have found benefits. Preliminary reports in the 1940s claimed that rosacea improved with oral supplements or injections of B vitamins. On the other hand, one report exists of rosacea-like symptoms in a patient taking 100 mg per day of vitamin B6 and 100 mcg per day of vitamin B12; these symptoms subsided when the supplements were discontinued. More research is needed to evaluate the potential benefits or hazards of B vitamins for rosacea." [10] Vitamin B2 In discussing riboflavin, Ron Grabowski, R.D., D.C., states "Deficiency has been associated in patients with rosacea." [11] However, no clinical paper is cited. However, one paper cites treating rosacea keratitis with riboflavin in 1940. [12] Vitamin B3 Vitamin B3 (Niacin or nicotinic acid) can cause flushing, but there is a flush free Vitamin B3 (Niacinamide or Inositol Hexanicotinate). The NRS noted on its website, "an essential vitamin found in an extensive range of foods, including foods reported to trigger rosacea flare-ups in some individuals, such as beef liver, yeast, avocadoes and spinach. While niacin deficiency leads to pellagra -- a disease associated with skin problems, weakness and dementia -- he noted that it has also been associated with severe flushing in individuals taking large amounts as a supplement." [5] Vitamin B6 "Vitamin B6, Selenium and Magnesium deficiencies result in the dilation of blood vessels, especially on the cheeks and nose." [14] However, no clinical papers are cited. Vitamin B12 (cobalamin) "Vegans usually are aware of the lack of vitamin B12 in the their diet. B12 is generally assumed to be found only in animal products. B12 is difficult to obtain from plants but does occur in some fermented plant foods, such as tempeh, miso, etc. A B12 supplement can help assure adequate amounts in the vegan diet. B12 occurs as a molecule with an atom of cobalt at its center but does not technically come from animals or plants since microorganisms such as bacteria and algae make it. These are found in and on the foods we eat. The bacteria in the livestock’s digestive system spread the B12 vitamin throughout the flesh and milk. If you are a vegetarian who eats eggs and dairy products you will get B12 in your diet. If you are a vegan , you should think about B12 supplements. Google B12 and learn more." [6] “B12 deficiency can potentially cause severe and irreversible damage, especially to the brain and nervous system … Recent research indicates that B12 deficiency is far more widespread than formerly believed. A large study in the US found that 39 percent had low values.” [7] "Another common nutritional deficiency in Rosacea is vitamin B12, a large vitamin that requires a carrier molecule for transportation around the body. This carrier molecule is Intrinsic Factor and is released in the stomach in response to a sufficiently acidic environment. Vitamin B12 cannot be sufficiently absorbed or transported in the body when HCl production is insufficient. Lack of this crucial B-vitamin can cause fatigue, shortness of breath, bladder incontinence, white spots on the skin (most common on the forearms), frequent pins and needles in the hands and feet, mental confusion, depression, paranoia, headaches, nausea, vomiting, bloating, loss of appetite, weight loss, diarrhoea, constipation, and anaemia.Those following a vegetarian or vegan diet are also at risk for developing a Vitamin B12 deficiency because the best dietary sources are in animal foods. To ensure you are getting sufficient B12 in your diet include foods such as fish, meat, poultry, and eggs." [14] "Cobalamin is an important vitamin for the proper function of the human body, and deficiency is fairly prevalent with advanced age. The dermatologist can play a role in the diagnosis of deficiency by recognizing its mucocutaneous manifestations." [17] Vitamin D However, an actual clinical study came to this conclusion, “Patients with rosacea have relatively high serum vitamin D levels compared to control groups. The result of our study suggests that increased vitamin D levels may lead to the development of rosacea. To confirm status of vitamin D levels in patients with rosacea, larger epidemiological studies are needed.” [8] John D Cannel, MD, reports, "Eighty-one percent of patients with rosacea report that sun exposure makes it worse. Of the many environmental triggers that exacerbate the condition, sun exposure is actually the most common. This may be because patients with rosacea have elevated levels of the antimicrobial peptide, cathelicidin, in the affected skin. Vitamin D increases cathelicidin, which may explain why sun exposure is a common environmental trigger, though researchers don’t know for sure." [9] "I strongly recommend being tested for Vitamin D status if you have two or more of these symptoms: Rosacea, Psoriasis, depression, memory problems, panic attacks, tooth decay, and/or joint pain." [14] "In the same spectrum of acne, another study demonstrated relatively high serum levels of vitamin D in patients with rosacea which is a common chronic skin condition affecting the face, in comparison with controls, suggesting that increased vitamin D levels may lead to the development of rosacea." [18] Betaine Hydrochloride "Hydrochloric acid and vitamin B complex improved some cases of rosacea in people with low stomach acid. Take only under the supervision of a healthcare practitioner. "Some people with rosacea have been reported to produce inadequate stomach acid. In a preliminary trial, supplemental hydrochloric acid, along with vitamin B complex, improved some cases of rosacea in people with low stomach-acid production. Similarly, improvement in rosacea has been reported anecdotally after supplementation with pancreatic digestive enzymes, and a controlled study found that rosacea patients produced less pancreatic lipase than healthy people. Controlled trials are needed to evaluate the effects of hydrochloric acid and digestive enzyme supplements in rosacea. Hydrochloric acid supplements should not be taken without the supervision of a healthcare practitioner." [10] When treatment for gastrointestinal issues clears or improves rosacea, this type of rosacea is designated as a rosacea variant, Gastrointestinal Rosacea [GR]. Digestive Enzymes "Digestive enzymes have been reported anecdotally to improve rosacea symptoms. Some people with rosacea have been reported to produce inadequate stomach acid. In a preliminary trial, supplemental hydrochloric acid, along with vitamin B complex, improved some cases of rosacea in people with low stomach-acid production.[10] Similarly, improvement in rosacea has been reported anecdotally after supplementation with pancreatic digestive enzymes, and a controlled study found that rosacea patients produced less pancreatic lipase than healthy people. Controlled trials are needed to evaluate the effects of hydrochloric acid and digestive enzyme supplements in rosacea. Hydrochloric acid supplements should not be taken without the supervision of a healthcare practitioner." [10] In discussing digestive enzymes, Ron Grabowski, R.D., D.C., states, "Deficient lipase secretion has been found with rosacea." [11] However, there is no clinical paper cited. When treatment for gastrointestinal issues clears or improves rosacea, this type of rosacea is designated as a rosacea variant, Gastrointestinal Rosacea [GR]. Hydrochloric Acid "In Rosacea, where the microvascular system is inflamed and malfunctioning, it is very common to find lower than optimum levels of Hydrochloric Acid production (stomach acid or HCl). This is a very strong acid that has many crucial roles in health maintenance. For example, it is essential to liberate nutrients from foods, and this is especially true for minerals. HCl causes minerals to become ionised (separation of atoms or molecules into their electrically active form)." [14] However, no clinical papers are cited. There is a theory that some rosacea sufferers suffer from low gastric acid. When treatment for gastrointestinal issues clears or improves rosacea, this type of rosacea is designated as a rosacea variant, Gastrointestinal Rosacea [GR]. Iodine Mistica posts below in this thread her thoughts on iodine and flushing. Scroll down to the third post in this thread to read her thoughts on iodine. Lutein with Zeaxanthin There is some anecdotal evidence that adding Lutein/Zeaxanthin to your diet may help control your rosacea. Omega-3 "Omega-3 fatty acids are polyunsaturated fatty acids and include eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and alpha linolenic acid (ALA). As EPA and DHA are substrates for anti-inflammatory prostaglandins that competitively inhibit pro-inflammatory pathways, they have been studied in multiple diseases [59]. Limited research is available for their use in rosacea, although one RCT found a statistically significant improvement in subjects with dry eye symptoms, some of whom had rosacea, with the use of 325 mg of EPA and 175 mg of DHA two times daily for three months." [17] Probiotics While probiotics are not an essential nutrient, microorganisms in the gut are essential to life. The gut microbiome is a much studied subject with regard to microbiome-based therapeutic strategies. With the possibility of suffering from the rosacea variant, Gut Rosacea, treating rosacea with probiotics has become an accepted medially approved alternative to antibiotics. Oral and topical probiotics may improve your rosacea. Zinc "In a double-blind study, zinc supplements decreased the rosacea severity by about 75%. Long-term zinc users should also take a copper supplement to prevent deficiency. In a double-blind study, supplementing with zinc (23 mg three times per day for three months) decreased the severity of rosacea by about 75%, whereas no improvement occurred in the placebo group." [10] "Zinc sulfate was found to be a good option in the treatment of rosacea, as it was safe, effective and lacking important side-effects." [13] End Notes [1] Natural Treatment for Rosacea, Dermharmony Arch Derm Syphilol. 1947;56(5):589-591. doi:10.1001/archderm.1947.01520110035005. ACNE ROSACEA A Vitamin B Complex Deficiency LOUIS TULIPAN, M.D. [2] Deficiency in Amino Acid in Rosacea Sufferers by JANET RENEE, MS, RD Last Updated: Dec 24, 2015 Billie J. Sahley, PhD, wrote the book Heal with Amino Acids and Nutrients, passed away in 2011. [3] Acne, Rosacea and Nutrient Deficiencies Posted by Emma Ryall, Zest [4] Rosacea Whole Health Chicago, Posted on May 5, 2009 South Med J. 1957 Feb;50(2):207-10. Effect of vitamin B complex and S-factor on acne rosacea. POOLE WL. [5] NIACIN AND NIACINAMIDE (VITAMIN B3) WebMD New Study Identifies Cause of Flushing NRS, Rosacea Review, Winter 2010 [6] Rosacea 101: Includes the Rosacea Diet by Brady Barrows, iUniverse, 2007 [7] Vitamin B12 Deficiency Wikipedia [8] Cutan Ocul Toxicol. 2014 Mar;33(1):60-2. doi: 10.3109/15569527.2013.797907. Epub 2013 May 28. Vitamin D status in patients with rosacea. Ekiz O1, Balta I, Sen BB, Dikilitaş MC, Ozuğuz P, Rifaioğlu EN. [9] Sunlight and vitamin D, do they trigger rosacea? by John Cannell, MD, Vitamin D Council, Posted on July 23, 2013 [10] Acne Rosacea (Holistic) Supplements, Health System, University of Michigan [11] Nutritional Considerations with Skin Disorders Ron Grabowski, R.D., D.C., Spectracell Laboratories [12] Arch Ophthalmol. 1940;23(5):899-907. doi:10.1001/archopht.1940.00860131019001. ROSACEA KERATITIS AND CONDITIONS WITH VASCULARIZATION OF CORNEA TREATED WITH RIBOFLAVIN LORAND V. JOHNSON, M.D.; ROBERT E. ECKARDT, M.S. [13] Int J Dermatol. 2006 Jul;45(7):857-61. Oral zinc sulfate in the treatment of rosacea: a double-blind, placebo-controlled study. Sharquie KE, Najim RA, Al-Salman HN. [14] Nutritional Deficiencies in Those With Rosacea Pulse Light Clinic [15] Acne, Rosacea and Nutrient Deficiencies Emma Ryall, Proprietor at Zest Skin Clinic & Laser Hair Removal Swords [16] Acne Rosacea encyclopedia.com [17] Am J Clin Dermatol. 2015;16(1):27-33. A Review of Vitamin B12 in Dermatology Jennifer Brescoll; Steven Daveluy [18] Journal of Advanced Research Volume 6, Issue 6, November 2015, Pages 793–804 Vitamin D and the skin: Focus on a complex relationship: A review Wedad Z. Mostafa, Rehab A. Hegazy [19] WebMD reports: Considering taking a vitamin or supplement to treat Photo-damaged skin? Below is a list of common natural remedies used to treat or reduce the symptoms of Photo-damaged skin. Follow the links to read common uses, side effects, dosage details and read user reviews for the drugs listed below.Your search for Photo-damaged skin returned 12 matches: ALPHA HYDROXY ACIDS Likely effective 13 User Reviews ASTAXANTHIN Insufficient evidence 85 User Reviews COENZYME Q-10 Insufficient evidence 175 User Reviews DATE PALM Insufficient evidence Be the first to review it EQUOL Insufficient evidence 3 User Reviews GINSENG, PANAX Insufficient evidence 29 User Reviews GLYCEROL Insufficient evidence 21 User Reviews GREEN TEA Insufficient evidence 62 User Reviews SOY Insufficient evidence 44 User Reviews TYROSINE Insufficient evidence 85 User Reviews VITAMIN C (ASCORBIC ACID) Possibly evidence 52 User Reviews ZINC Insufficient evidence 53 User Reviews Photo Damage is one of the theories on what causes rosacea. Also, it would be good to rule out any photo sensitive disease from rosacea. [20] Diet and rosacea: the role of dietary change in the management of rosacea.
  5. I would like to share my experience with everybody. I have been suffering from rosacea for 5 years. During this time I have tried everything but nothing worked, until one day I have read on one of the forums about the True Arquebuse Water from 75 herbs (Fabre & Bouet) product of the Swiss Heavenly Flowers Company which cures rosacea in 3 weeks. I started to use the product which is made of 75 different herbs, and after 3 days I could feel the improvement already, the inflammation gradually disappeared, and the red inflamed parts became less and less on my face. Sprayed my face 3 time a day with the Arquebuse Water 75 and about in 3 and half weeks the rosacea completely disappeared from my face. Since then I am still using it once a day to prevent it from reoccurring. I wholeheartedly recommend to everybody the True Arquebuse Water of this Swiss company. I have attached the web page of the company if it helping anybody arquebusade-herbalwater-since1634 .com arquebuse-water .com
  6. I would like to share my experience with everybody .My friend overcame rosacea here below you can find his experience: About 3-4 years ago the symptoms of rosacea appeared on my nose. Number dermatologists treated it with various creams and variety of internal oral drugs, including steroids and after a slight improvement the symptoms returned. I even received laser treatments. The specialists’ could not promise prolonged or permanent cure. Then, in the spring of 2013 a side effects of light sensitivity has developed on the treated area. Luckily, by the proposal of a dermatologist, I started using the Arquebuse Water 75 herbal essences from the Swiss Heavenly Flowers Company. After about 3-4 weeks, and the use of 3x100 ml of Arquebuse Water the inflammation and the rosacea completely gone from my nose. If anybody is interested this is the web site of the company: http://natural-remedy-for-rosacea.com/
  7. The RRDi is an Amazon Affiliate. By clicking below on the image and purchasing the item, the RRDi receives a small fee. Thanks. Please post your experience using this product in this thread. Rosacea Care has serums, gels, creams, moisturizers, sample kits, and cosmetics for rosacea.
  8. This article written by Exposé.ie and quotes author Shann Nix Jones who recommends eating Kefir for 21 days. If you are interested in this subject, you should also read the following article: Do You Have A Gut Feeling About Your Rosacea?
  9. Rosaceans, Next Fall the Cochrane Colloquium will be in Quebec City, 19-23 September, 2013 . Please visit the site and become an advocate. An advocate will have a better opportunity to understand, promote evidence-based care for Rosacea. The 'work' involves putting conclusions of systematic review of an treatment on a health condition into a form which you a legislator or your physician can understand and apply. These (transparent, repeatable) reviews of completed research point out any bias for information (i.e. negative results are less likely to be published, who funded the researches, who pays the authors). This year's meeting was in Beijing, China, far for North Americans. But you can watch the plenary talks. You'll see that EB systematic reviews provide your government/physician and YOU with the facts. I'm hoping, with the presidential election complete, that our government can begin to function again to carry out the mandates. To consider joining to help and learn check the Cochrane Library. Joel TM Bamford.MD FAAD "Dermatologist" Duluth, MN RRDi MAC Member Former Member of Advisory Board to the NRS
  10. There is a poll at RSC where only a few responded but the highest number of votes say that sugar is the biggest rosacea trigger: http://rosacea-suppo...ic.php?t=195#22 The above poll should be proof enough that sugar is a rosacea trigger. But to convince some others it takes more proof. Since the NRS goes by surveys (anecdotal reports) to make a list of rosacea triggers this post is to show beyond any reasonable doubt that sugar and carbohydrate are rosacea triggers based upon the reports found at online rosacea groups. The following are collected anecdotal reports in alphabetical order based upon user name confirming that carbohydrate and sugar are rosacea triggers: 2kits says, "I started a low carb diet starting April 18th. I noticed a change for the good almost right away." Post #42 18th June 2011 06:21 PM - 2 kits says, "I have been on a low carb/sugar diet since April 18th. My face is pretty good now...." Post #66 3rd August 2011 07:43 PM alicatsings says, "Also, try cutting back on sugar, carbs and highly processed foods. The more natural I eat, the better my skin feels and looks." Posted Fri Jun 4, 2010 3:55 am Ally says, "Just an update on how my skin is going with reduced histamine diet and low sugar. I am really pleased with the results, my skin has cleared up heaps,..." Posted on Fri Oct 12, 2007 2:59 am Art Ayers says, "Sugar and starch definitely contribute to rosacea." posted on his blog, Cooling Information. fourth comment Artist says, "It is generally well known among the support groups that a diet high in sugar and refined carbs (especially sugar) makes rosacea worse for many of us." Posted on Sun Jan 18, 2009 9:46 pm auburn says, " 'WrinkledClue wrote: I control my appetite by eating high protein and high fat with my low carb diet.' I second that. Also, if you quit eating sugar, your cravings for sweets will magically go away." Posted on Tue Feb 02, 2010 5:21 pm bealjanier says, "Sugar is just about my worst trigger, as far as food goes." Post #8 18th February 2011 10:16 PM bgreep1 says, "After about 3 months of diet restriction (no yeast, gluten, dairy, refined sugar, etc.) and supplement use, my face has never felt better." Posted Fri Jul 15, 2011 6:15 am blinky says, "I've found that by watching my sugar, packaged fatty food and wine intake, I can usually avoid a flare up." Posted on Sat Dec 11, 2010 5:10 pm Bokkie says, "My face and especially around my mouth are gauranteed to be a mess after one of my chocolate binges" Post #5 11th February 2011 05:09 AM BethTheStory says, "I figured out food triggers just by paying attention...Sugar, white & processed flours, foods." Posted Mon Dec 5, 2011 7:55 am brettSD says, "I know a lot of people (including myself) have noticed a general improvement in symptoms after following a low-carb (or just very low sugar) diet, so there's definitely some connection there." Posted on Sat Aug 13, 2011 10:59 pm Buzzle says, "Foods high in sugar such as pastries, chocolates and cakes are lip smacking but unfortunately are troublesome to rosacea patients." Diet for Rosacea caretheskin.com says, "Sixty percent of rosacea patients claimed that sugar was the main cause for rosacea." This site doesn't explain their sources. carolyne says, "My diet was full of sugar and/or Nutrasweet, lots of carbohydrates and little or no fresh vegetables/fruits.....I went cold turkey on the sugar and Nutrasweet, and I do mean cold turkey....and I never thought I could pull this diet. But it is pretty simple ....I feel great and my arms and face feel smooth like baby skin." Posted keratosispilaris.org October 2007 chicagoguy1982 says, "I have found some triggers, such as Sugar, take 48 hours to manifest themselves on my face." Posted on Mon Aug 20, 2012 12:47 am christine123 says, "While I was on my no-carb diet, I truly went no carb. No fruit included. My skin cleared up remarkably." Post #4 15th April 2011 12:23 PM crabbycathy says, "but when I eat much less sugar, yes. My skin does improve a bit." Posted on Sun Mar 15, 2009 5:18 pm cserhus says, "I did narrow down that sugar really made my face worse." Posted on Mon Mar 05, 2012 6:22 pm dgarbin2000 says, "I sometimes have a bad day if I'm not careful avoiding my triggers (sun, heat, stress, sugar)." Posted Fri Jun 24, 2011 2:39 am dave75 says, "yes, big problems with sugar here...also any refined carbs....bread, pizza pasta,rice stuff like that....all problems." Post #4 11th February 2011 02:01 AM David Pascoe wrote, "Here are some tips from a message from 2004 from Chuck Young. '....2. I started cutting out refined carbs, excessive sugar,...' " Posted on Tue Nov 25, 2008 2:58 am DavidPaul syas, "I'm working on adjusting my diet, which I believe to be one of the main causes, mostly sugar." Posted on Thu Oct 08, 2009 3:01 pm deegirl says, "Since I've cut out the sugar I've noticed my reaction to my typical food triggers has diminished significantly." Posted on Wed Apr 15, 2009 1:35 am DHL says, "MOST SUCCESSFUL TREATMENTS: 1. low carb diet (absolutely no sugar) works great!" Post on Thu Aug 28, 2008 1:36 am dmmmmm says, "I have noticed that too when I eat very sweet foods, sometimes I get 1 or 2 p&ps with it....." Post #2 11th February 2011 12:49 AM dora says, "what i'm saying is that my personal skin is doing better on this current diet." Post #54 4th July 2011 06:50 PM Dorothy06 says, " ' - I just wanted to recommend cutting sugar and refined carbs out of yr diet to help with the flushes.' - It really helps!" Posted on Tue May 26, 2009 7:26 am Driven says, "I have to avoid fruit. Cantelope and honeydew are among my worst triggers." Note: most fruit is high in carbohydrate (fructose) Post #6 15th April 2011 05:46 PM drnase.com says, "But as rosacea sufferers, the amount and type of sugar we ingest, as well as our body’s ability to regulate it, can have a direct impact on our rosacea symptoms. Whenever the glucose level in our blood is either too high or too low, it can cause inflammation and damage to blood vessel walls and surrounding tissues." August 2011 Newsletter emgm42000 says, "carbs are definitely my enemy too........and not just with the rosacea. My stomache problems, weight, inflammation, and fibromyalgia all get better the more I reduce carbs/sugar." Posted Wed Oct 1, 2008 10:28 am flemmo says, "As we know, sugar in any form is bad for rosacea." Post #1 23rd July 2011 02:18 PM floridagirl says, "I decided to stop eating bread, sugar and dairy. I stopped it cold turkey and my skin has almost completely cleared up..." Post #1 14th August 2012 08:06 PM flying_er says, "I've been on the low carb\sugar diet for 30+ days now. I've been very strict in sticking to this diet. I do think I've seen some improvement in my rosacea, a bit less P&P's, but it has not been dramatic." Post #47 3rd July 2011 03:51 PM freeme3 says, "...have found that my skin looks better when I don't eat a lot of carbs and sugar." Posted on Thu Apr 26, 2012 6:39 am freeme3 adds, "My flushing stopped almost immediately after cutting out dairy, gluten, all carbs, and sugar. Post #14 22nd January 2012 02:53 AM freetoprayinhim says, "...i have found that stress and sugar are #1 irritants for me...when decressing the sugar i have found the redness has gone down" Posted Sun Nov 30, 2008 4:27 pm Ghost says, "I've given it all up -- sugar and grains and my skin is better for it." Post #15 22nd September 2011 01:23 PM Hilary Butler says in reporting on Lucy's Miracle, "in October 2008 I started an anti-candida diet......The rosacea is retreating." January 5, 2009 beyoneconformity.co.nz jacsculpt says, "Key triggers are sugar, vinegar,....." Posted on Tue Feb 02, 2010 2:51 pm Jana423 says, "Yes! Sugar is key for me......as long as I stick with vitamin D and a very low sugar diet, I have no rosacea symptoms." Post #2 18th September 2011 08:19 PM Jane423 says, "Since then, as long as I stick with vitamin D and a very low sugar diet, I have no rosacea symptoms." Post #70 18th September 2011 07:37 PM jannappy66 says, "I notice that when I cut my carb intake , my face looks great!" Posted Sun Sep 28, 2008 10:40 am Julia Beirut says, "Foods with high levels of sugar such as pastries, donuts, desserts and soda may spark an episode of rosacea. Blood sugar levels spike when high-sugar content items are eaten. This spike in blood sugar will often then cause rosacea to appear." Foods to Avoid with Rosacea, livestrong.com karenwoller says, "yep - although I have sugar as I love it - it does cause my face to burn and flush (even organic).... however my skin is the best when I eliminate it completely - same with carbs" Posted Tue Apr 19, 2011 6:55 am katansarasbe says, "I've definitely noticed I get more p & p's when I eat sugar, especially things with powdered sugar like icing and fudge." Posted Tue Jun 16, 2009 3:03 am kmajor816 says, "I gave up sugar back in November 2011...and I've been really surprised to find that the benefits extend to my eyes and skin too." Posted Mon Jun 11, 2012 1:06 pm - "I see changes happening in my skin on the rest of my body, too, from reducing the sugar, so I am sticking with it!" Posted Sat Dec 24, 2011 6:41 am kmwall05 says, "I totally agree that sugar is HUGE in rosacea." Posted Wed Jun 13, 2012 1:42 am lexflores says, "I've been cutting out sugar in my diet along with carbs (like Bread) and I've already noticed a big difference. I'm not feeling the burn/itch like I did before. It's only been 4 days and I can already tell the difference." Posted Mon Apr 18, 2011 11:33 am lg57 says, "I am highly reactive to sugar and Msg." Posted Wed Aug 12, 2009 4:19 pm lisamouries says, "My skin definitely feels better when I eat less sugar but my morale doesn't." Posted on Sun Mar 15, 2009 4:25 pm MasK says, "Sugar and carbs are the main food trigger for me." Post #9 19th February 2011 08:01 AM maude says, "I agree that sugar is a trigger at least for me. I try to avoid it as much as I can and that means carbs too." Post #3 18th September 2011 08:19 PM Melissa W says, "...my derm insists sugar is not a rosacea trigger. However, in my heart (and my gut) I know this can't be true and do think sugar is not good for our rosacea." Post #2 21st May 2008 11:02 PM Mike T says, "...i can report that cutting back my sugar intake close to eliminated my p&p's..." Posted on Mon Jun 06, 2011 1:20 pm moomy says, "Sugar is my main trigger." Post #5 22nd May 2008 06:59 AM mrsmoof says, "I have been eating way too much sugar the last couple of weeks and have noticed I am much more red and am burning a lot more too." Post #111th February 2011 12:31 AM naturaldoctor says, "Avoiding dairy, refined carbohydrates and sugar is a must. Helped me a lot." Posted on on Tue Sep 18, 2012 3:21 pm neilbatt says, "my Rosacea is always so much better when im on a low sugar/carb diet (which is pretty much all the time now). No spots or flushing at all, and the areas of premanent/persistent redness are less prominant (though unfortunately still there)." Posted on Sat Dec 22, 2007 1:42 pm oldredlady says, "Also no more dessert for a while, that should help lower sugar intake, as sugar is unfortunately a trigger (newly discovered) for me." Posted on Wed Jul 20, 2011 5:36 pm pca_ says, "LIFESTYLE changes: no sugar,....." Post #11 29th January 2008 06:51 PM Peacock says, "I have found some triggers, such as Sugar, take 48 hours to manifest themselves on my face." Posted on on Sun Aug 19, 2012 8:24 pm - Peacock says, "I have been clean for about 5-6 weeks (minimal sugar,etc). ....holy cow ! Clear clear clear !" Posted on on Thu Jun 14, 2012 2:19 am Peter says, "I saw an article last year in a newspaper....'When it comes to foods then there has been success when patients have switched from a diet heavily reliant on high sugar carbohydrates (sweets, chocolates, cakes) to one richer in wholegrains, vegetables, fruits – classic healthy eating, in other words. As with many aspects of rosacea it is not sure why it works but if often does.' " Posted on Mon Sep 24, 2007 5:38 pm philka29 says, "I am always red when I wake up and espeically notice if I'v eatern carbs or sugar." Posted on Fri Oct 26, 2007 11:40 am purpletomorrow says, "Stay on a low carb diet-- sugar and carbs spike insulin, which seems to cause inflammation in many of us" Posted Fri Jul 30, 2010 8:25 am queta says, "Diet: no sugar,...." Post #18 8th June 2008 06:47 PM questa also says, "Sugar is one of my worst triggers. If I eat sugar, it will show up on my face two days after." Post #2 26th September 2012 07:29 PM Rashadooks says, "So my cure for my rosacea is to not eat any sugar- complex, fructose etc. It's hard but I feel soooooo much better for it and I finally have my face back." Posted on Thu Sep 23, 2010 6:03 am realgone says, "I was shocked when she said dairy and sugar. Sugar! I never eat sugar. Turns out it is in everything. I gave up all sugar and dairy for three months and could then introduce them back into my diet on a rotation basis to see if I could tolerate them again. Anyways, My skin did not start clearing up right away, but after 1 month on the diet, it was almost immediately clear." Post #13 22nd January 2012 01:53 AM RMR says, "I try to drink plenty of water, have cut down on my sugar consumption, and am amazed with the results." Posted on Thu Jul 05, 2012 10:16 pm Rosered says, "I have been following The Rosacea Diet as outlined in Brady's Rosacea 101 book strictly for the last week and my skin is already looking better and I have lost 5 pounds." Post #45 26th June 2011 12:44 PM Roshellek says, "...I really believe sugar is a big no no for me....I have noticed if I eat too much sugarwithin hours m face will be bumpy." Posted on Sat Nov 05, 2011 8:31 pm Sally says, "My skin goes crazy if I reintroduce sugar!" Post #2 2nd February 2012 09:59 AM ScarletDarla says, " I don’t eat any grains at all, no milk,and no sugar. I am currently not eating much starch either, so no potatoes. The idea behind any of these similar diets (paleo, SCD or GAPS) is that you remove the food source of the harmful bacteria types in your gut to starve them out of existence, and they apparently thrive on disaccharides. Many people are successful with this. Posted on Wed Sep 26, 2012 1:43 pm sdwaus says, "I've tried the no sugar diet and I noticed a big improvement right away." Posted Mon Jul 26, 2010 5:15 am seaboss says, "I decided that cutting out refined, added sugar was not enough and I decided to cut down on all sugar, both refined and natural. Now my Rosacea is almost gone..." Post #14 22nd September 2011 03:02 AM shantelle says, "I have been on a low carb / low sugar / low yeast / high protien type diet since May 2010 and I too believe it has had good impact on my skin..." Post #49 3rd July 2011 10:36 PM shellylee says, "I seem to flush alot after eating walnuts and foods high in sugar and fat like doughnuts." Posted on Fri Apr 15, 2011 12:42 am shikasta says, "Sugar seems to be the most dramatic trigger for me. Losing the weight was an unexpected benefit. I didn't know what my body really looked like without my familiar little pot belly...! Kinda nice. But the point of the experiment is to reduce redness, itching, bumps and flushing...and so far so good fingers crossed." Post #10 on April 22, 2014 simpleguy says, "I had p&ps big time for a couple years and I switched to a no-carb diet and everything cleared up." Post #19 19th May 2011 01:17 AM slenten says, "Sugar, for me, triggers pustule and nodule formation." Posted on Wed Jan 28, 2009 4:49 pm sparrowleggs says, "...the couple of occasions where I was very disciplined and stuck to a low carb/zero sugar diet for a while, my skin improved." Posted on Sun Jun 19, 2011 12:11 am spencer says, "After doing a strict no sugar/no grains diet for 5 weeks, I have noticed big improvements..." Posted on Thu Apr 26, 2012 5:10 pm - Spencer says, "After doing a strict no sugar/no grains diet for 5 weeks, I have noticed big improvements..." Posted on Thu Apr 26, 2012 5:10 pm starbuck says, "I recently gave up soda (huge coke / coke zero drinker) and sugar. The road has not been fun, but my skin looks a little better." Posted on Wed Mar 17, 2010 4:24 pm Stacy Wiegman says, "Here is a quick list of inflammatory foods to avoid as you develop your rosacea diet: Sugar • High fructose corn syrup" posted on her site Supramom2000 says, "I think one of the major components for me is dairy and sugar. I have eliminated cow dairy and all sweets and sugars. The minute I eat something junky or containing dairy, my eyes start itching and burning and the next day, my skin gets redder and a papule appears." Posted on Wed Oct 13, 2010 1:40 am TheQueenCity says, "...because sugar is my #1 trigger and I'm trying to narrow down my triggers..." Posted on Tue Jul 19, 2011 12:22 pm tracyl1019 says, "So I have been eating low carb and much lower sugar....And i must say my face is less red and I have had less flushing problems." Posted Sat Oct 4, 2008 9:17 am Twickle Purple says, "Avoid: ...sugar,...." Post #8 27th January 2008 08:47 PM vinnyt says, "After omitting added sugar from my diet I noticed great improvement of my SD. Also after omitting really natural sugary fruit I noticed some improvement. Every now and then I think to myself "your not eating enough sugar, this is probably unhealthy". So then I go eat a fruit or something a long those lines and I notice some unwanted reactions, itchiness tingling, whatever. I never feel like im going to pass out from low sugar though so maybe Im okay avoiding these all together. Not sure if is okay to limit my sugar this much." Post #1 April 27, 2014 Also I am aware that the actual stress response after eating something like fruit e.g "Oh no I hope i don't have a bad reaction to this" may be the reason for the unwanted reactions. Also it may just be a noecebo effect (opposite of placebo effect). yougottabekidin says, "I have cut out sugar and I no longer eat bread and every day my face is becoming more and more normal again." Posted keratosispilaris.org May 2010 Wendylynn says, "I am a firm believer in a lower carb diets. Besides being helpfull for skin issues they are great for general health and nutruient dense." Post #3 17th May 2011 11:11 PM whizz-dude says, "sweets (all types of sugar for that matter make my face flush)" Posted on Fri Sep 12, 2008 11:04 am wildnanny44 says, "The best way for me to control my rosasea is by diet. No sugar or junk food like Mcdonalds." Posted Sat Jun 5, 2010 1:29 am Wildscenery says, "Im trying it out now, it seems to control IBS very effectively as well." Post #64 21st July 2011 09:50 PM Wrinkledclue says, "...almost no sugar, no simple carbohydrates,..." Post #167th June 2008 11:32 PM - "I've found that sugar worsens my rosacea." Posted on Mon Sep 20, 2010 10:47 pm zerodog says, "I found that cutting out sugar helped tremendously with the papules and pustules..." Posted on Tue Mar 31, 2009 11:10 pm zzguy says, ".... and/or sugar out of my diet - got rid of nose redness for now" Post #3 on 26th January 2008 09:49 AM Other Links Reporting Sugar as a Rosacea Trigger 9 Top Rosacea Triggers and How to Tame Them Red, Ruddy or Dry Skin? Get Solutions to Rosacea's Symptoms See Trigger #9
  11. The Star Online published an article posting a photo of former president, Bill Clinton, entitled, Rosacea: Red Skin Disorder, stating that the former president suffers from rosacea. Image courtesy of The Star Online
  12. This post has been promoted to an article
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