All protocols are only to be done under a doctor's supervision or you may die or be seriously injured beyond repair, wondering for the rest of you life why you didn't ask for expertise on something as important as your health.  Any of these medicines can kill you and then make you sick.

Acne:

IgG and IgA food allergy tests. I just had a girl come in that was 70% better in a few weeks just avoiding her food allergens.

Pantethine (NowFoods Pantethine 600mg) 2 tabs per day up to 2 tabs 3 times per day.

Cystine (Douglas Labs Cystine 500mg) 2 tabs per day up to 2 tabs 3 times per day.

Carnitine (NowFoods Carnitine 1000mg) One tab per day up to 1 tab 3 times per day.

NowFoods Vitamin A 25,000mg from fish oil. 1 tab per day.  Go up under doctors supervision. (may cause liver failure unsupervised.)

Demodex face wash.  Begin 1/4 teaspoon in 3 cups water.  Continue for 10 days.  Go to 1/2 teaspoon in 3 cups water for 20 days.  Use 1/2 teaspoon in 3 cups water for 30 days.  Use 1/2 teaspoon in 2 cups water for 30 days. Continue.

Bulk Supplements Vitamin B5 Calcium Pantothenate / Pantothenic Acid.
Herb Affair "Size 000" Clear Empty Gelatin Capsules - 500 Count
Fill the capsules by hand with the powder, you will figure out the way that works best for you. It is slow going but there is no other way. You will end up filling a bunch in an hour once you get the hang of it. Take one capsule per day, up to 2 of these capsules three times per day.

Korean (Panex) Ginseng.  500mg twice per day.

Zinc 30mg up to 60mgs per day.

Understanding Acne: Acne is caused by the demodex mite, there are two mites that live on our skin, demodex brevis and demodex longus. Demodex brevis lives in the oil gland and demodex longus lives in the hair shaft. The female lives her whole life in the follicle and when she dies the bacteria that is present is released. Acne can result from either an autoimmune reaction stimulated by the bacteria or from the demodex mite itself.

Accutane: I believe that accutane can be a helpful substance to treat acne. However a full understanding can prevent the chance of dangerous side effects. Accutane is 13-cis retinoic acid. This is a metabolite of vitamin A that exists in nature and even exists in the normal human body. If we did a very sensitive blood test of a person not on accutane we would find some 13-cis retinoic acid.  If this becomes necessary then I think it is only safe to use 1mg to 3mgs per day.

The problem is our genetics. We use 23AndMe.Com to look at the genetics of our patients and to understand what their body may be doing to block their progress. One thing we look at is the VDR receptor. If people have mutations on this gene it show that they wen’t through the ice age and were exposed rarely to the organ meats of large animals. When these animals were eaten it was an exposure to very high doses of vitamins A and vitamin D. It was not hard to get exposed to several million units of vitamin A, and potentially lethal dose. So genes the prevented this absorption of these vitamins were favored and selected.

I have found that is is impossible to resolve acne without Accutane if these genes are present. But at the same time by doing all of the other things that we are doing it is possible to use accutane at a very low dose compared to what is usually needed. This can prevent the side effects that are possible from accutane.

So it is best to order a 23AndMe panel and look for these genes and if you have them it is a good idea to get to a dermatologist that can prescribe accutane for you. When people have followed the above protocol it is possible to get result with 3mg or less of acutane as the oil glands change shape and make it less hospitable for the demodex mites to live.

Worms:
One natural way to decrease our allergies is to use hookworms. Hookworms have been shown to decrease the inflammatory signals in acne by 90%. They also decrease the allergic part of the allergy to the demodex mite.

Avoid: Supplements that contain B12 or Iodine.

Websites:

I like the website SuperNaturalAcneTreatment.Com