The Primal Parent

Two Diets to Control Acne

| 53 Comments

The worst thing about so called dietary cures for acne is that many of them are written by people who don’t actually have acne. There is no “in theory” when it comes to acne or at least we don’t know what it is yet. I have followed every single acne plan prescribed by every genius PhD, MD, or Joe Schmo. They haven’t worked, so clearly the theory surrounding the cure for acne is still largely unknown. Aside from that, on an emotional level, those that suffer from acne definitely don’t need clear skinned, small pored beauties telling them how they do it. They don’t do anything. They simply don’t have the problem.

Some or many aspects of the modern diet have changed the way acne sufferer’s pores secrete oil, the way the pores clamp down and stop healthy circulation, the way hormones are secreted in the skin, and the way the immune system goes overboard to mount an attack on a small cyst.

Yes, acne is a disease caused by a bad diet but no, it is not a disease which is cured by a good one. It can be managed. The acne can be stopped, but as soon as the person starts eating modern foods again, it will return. When an acne sufferer so much as cheats, she will probably get pimples again. This is why the term orthorexia is so offensive to me because these modern diseases are only manageable. Strict eating is requisite. Once a system has gone wrong in the body it isn’t repaired over night.

Making a few dietary changes here and there actually does work wonders for some but for others the problem is more persistent.

Acne can be thought of as kind of a blessing if you’re as morbid a thinker as I guess I am. Eating the wrong types of even Primal foods can give me acne – a clear sign I’m not as healthy as my primitive ancestors. But, for me, with acne always comes other ills – maybe it will be stress and heightened emotions, fatigue, foggy headedness, joint pain, swollen hands – there are all sorts of symptoms that will crop up at the same time as the pimple. It’s a nice gauge I guess for healthy living.

Getting a pimple is like a warning sign to me that I’ve done something wrong and I need to back off. One or two small pimples may not indicate a huge problem inside but as soon as those one or two have become three or four or five, I’m sure to be feeling bad in other ways. If it makes it all the way to 10 or 20, I’m doomed. For me, cystic acne is always a sign of something being very off inside my body. When I have cysts and not just pimples you can bet I have a list of other major symptoms which are bringing me down.

And it doesn’t take much to get there. Just eating full fat dairy or gluten might set me off on a full fledged cystic acne attack. If I keep it up I will be thoroughly embarrassed to socialize and will probably stay inside until I get my shit together again.

But I guess I should be thankful that it has worked as a guide for me to get optimally healthy. I fix the acne and I fix everything else. It’s kinda neat actually.

Logic Break: Saying that when I have clear skin I look and feel marvelous is not the same as saying that anyone with clear skin is marvelously healthy. Quite the contrary. That is a logical fallacy which too many people make, and as long as you’re reading my blog I don’t want you to make it.

Acne is my problem not everyone else’s. For others, maybe not needing to take naps every afternoon (the 3:00 crash) is their sign of having their shit together. We all have our indicators. It’s just that mine happens to be obvious to the entire world (okay I’m not so sure I’d call that lucky when I put it like that).

What Works For Me May Not Work For You

When it comes to acne, everyone seems to be different. The idea that chocolate causes acne for everyone is preposterous. First of all, one single food is not responsible for everyone’s acne. Were it so simple! And everyone’s culprit differs widely.

Allergies can play a big role in acne so, for some, one food may very well be the culprit. But one can be sensitive to salicylates too, which are in most vegetables, spices, and nuts. If you’re sensitive to them it will be nearly impossible to figure out what the trigger is since you’ll be eating some offending food with almost every meal. I am sensitive to these and believe me it took forever to get to the bottom of it.

For years it felt like I was doing everything right. I avoided processed foods like the plague and still the acne wouldn’t let up. I ate a perfect Paleo diet and still I had acne. I tried a hundred different styles of diet to no avail.

Some of the Acne Diets I Tried

  • Loren Cordain’s Paleo Diet
  • A diet of fruit and fat with zero cooked protein and zero vegetables
  • Gluten free
  • Weston Price Foundation
  • Vegan
  • Raw vegan
  • Fruitarian
  • Candida diets of all kinds
  • And countless others that didn’t help at all…

I Started To Think For Myself

Then I thought how beautiful the Japanese people are and I just said, “Screw  the Paleo diet, I’m going to eat like a Japanese!” (of course, these days, that diet wouldn’t be so far off the Paleo mark with all the talk of “safe starches”). Raw fish and rice was my diet then, and for the first time in 10 years my skin looked beautiful, not just clear, but beautiful.

After a couple of years rice started to bother me so I went back to a pretty regular low-fiber type of Paleo diet and the acne returned. Somehow I managed to figure out that an all meat, zero carb diet worked – just by listening to my body and eliminating food after food until there were basically no foods left but meat. My skin looked great and other than having a totally stoic personality, I was in perfect condition.

But a low carb, all meat diet isn’t easy to maintain in Colombia (or anywhere for that matter) so when my family spent the summer there two summers ago the acne returned. Then I hit my head in that horrible bike injury and forgot who I was and what I ate and everything else. Eventually, though, I made it back to square one with my all meat diet but this time I added eggs, pork, and beef. The results were good but not quite as good as before so I kept on experimenting until I came to where I am now.

Avoiding Certain Foods

With acne it is not about what good foods you do eat but what bad foods you don’t eat. Yes, reversing nutrient deficiencies is key but this may be difficult to achieve if the digestion is off. Like I said before, once a body has gone wrong it can take a long time to fix it, possibly many many years. So just moving to a nutrient dense Paleo diet is probably not going to solve a severe acne problem. There will probably be foods and whole food groups that must be avoided.

While a zero carb diet often helps control acne, carbs, per se, are not the enemy. Of course they’re not. How could I have eaten so much white rice and still have had no acne? But you’d think they would be since we know that insulin can cause us to produce more male sex hormones which are pretty much responsible for acne. There really is quite a bit more to it than that. Other things cause a much greater production of male sex hormones where they react on the skin. One of them seems to be dairy fats, another is allergens, and still another is anything that disrupts digestion. Nutritional deficiencies play a big role too so one must be very careful about maintaining a healthy, quiet digestive system. Nuts absolutely kill my skin as do vegetables. Over cooked meat (which is most of the meat people eat) is another skin killer.

And don’t be surprised when someone comes along and says that they neglect all of those things above and that something totally different cured their acne problem. Our bodies are all different and our cures will often be too.

Diets for Clear Skin

Diet 1: Before I became allergic to rice my diet consisted mostly of white rice and raw fish. I ate a little bit of seaweed, a shot of fresh wheat grass every day, and I took a multi vitamin. I didn’t eat processed foods of any kind. I ate nothing but white rice, seafood, and a small amount of vegetable juices (too much and it would come through my skin). I never could tolerate fats with rice so I typically only ate fatty fish by itself. I felt and looked absolutely perfect. I was 29-31 years old and looked 22, literally. I had never been happier, more active and productive in all my life. But all good things generally come to an end for me. Major stressors must have triggered some allergies and the next thing I knew I couldn’t eat rice anymore and most of the vegetables I had been drinking as juice were now poison to me. I started to break out with a vengeance and I felt terrible all around. So I moved on.

Diet 2: Now I eat a mostly all meat diet but have found that zero carb is not quite as effective as a diet with some carbohydrates. I have also found that cooked meat can be harmful to the skin if too much is eaten and especially if it is well cooked. For an acne sufferer, and indeed for anyone, meat should be slightly undercooked. For me bacon and egg yolks are irritating to my gut so I eliminated them along the way.  My skin does not appreciate it when I drink so I rarely do it anymore (boo). I don’t eat vegetables because fiber disrupts my digestion. I cannot digest fruit and it gives me the worst breakouts (possible fructose malabsorption), and I don’t eat grains (they all destroy my gut, “safe” or not).

What I do eat is mostly seafood both cooked and raw. I like canned salmon with bones and skin and I eat plenty of raw oysters for skin healing zinc. I eat a little raw beef and never any cooked (except on the outside of a bloody rare, grassfed steak). Plain table sugar or pure glucose is my carbohydrate of choice since it doesn’t disrupt my digestion like other carb sources do. I eat raw egg whites, warm skim milk with sugar, undercooked turkey with olive oil sometimes (I don’t eat cooked meats much these days but a little), lots of lemon juice, green tea, water, magnesium before bed, vitamin e, vitamin c, Great Lakes gelatin and bone broths, occasional decaf coffee, wheat free tamari, wasabi, and that’s about it. For the occasional treat I have frozen yogurt.

It’s an almost all meat diet but mostly raw and mostly seafood with some sugar and non-fat milk. It works for me and after all these years, that means a heck of a lot more than any theory.

If you liked this post, say thanks by sharing it:
  • delicious Bookmark on Delicious
  • digg Digg this post
  • pinterest Pin to Pinterest
  • stumble Share with Stumblers
  • print Print for later

53 Comments

  1. I too saw improvement in my skin after adding carbohydrates back into my diet but I’ve wondered about fats. It seems like eating high fat aggravates my skin. It’s so hard to tell though.

  2. It’s a challenge to determine what effects our skin. When I eliminated dairy my skin improved dramatically. Going primal improved it even more.

    For me, stress seems to be a big culprit. When I am stressed out I tend to have more acne. This may be because I eat more naughty foods. Their are so many variables to everything… its really kind of crazy. And, its why I have lost faith in pretty much all studies unless its on myself.

    And, that is what one needs to do. One needs to continue to experiment until they are happy with themselves!

    I used to get whiteheads a lot and now only teeny tiny ones pop up and never last more than 24 hours. It’s awesome to say the least!

  3. I had minimal acne until I stopped using hormonal BC a few months ago. I now have breakouts almost constantly. By the time one month’s break out is clearing up, the next month’s is moving in.

    The same month I dropped hormonal BC, I started a no-dairy challenge to clear up what little acne I had. After my first major breakout, I gave up on avoiding dairy.

    I used to only use water on my face, but I have started using coconut oil as a daily moisturizer and it seems to be helping, but only slightly. I’m hoping in time my hormone levels will work themselves out, but in the meantime I have been experimenting with different cleansers. Peroxide works if I use it sparingly; too much dries out my skin.

  4. I too suffer from skin issues, most of which were dramatically cleared up once going gluten free. I know dairy irritates it so I’ve cut way down. And sugar has been low too, but I still have some lingering acne. I know it takes a lot of hard work and dedication to find out the exact triggers and its a committment I’m not sure i can make at this point in my life. Maybe you could do a post about committing to eliminating foods to find out what you’re triggers were, and the process you went through- social situations especially. Thanks for this post though, very insightful.

  5. Wow, great description! I suffer with eczema related issues and never had acne until I went raw vegan…yikes!! SO much acne! I am going to start you diet today. Interesting about rice…would you eat rice alone for a meal (like lunch?) and then have raw seafood at dinner? Is it better for digestion to seperate the starch from the fat/protien? I am eating primarily raw beef but am interested in switching to more raw seafood. What kind of raw seafood do you get? Also, do you fast or skip meals? Or do you eat mini meals? Just wondering if meal frequency has played a role in your digestion and skin/health.

    THANKS!!

    • I was always fine eating rice alone but only did it when was out and couldn’t eat raw fish. I didn’t have the blood sugar spikes that I had expected, although I admit I was much calmer when I ate fish and rice together.

      My own digestion does not do well with fat and starch at the same time, but everyone is different. The combo is definitely a common issue.

      I eat all kinds of seafood, mostly raw, and mostly wild.

      I do skip meals. I don’t tend to fast for longer than 24 hours, if that. But often I will skip lunch or skip dinner without a problem. I don’t do it on schedule just when I feel like it or don’t have food available.

      My meals do tend to be small but I still typically only eat 3 times a day. I don’t eat a whole lot of food. I do think the amount of food I consume plays a role and I’m glad you brought that up. Overeating is terrible for the skin and seems to be a common issue among acne sufferers. Fatty cooked meats and starch with fat both contribute to overeating and so I like to stay away from them.

  6. I’m still trying to figure out what is causing my acne/rosacea. I would have the occasional pimple before, but my skin has actually been much worse since going on a paleo diet. It doesn’t make sense. Avoiding dairy doesn’t seem to have any effect. I suspect that hormones might be to blame, since I have other issues that could point to that like infertility and general fatigue.

    • Maybe it’s an increase in meat? Mine got much worse when I started eating a lot of beef, particularly in stews. This was years ago and I was a good little Paleo girl. It was horrible. Try easing up on the meat and saturated fats. Maybe your body prefers seafood and raw meats like mine? Avoiding dairy never made any difference for me because that wasn’t the only culprit.

      Avoiding one food isn’t likely to solve the problem.

  7. Very interesting and good to know! I had no idea that even Paleo diets don’t offer solace for all acne.

    Myself I have never really had a lot of acne and what was there went away going paleo (the PHD version). I still have clogged pores on my nose though – I suspect it’s dairy but I can’t bring myself to stop eating it :-)

  8. For me, fruit is the worst. Even tiny amounts of fruit will give me puffy, red, itchy, pussy, swollen skin on my fingers. If I let it go on long enough, it will spread to my hands, then feet, backs of my knees, then the inside of my elbows. Rice is ok for me, but other grains will cause a skin flare up as well.

  9. What is your opinion on the GAPS diet and the deep level of healing many people have accomplished? I remember your recipe for the Colombian soup–would you ever eat meat that was cooked in its own broth (instead of briefly seared)? Would love to hear your thoughts!

    • I did the original SCD diet as defined in Breaking the Vicious Cycle. I guess the two are a little different but I never moved on to GAPS because SCD did me absolutely no good. I mean, I was relieved of gas which was cool, really cool actually, cool enough for me to recommend it to everyone I knew, but in the end it didn’t promote the healing that I had expected. I gave it a healthy shot too. I did it exactly as defined for a long while and then I thought that maybe I had issues with honey (which I definitely do) so I removed that. Then I thought that I had issues with dairy so I removed that. Still didn’t work. I was constipated, gained probably 10 lbs, and my skin looked terrible. That’s when I started to get an idea that cooked meat might be bad for me. That’s when things started to change.

      So yeah, I ate meat cooked in its own broth for a long long time and then I quit.

  10. Thank you for this post! As you mentioned the saturated fat: I felt that too much of it (other than coconut oil) made my skin problems worse, but everyone in the Paleo community praises the values of unlimited quantities of animal fat so there was little to be found to back my (personal) findings! Also, after just one night of too little sleep I develop acne. By the way, posts like this are the reason I enjoy your blog so much: “Admitting” to have skim milk with table sugar is for many Primal dieters like worshipping the devil, but you are certainly not afraid of raised eyebrows and that is cool! Just one more question: Are you concerned with mercury/PCB in seafood? I usually limit myself to 3-4 small servings/week because I am afraid of those toxins – do you have an idea what amount is definitely “safe”?

    • Thanks Iris. I’m always happy to hear that someone doesn’t mind me being a Paleo dissident at times! When you’ve been at this for as many years as I have, you quit playing the game. Anyway, it probably won’t be long before I give up milk too. I always cycle back to the perfect Paleo diet for some reason, not that milk is necessarily anti-paleo in theory.

      I know saturated fat is the super food of the Paleo community. And it’s not like I didn’t go right along with it for years and years. But turns out that I am much more sensitive to other foods when I eat a lot of saturated fat. In fact, I’ve eased up on fat all together… again. I kind of go back and forth with that.

      As individuals we have to remember that what may be a savior for one could be poison for another or just not beneficial at all.

      I don’t eat a whole lot of fish that is typically high in mercury, those are the bigger fish. Lower levels of mercury are found in salmon, sardines, and shellfish. I eat a lot of that and a little of the others.

  11. It’s so nice to hear that you’re doing well! This post is great, really sums it up perfectly. But unlike you, I am having problems figuring out what gives me problems so I can take it out of my diet. Some symptoms are always there whatever I eat and even if I don’t eat all day. Maybe I need some more experience:)
    I can see that you have incorporated some of dr.Peat recommended foods! me too:)
    I’ve noticed that fruit gives me acne. So, it goes..But I added orange juice and milk with sugar, and I’ll see how it goes.

    • Yep Dr. Peat makes some compelling arguments about diet but more than that the diet that he recommends (which isn’t what I eat) is almost exactly a diet I devised myself several years ago. It was not so scientifically motivated but, as usual, came from the calls of my body. For a long time I drank gallons of fresh squeezed oj. My skin never cleared up and I was always a little bloated but I must have really needed the magnesium because I felt so much better than I had ever felt before. Years ago, when I quit the oj, I added in a lot of lemons since those are about the only fruit I can tolerate. They’re nowhere near as nutritious as the oj but better than nuthin.

  12. Your journey is such an inspiration: it’s amazing how you’ve tweaked your food choices until you find something that works for you, and then when things change, tweak it again.

    I was recently diagnosed with celiac disease and food allergies, and the past 4 months have been an interesting journey of figuring out, one by one, foods I react to. I think as my gut heals I have a clearer signal-to-noise for responses to foods, and so the offending foods are easier to notice. I, too, have ambivalent feelings towards the fact that I have a clear indicator to problem foods. It makes it easier to say “yup, can’t eat that food”, but when I do eat a problematic food, it wipes me out for a day or more. One the one hand, I’m glad my indicator isn’t so visible to others, but on the other hand, I wish my indicator wasn’t so disruptive to my life.

    I like your point about orthorexia. As a teenager I had a psychologist tell me I was at risk for an eating disorder because of my type-A personality and scientific mindedness, and my interest in health and nutrition. So I was careful to avoid restricting what I ate, for fear I would get an eating disorder. My sister found out early on that she had a bunch of food allergies, so I was always thankful to be able to eat anything, or so I thought at the time. But I wonder, if I hadn’t been so worried about seeming orthorexic, would I have had the courage to test a gluten-free diet sooner, and thus, find out about my celiac disease sooner? Or would I have considered that since my sister had food allergies, I should test out those foods, too?

    I think the idea that people tweak their diet for the sheer fun (or neurosis) of it is a bit crazy: it’s a total pain, who wouldn’t love to just eat whatever and still feel and look great. I would imagine that many people who are considered picky eaters, or who tweak their diets, or who are seemingly always dieting, probably have something physically wrong with them eating a SAD, and so the solution isn’t to keep eating a SAD, but to figure out how to fix whatever physically ails them. I find this hypothesis more intuitive and helpful than labeling people with an eating disorder and leaving them with nothing they can do to feel better.

    Anyway, thanks for yet another insightful and helpful post!

    • I completely agree! I was always sort of thinking that I have a past that shouts eating disorder but really I have just been uncomfortable in eating normally and have been desperately seeking for a better way (hence going from Atkins to raw food to paleo to whatever). But now I actually think it’s – a pain yes – but also interesting. Like my mission to find my way to be me. :)

  13. Acne was my reason for going primal, and it worked at first… until I went off of birth control. Since then, it’s never completely gone away. (That was about 6 months ago.) Like what Katie said, I clearly need to make a bigger commitment than I am to eliminating foods and studying my body. It’s tough though! I’ve always been a “foodie” and while I love eating primal/Weston Price style… I don’t know if I’m ready to go deeper. My social life suffered enough from acne, and I unfortunately don’t have much support from friends and family as far as diet goes.

    I feel as if I’m still healing though. 6 months isn’t much time when I think about the fact I lived off of sugar and caffeine for several years, premised by the SAD diet. I already feel incredibly better just from dropping processed food and junk and eating real food.

    If and when I decide to take my diet more seriously though, I am SO thankful for your blog Peggy! You are honest and real, and that’s reassuring in a world of stats, numbers and averages. It’s so refreshing to see someone challenge the norm and do things for themselves, their way. Thank you for being you!

  14. Cystic acne was always my problem as well. Extremely tough on a young boys social life. Outbreaks persisted until going 80% or so primal. Now acne goes away much quicker. Any good brands of canned salmon to recommend. Also, drink a shitload of coffee(my last vice), although not an acne trigger do you think it something to give up?

    • John, although acne triggers are different for everyone… I find that coffee really flares me up. I can have a random cup here and there, but a cup a day will start some damage. Which stinks, because boy do I love it!

      I read somewhere that coffee cross-reacts with gluten antibodies though, so that could explain a lot if gluten is a problem for you.

    • I agree with Laura B that coffee could be a trigger, especially if you drink a lot of it. Try replacing it with green tea. I know it’s not the same but maybe having another warm drink might help. I like raincoast trading for salmon. Some varieties of canned salmon are packed in cans with BPA and who knows what other chemicals. The whole foods brand of red salmon, for example, I can smell in my pee. I stay away from that.

  15. Hey Peggy,

    I just want to thank you so much for reminding me that this is a journey to wellness. Something that you have to keep working at and tweaking. I start to feel discouraged sometimes. I still struggle with acne and pretty severe seasonal allergies but somehow or the other, this post reminded me that the answer is out there if I just keep looking. :)

    Warmly,
    Chi-Chi

  16. Hi Peggy,

    I am a writer / journalist / long-time PCOS sufferer who has just come to a conclusion that PCOS is an autoimmunity disease and linked to the thyroid. Lot of the symptoms go hand in hand. Any thoughts? Could I email you a bit more about my thoughts? :) What’s your email?

  17. I stopped getting cystic acne when I gave up gluten and grains (that was a nice surprise!) I had tried so many things over the years.
    My skin in general improved on a Primal diet but then, after about 2 years, I started getting small outbreaks of inflamed pustules/surface acne on the apples of my cheeks, where I previously had never experienced breakouts. I had never really had those kind of pimples, either,

    After pondering if any foods in my diet were different than in the past, I figured out that cocoa and dark chocolate were the culprit.
    I had previously never eaten much cocoa, but my consumption of cocoa powder (in the form of stevia sweetened coconut milk hot cocoa) and bitter dark chocolate were regular and daily at the time of the outbreaks and they cleared once I eliminated them.
    Now I can have occasional cocoa without problems, but if I have too much, the breakouts begin again… If I eat spicy foods, like salsa, I get teeny red pimples on the edge of my nostrils.

    PS- a little known but probably common cause of stubborn cystic acne is fluoroderma. There is some great info on treating it over at http://www.celluliteinvestigation.com/fluoride-acne

  18. Acne was my reason for going Paleo/PHD. It’s a work in progress. I’ve made a lot of progress with my diet, but sugar and a daily latte habit I’ve had since college have been really hard to break. And it’s been really hard to stay away from all the holiday food. I had really hoped my acne would go away quickly, but now I’m seeing that clearing it up could take years and a lot of experimenting, which is a little discouraging. It’s already affected my social life since I was a teen and I was hoping it would go away someday. My integrative medicine doctor (who I went to after years of dermatologists only wanting me on antibiotics 24/7) “assured” me that some people just have acne and, if the homeopathic supplements we are trying don’t work, it will start clearing up on its own when I get in my 40′s and 50′s. I almost cried when he told me that. People just don’t understand the emotional toll acne can take, especially when it’s severe and persists into adulthood. You feel like its somehow your fault that you have it, but you don’t know how the heck to really fix it.

    Sorry about that rant. I’m sure many of you can relate, though. And, your post does give me hope though, Peggy. I just have to keep trying things. Also, I know you suggested green tea over coffee. I only ever like that stuff at Japanese restaurants. Anything I’ve bought to make at home makes me nauseous. What are your thoughts on black, red, or white teas? I like all of those.

  19. Please, consider blogging about weight loss/maintainance/appetite regulation! Paleo websites don´t tend to be helpful for women as the common advice is “if you don´t lose weight/ have problems stabilizing your weight increase your fat intake” – bad idea, too many calories and some extra pounds…

  20. Hi again, Peggy!

    I’m the Spanish girl who almost got clear on zero-carb diet. BUT after a while it just stopped working and I was not feeling that good on ketosis. So I started eating carbs again. My diet is basic paleo right now, with vegetables, no dairies and occasional cheating here and there. And I feel great in general, but acne is still here.

    Now I’m really discouraged… I’m sick of feeling deprived, sick of avoiding certain foods without knowing if it’s being useful at all… And I tend to develop food related anxiety when I deprive myself for a long time, so I end up bingeing :(

    So… what to do now? I intend to relax a bit for a few weeks and start it all over after Christmas. I do think I would be able to be strict with my diet IF it really worked… so maybe it’s time to get strict to see if it works.

    My question: how long do you think one should stay on a diet to guess if it’s doing something? How long did it take for you to get clear on your diet?

    Thanks for everything. You’re such an inspiration for me when I get sick of all of this and I plan to get an appointment dith my doctor to get a shot of Accutane…

    Erin: I could have written your post, word by word. Keep it up, we will get it at some point.

    Dinah: I agree with your post too. I have troubles stabilizing my weight on paleo diet because I tend to eat too much fat :/

    • Hi Marina! The whole carnivore thing is definitely hard to maintain. I can’t really handle it indefinitely myself so I tend to try a few new foods here and there that I don’t react to in that way. Right now I’m all about sweet potatoes and yams. They do make me a little bit gassy but they don’t affect my skin. Once I get tired of the noisy digestion I’ll go back to meat -mostly raw though. That is much better for my skin.

      So, since I do tend to try out new foods here and there you can imagine that sometimes I but heads with something that messes up my skin. As soon as I eliminate it and get it out of my system my skin is back to normal. It doesn’t take long at all most of the time. Now, full fat dairy will ruin my skin so badly it might take a week or two to recover from that.

  21. This just goes right along with the poop post, doesn’t it? Our bodies can give us some very visual signs that things aren’t right. And talk about every body being different! I just read the GAPS book and got at least part of the picture of why we all have different reactions to foods.

    My acne history goes way back. I first developed it in middle school–not the worst acne in the world, but still bad, painful, embarrassing, and even scarring as I got older. When I was 25 (I’m 32 now) I was so desperate after trying three different topical methods and shoveling out money to dermatologists, that I almost–ALMOST–tried Acutane. Thank goodness I didn’t!! I decided to give research one last shot, and I started to finally find some information.

    The first thing I did was a fiber colon cleanse. I know, all that fiber is supposed to be bad, but it actually helped me. The idea was that having all this impacted feces in the colon inhibited proper assimilation of nutrients (makes sense) and not having regular bowel movements means toxins don’t get removed on a regular basis (makes sense), so the toxins get built up in the body and have to come out the skin (also makes sense). Fiber also absorbs toxins and carries them out of the body. It didn’t explain why some people get acne when constipated and others don’t, though, so I knew it wasn’t the whole picture, but it certainly helped me–just not completely.

    The next thing I noticed was that sugar and processed foods played a role. I cut down on sugar, and cut out the processed foods, and my skin was clearer.

    Then I noticed that when I had a lot of dairy, especially milk or mozzarella, I would break out. So I started keeping dairy in check–I loved it too much to quit completely. Interestingly, raw dairy does not do this too me. I drink a lot of whole fat raw dairy now and it doesn’t seem to make a difference.

    Lastly, I cut out grains. This did seem to take care of the last bit of it (assuming I don’t indulge in too much sugar or get over-stressed).

    I also recently started taking MSM, which I had taken in the past with better skin results, but had stopped for some reason. My skin is looking younger and clearer now, even though I didn’t really have acne left anyway–I think maybe the MSM helps with skin sloughing?

    Anyway, that’s my story. Like you, I’m sort of grateful for my acne. Nothing like having horrifying zits all over your face to keep you motivated to finding your way to good health.

  22. Thanks for the great article! My girlfriend and I have been trying different diets and she has definitely noticed a difference in her skin with a gluten/dairy free diet but even if she strays a bit from the diet her skin begins to break out.

    I’m glad to hear that others are working with similar problems. I’ve gleaned some great info here, thanks again for sharing.

  23. Peggy,

    This might be a silly question, but how do you know what fish is safe to eat raw? I thought that Japanese restaurants had to buy special types of ‘sushi grade’ fish that was safe. Also, did you eat shellfish raw?

    • Carmel, it’s a great question actually because the name “sushi grade” is kind of a euphemism. It sounds pretty fancy but it’s not much more than a marketing term. There is no FDA guideline defining “sushi grade.” The only thing that is required by the FDA in the sale of raw fish at restaurants is that it be frozen for long enough and at a low enough temperature to kill parasites in those species who carry them. “Sushi grade” has nothing to do with the cut or the type of fish.

  24. Not so much about acne, but I have read about your “meat only” diet and it sounds like something I would like to try. Do you take supplements? In particular I’m thinking of vitamin C.

    • Yes Todd, I’m not doing that diet anymore but while I was doing it I did take a couple of supplements. I took a little vitamin C for anti-oxidant value. The lack of carbohydrates lowers your need for vitamin C so you can probably get what you need from organs and such. But I took extra anyway. I also took a B vitamin supplement. And on and off I would take a multi mineral on days when I didn’t feel like I was eating well rounded enough.

  25. Pingback: Going Primal: Here we go... again. | Mark's Daily Apple Health and Fitness Forum page

  26. I have been Paleo for about a year now. Prior to that I was a very devout “low-carber” for 13 years. I have suffered with acne since I was about 12 years old (29 now). I’ve been to dermatologists and have tried pretty much every OTC or prescription acne med there is out there.

    Six months ago I found the Oil Cleansing Method. It is by far the best thing I have done for my skin! It is not greasy. In all honesty, my face has never felt cleaner. I totally recommend looking into it. The foundation of the belief is “like dissolves like.”

    • Thanks for the input. I definitely agree that oil does no harm to acne prone skin and it may well be very helpful. My mom had me washing my face with olive oil in my 20s when the acne was its worst but because nothing inside my body had changed at that time, it didn’t help at all. I don’t know what kind of acne you had but I suffered of cystic acne. Nothing you can apply topically will help that kind of acne. Fixing the underlying deficiencies and imbalances is the cystic acne sufferers only hope.

  27. I know this is an older post. But I find it so darn interesting! I cannot eat table sugar at all .. not even a crumb .. it gives me wicked insomnia and bloating. Funny you mention rice because when I visit my soon to be in laws in the islands all they feed me is rice and beans and sweet fruit and I feel awesome! I come home and eat my ‘healthy’ diet of meat and veggies and feel like crap and break-out.

    I am getting married in two weeks and have the worst cystic acne of life on my cheek and forehead. I’m panicking and because I have no clue what is causing it .. last night I just ate and cried. Yep, I ate all sugar. So I didn’t sleep last night and have more acne then ever today and am searching the web and found you.

    The main causes for me I *know* are refined sugar, refined grains, milk, and eggs just recently started causing a weird rash under my eyes. Peanut butter (one of the loves of my life) may cause it too.

    I stick loosely to the Specific Carbohydrate Diet. I did it %100 a few years back and no word of a lie it must have regulated my hormones because I had zero acne, zero insomnia, and my periods became normal. Yet, it didn’t help my constipation-which was the main reason I stuck with it. Which is the main reason I stopped it.

    I also cannot do all meat. Low carb also gives me insomnia. I need some carbs to sleep. Plus there is so much hype about how fruit and veggies keep you looking young.

    Can I ask you … if rice and seafood made you look 22 at 30ish .. how many years do you think your current diet shaves off? :)

    • Heather, my current diet changes often. What worked wonders for me was eliminating foods I was allergic to but primarily fructose. I didn’t know I had a sensitivity to that but eliminating nearly everything sort of revealed it. I looked so much younger (and still do) because the severe inflammation settled down.

      If you have bad cystic acne then you too have severe systemic inflammation. Recommendations to “repair your gut”, take vitamins, eliminate this or that may not get you anywhere. You must discover what is contributing to such sever inflammation in you. In me it is largely fructose and fructans.

      I will write a post more about the connection to inflammation, though I can’t guarantee when.

      I feel for you and your situation. Just before I got married to my ex years ago my acne was terrible too. And I was at a loss.

  28. In my bouts with acne and rosacea, I tried everything under the sun. Sometimes it was clear sometimes I had breakouts. My dermatologist said it was an immune issue.
    Long story short it seemed like a liver issue. When I cut out fructose and lowered carbs, my face cleared up. Fructose is a liver toxin! Great explanation of the science. http://www.youtube.com/watch?v=dBnniua6-oM.

    The liver may take time to heal that is why too much fat can trigger problems, In my experience the only fats that caused problems were the poison seed oils not coconut, olive or butter.

    Frequently you hear low carbers say a calorie is not a calorie. The truth is a carb is not a carb also.

    • Yeah, I have pretty much pinned acne to fructose and fructans too. For the longest time it was a mystery why these diets worked but it isn’t anymore. They both avoid fructose and fructans. The amount of starches I eat, dairy, veggies, fat, meat, doesn’t make any difference. Just got to avoid the fructose and fructans.

  29. Once we left Africa, fruit was very seasonal. Fruit was available for maybe a couple of months a year. They also didn’t have fruit dryers. Without technology, fruit drying is a mess.
    Meats, insects, roots and herbs were probably the biggest portion of our evolutionary diet. Lots of fruit paleo seems like the reason many people don’t get the health benefits they expect.
    Love your blog/website. It is important information to be out there.
    .

    • It’s a mistake that we were led to believe during the infancy of the Paleo movement. In reality, just because fruit is available in many places around the world and always has been doesn’t make it the ideal food for humans to eat.

  30. One question. Does coconut oil work for you? I have not found a problem with the Organic slightly refined oil.

  31. Hey, interesting blog. I’ve had cystic acne ever since I started breaking out, and I did a course of Accutane. It healed my back completely and just left my face manageable with birth control and dairy avoidance, especially full-fat. Now I’m off bc and the cystic acne is returning, but not with the inflamed, rough skin it usually came with. I’m so confused, and I try to eat more perfectly Paleo, but it just hasn’t been getting anywhere. I’m glad I found your site, because while I keep coming back to Paleo, you give me hope that I shouldn’t just give up if Paleo isn’t the solution.

  32. Pingback: Paleo Pancakes Recipe Coconut Milk

  33. I have a couple questions, I always thought that raw meat other than fish would make you sick? Also, how long would it take you to figure out which foods were aggravating your skin? My acne got a LOT worse when I stopped taking the pill and switched to Implanon for BC. I recently took it out cuz I thought it was messing up my hormones. I’m trying to change my diet to maintain not only a more healthy life, but also to clear up the acne that came up. I don’t even know where to start, I’ve been reading a lot about different diets particularly the Paleo Diet. But it seems like as soon as one flare up starts to heal then theres another right there again, and my skin scars easily so it still looks horrible. I have a lot of digestion issues, but even though I’ve tried to document when problems happen to see if there are any common foods, it seems to be different foods that trigger it. I feel like Im starting to lose hope that this will get better, its really affecting my self esteem.

  34. Also, my doctor recommended I read up on a diet that’s been tailored to my bloodtype, O. May I ask what your blood type is? They have suggestions for each one, and I was just curious if what ended up working for you has any similarites.