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Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 46955
Experience:  Experienced Physician trained in New York City. I'm ready to help.
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Ive had acne for the last 10 years. its a combination of

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Ive had acne for the last 10 years. its a combination of blackheads and whiteheads all over my face. i use non comegenic cleaning and make up products. i was on rocaccutane 4 years ago. it cleared it up a little but there was not a full remission. what else could work?
This is Dr. David

have you had blood testing to check your blood androgen levels?

high androgen levels can cause acne.

have you tried Aczone (dapsone topical)?
Customer: replied 4 years ago.
Didn't get blood checked. Do these levels rise with stress?
What can I do if these levels are elevated?
if the androgen levels are levated, you need workup to find out why? sometimes polycystic ovarian syndrome can cause elevated blood androgen levels in women.

sometimes birth control pills can help level out your hormones.

stress can definitely cause acne as well. and can raise your steroid hormone levels which can sometimes cause acne as well.
Customer: replied 4 years ago.
I think it is largely down to stress . Thank you for your advice.
you are welcome

I hope your stress and acne gets better

let me know if you have other questions.

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