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FR protocol Questions & Answers(RATED A+)

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When to bump up actives - ANSWERIt is important to bump every 2 weeks until you see positive results or until client is dry. If the client is flaky 2 weeks after the acne med bumo then hold until the dryness abates. Dry is good. It eikk helo her hesk fadter. If yoy do not seebpositive movement afte...

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FR protocol Questions &
Answers(RATED A+)
When to bump up actives - ANSWERIt is important to bump every 2 weeks until you see positive
results or until client is dry. If the client is flaky 2 weeks after the acne med bumo then hold until the
dryness abates. Dry is good. It eikk helo her hesk fadter. If yoy do not seebpositive movement after
the acne med, bump the cleanser and toner.



Yaz (birth control) - ANSWEREthinyl estradiol + Drospirenone

Not on the safe list because of law suits agAinst it for blood clots. The progesterone it contains is
dropirenone which seems to be ok no matter how much estrogen it is paired with .



Yaz - ANSWERYaz was formulated to help acne by putting a form of sprionolactone in it.



Androgen and insulin - ANSWERAre the main two hormones when it comes to acne.



Androgens (testosterone) - ANSWERThey consist of precursorsDHEA and androstenedione which
convert to testosterone. Then, with the help of an enzyme called 5-alpha redux tase, testosterone is
converted into a much more potent hormone called dihydrotestosterone.



dihydrostestosterone (DHT) - ANSWERDHT stimulates keratin and sebum production that affec the
acne-prone pore. And, the enzyme, 5-alpha redux tase, is also responsible for increasing sensitivity to
testosterone. It also happens to be much more active in the acne-prone.



Birth control pills - ANSWERThe androgen dominant pills will fill a woman's body with more
testosterone, causing more sebum production and acne flare ups. Estrogen dominant pills shut down
hormone production within the ovaries. Since half of a woman's testosterone is produced in the
ovaries, sebum production will be reduced and acne breakouts..



Highter fritz skin clients - ANSWERHigher fritz clients should always start with acne med 2.5%. Acne
med 5% to spot treat. Acne med can cause discoloration in higher Fritz.



Dairy - ANSWERMilk raises insulin levels just as much as white bread does. It is the way protein in the
milk, not the lactose - milk sugar, that is responsible.

,whey protein - ANSWERIs found in milk. Whey proteins contain a powerful growth factor called
betacellulin. This growth factor binds to special receptors on human skin cells called epidermal
growth factor receptors(EGFRs), which tell Skin follicles to multiply and to make more sebum.



DIM supplement - ANSWERRecommended if you have estrogen dominance and dosage is tricky.

Good for hormonal acne.



Inflamed protocol to non inflamed - ANSWERGo slow when transitioning from IF to NI . Always start
them using the scrub 2 x day a couple of times a week. If after 2 weeks they have not broken out
move then to every night. After they have been using the scrub at night for 2 weeks and they haven't
broken out , start them on glycolic and vitamin A every other night.



Celluma vs regular light bulb - ANSWERI think the light we use to illuminate a room is broad
spectrum (uses a wide bandwidth of wavelengths to create white light), whereas the therapeutic
light of celluma is narrowed down to single wavelengths.



I've seen something about cold white light and blue screen light having a degenerative effect, can't
remember exactly where, it was a scientist on YouTube. Not sure how legit a youtube scientist is lol.



Accutane is an analog of which vitamin? - ANSWER



Spironolactone (Aldactone) - ANSWERSpiro isn't technically an antibiotic. It's an anti androgen and
diuretic. When working on some one who is taking Spiro, focus on a hydrating treatment because
Spiro is a diuretic and they're going to be very dry.



Peels - ANSWERStrenuous physical activity after the peel, like running, volleyball, something where
you sweat, causes heating up the body internally and can create a histamine reaction post peel. Even
the day after the peel, it can occur.



Cortisol - ANSWERStress Causes the body to release the hormone cortisol which triggers an immune
response. Cortisol also breaks down collagen, a structural proteins essential for plump and youthful
skin.



Rosacea and sunscreen - ANSWERClients with rosacea should not use a chemical sunscreen, only
physical. Chemical sunscreens absorb heat, which is no good for rosacea, physical sunscreens block
heat.

,Masks - ANSWERI am not a huge fan of masks for clearing acne. They aren't going to make a
significant difference in the clearing process. Daily exfoliation is the key to clear skin. Face reality's
masks are acne safe but they won't clear your skin alone.



Pores - ANSWERPores can't open and close.

Close: tighten/ non penetrating

Open= loose/pliable



Milia - ANSWERThe root cause of Milia is lack of free water in the skin. Exfoliation does not seem to
be the answer. Use ageless serum or some kind of hyaluronic acid serumtwice a day and it is safe
enough to use up to the lash line. Takes about two months, give or take for the Milia to start to
soften and be reabsorbed. Increase water consumption as well.



Scrubs - ANSWERScrubs for non-inflamed acne. If you are breaking out - with red skin, with white
heads and your breakouts hurt. Do not use scrubs.



P acne bacteria - ANSWERP acne bacteria proliferates and replicates every two weeks.



Stress - ANSWERChronic, continual stress is a trigger for acne. Chronic stress increases levels of stress
related hormones such as cortisol which sends the sebaceous oil glands into overdrive, which mixes
with dead skin cells and breakout causing bacteria.



Which product to strengthen? - ANSWER



benzoyl peroxide - ANSWEROne of BPO's Function is to soften plugs and stop the Keratinocytes from
sticking together, which is a hallmark of non-inflamed.



3 components of acne - ANSWERDead skin cells, sebum and bacteria



3 components of acne and benzoyl peroxide - ANSWERBenzyl peroxide does something for the three
components of acne - dead skin cells, sebum and bacteria. It is drying so it helps with the excess
sebum and it is a peroxide and the bacteria's are anaerobic so they hate all the extra oxygen. But the
real magic is it makes the dead skin cells not sticky so the plugs don't form in the first place. You use
AcneMed all over to prevent breakouts from having a chance to form, but you spot treat with it to
get the other wonders going on existing lesions.

, Stress - ANSWERStress sets off hormones, such as testosterone, that cause acne breakouts. So make
time to wind down and relax. Find a hobby. Less stress increases oxygen flow and stabilizes
hormones, minimizing flareups as a result.




RX Antibiotics - ANSWEROral antibiotics only suppress the problem, not control it. Antibiotics in
general disturb the gut flora significantly, and have been shown to increase the rate of illness
particularly in Acne Client's (long-term, low dose). Disturbing the gut flora can have a major impact
on inflammation, which can intern have a major impact on skin.



Acne med - ANSWERStrengthen acne med for inflammation flare ups



Antibiotics - ANSWER



Sudden breakout - ANSWERThe reason it happens more quickly is because a sudden rush of sebum
into a pore,, or a pore irritant such as iodine in food, or a pore irritant in a cosmetic, will cause
inflammation of the pore lining. This in turn causes swelling, and redness. If the swelling stays around
for a few days without being calmed down, normal oil and dead skin cells start to build up
andaccumulate inside the pore creating a larger comedones. If the swelling and clogging is enough to
prevent entry of oxygen, the acne bacteria that resides deep in the poor will now have a chance to
thrive, and a pustule will form. But the immediate problem is inflammation caused by rushes of oil
brought on by normal changes triggered by foods that bring on male hormone releases, or by
cosmetic irritants. This will especially be true of a junk food binge, since chances are extremely high
that someone who would binge like this in the first place has some degree of insulin resistance,
which means a hormonal fluctuation will take place that results in sudden triggering of sebaceous
gland activity.



Acne graduate - ANSWERI am declaring you and Acne program graduate because we have achieved
your skin goals! You'll now enter into maintenance mode, which means we'll begin to space
treatments out from every two weeks to four weeks. Eventually the goal is to space treatments out
quarterly. You'll still remain on your product routine as it is now, but overtime will make minor
adjustments to ensure we are maintaining clear and healthy skin long term!



Acne med maintenance - ANSWEROnce Client is clear keep their routine the exact same for the first 3
to 6 months on maintenance mode. Around the six month mark of maintenance, I may change their
serum percentage or cleanser depending on where their skin is at. Eventually the goal is to remove
acne med from their routine because it's not designed for long term use, but that I don't Changing
until six months to one year of them maintaining clear skin.

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