0:00

A D C Listen

0:02

podcast, radio news music,

0:04

and more. Mirror.

0:07

Mirror on the whole. The. Ramiro.

0:09

long and whole, Murmur.

0:11

On the wall who's the

0:13

purest of the law? What

0:16

On earth he talking about? Well

0:18

so actually argue differently. I

0:20

get murmuring. Murder.

0:23

Long term. Murmur. On the

0:25

wall. Who's. Made the biggest mess

0:27

on the mirror of I'm. Always neuer

0:29

Yak. Yak

0:32

yak What are you talking about? I'm talking

0:34

about. Plugs, Come on in

0:36

in. A two tier

0:38

Scottish takes me out but plugs or

0:40

little bump. zero things in your skin

0:42

which. Teenagers love to go. First.

0:48

It argued as it's the it was.

0:50

It says I got an American Museum

0:52

of Acne, but that's right, it's it's

0:54

sports, pimples, acne, vulgaris where we should

0:56

really stigmatize people without revoke ask as

0:58

as serious issue and with quite serious

1:00

consequences. But that's what we're going to

1:02

be talking about today on the program

1:04

where we promise we wouldn't be talking

1:06

about Russia's but we are. What's that?

1:08

rash? Is acne a rash? I

1:10

guess technically it is. Yeah, I'm health

1:12

or photo taken Taylor on Jagger and

1:14

Turbo Land. And I'm not an omen, sworn

1:16

physician and journalist. and I'm on. Gotta go And.

1:21

Normal. We have gotten so many questions

1:23

about pimples in the last couple of

1:25

weeks I don't know what's going on,

1:27

Scots, asking if it's been up and

1:29

especially pimply. Summer Lucas is asking why

1:31

some people get out acne and Ellie

1:33

as asked why some people get pimples

1:35

and others don't. We need to give

1:37

the people what they want. And what

1:40

nobody wants pimples? So let's talk. were

1:42

actually vog hours. Then they say that

1:44

nine percent of the world's population. Has

1:46

a revoke hours. Whoa. Okay, I

1:49

definitely had more people than

1:51

I liked when I was

1:53

a teenager. Is there a

1:55

threshold for what's normal skin

1:57

congestion? in like adolescence and.

2:00

What Acne Vulgaris like medical terminology

2:02

is classified according to the sorts

2:04

of sports you haven't? You face

2:07

how many of them? With our

2:09

our how widespread the are and

2:11

so potentially scarring the are so

2:14

you go from mild to severe

2:16

is probably quite unusual for p

2:18

to get through adolescence without any

2:21

pimples, but obviously it's graded and

2:23

has an effect To me To

2:25

tell you how starts here I'm

2:28

place. Essentially it's the unit. In

2:30

your skin which combines a

2:32

hair follicles along with was

2:34

called the sebaceous glands So

2:36

that's a plan that produces

2:38

essentially fatty substance code see

2:40

them and acne is a

2:42

disease of this unit of

2:44

the hair follicle and the

2:46

sebaceous glands points together. I.

2:48

Feel like Of all of the parts of

2:50

human anatomy this is one that me as

2:52

a form a teenage girl really feels like

2:54

I've got a good handle on because it

2:56

was in every magazine it was on. Commercials

2:59

were some girl was splashing water oliver a

3:01

size and eleven the bathroom as well this

3:03

diagram of the surface of the skin with

3:05

a t drop shaped pool underneath. its the

3:07

hair sticking out and then it would get

3:09

read an angry and something would be inside

3:11

it. A try. It doesn't necessarily have

3:13

to get Roman angry, goes through

3:15

stages, but essentially that also explains

3:18

the pattern of acme which his

3:20

face, neck and shoulders back and

3:22

approaches to just the places where

3:25

you've got this. A lot of

3:27

here's big, here's and small. here's

3:29

a test to see them and

3:32

then this unit this sebaceous glands

3:34

has to the hair follicle is

3:36

exquisitely sensitive to instance to male

3:39

hormones, which both males and females

3:41

have. And why this

3:43

comes on with doesn't nes I have

3:45

come on medalists and soon babies can

3:48

get athletes and it's a similar thing

3:50

which is that they think sense. For

3:52

some reason in the first year of

3:54

life you can have an excess of

3:56

and in production will hormone production and

3:59

that exactly the. If it goes on

4:01

and skyn a heavens in adolescence and

4:03

lease on life. and here's the patterns.

4:05

A pattern is that you get seguin

4:07

production and you get something called a

4:09

common don't have. What A Commodore. See,

4:12

I like had a cop. Says

4:14

well not in this case but you can

4:17

get a white one or a black one.

4:19

Ah this is the gunk Welp says yes.

4:21

So this the black head or the whitehead

4:23

and the black head is an open com

4:25

a dorm and he was. He was dirty

4:28

insights us was bike is not as bomblets

4:30

melons pigmented me too and that's an open

4:32

one and a close one is a whitehead

4:34

and a close one is actually worse than

4:37

the open one wouldn't when the clothes they

4:39

can get infected and so you get infection

4:41

and inflammation and that's when you get the

4:43

second set of. Lesions which are

4:45

really well most of us would

4:48

call pimples but essentially Papua and

4:50

posture so the technical terms for

4:52

those and then as it becomes

4:55

more severe then you can get

4:57

cysts developing and scars. Right

4:59

side have hills and tussles. words that

5:02

somehow I even greater than. The

5:04

feeling of it. Like

5:06

a site team acne. Mostly

5:09

driven. By the whole mindset kind

5:11

of bouncing around because. That's a ton

5:13

of the life when you go

5:15

at home ice dancing around against

5:18

a background of genetic susceptibility. There

5:20

may genes have been associated with

5:22

a susceptibility to act Mean there's

5:25

probably no single gene. It also

5:27

depends on your ethnic history in

5:29

the sense or your ethnicity. People

5:31

from the Middle East, people from

5:34

India, Pakistan, Bangladesh can have quite

5:36

severe acne and it's thought that

5:38

genetic say they probably produce more.

5:40

see them more androgen. Sensitive and

5:43

some ethnicities you have more facial hair

5:45

with you're male or female. real things

5:47

all go together. That is another condition

5:50

which causes Xd in women which is

5:52

called post cystic ovarian syndrome actually can

5:54

be a side effect of and since

5:57

there was a things going on here

5:59

you just don't assume sickly to the

6:01

agony for the first time as an

6:04

adult truly got to be looked into

6:06

quite closely. I've often heard people

6:08

sit of blame at me on see like

6:10

you're having eating lots of oily food. I've

6:12

been eating lots of chocolate or whatever. What

6:14

do we know about the role. Of food

6:16

in promoting all preventing acne. This is

6:18

a battle grown school cigarettes. Are you

6:20

seriously because people say i really do

6:23

notice it when I you the same

6:25

kind of food? My agrees made worse.

6:27

Well if you notice it and there's

6:29

a relationship then for you that is

6:31

very real. it's like migraine for example

6:33

some of the i get migraines my

6:35

accent food and might not be in

6:37

the medical literature but if that's the

6:39

case for youth then that food is

6:41

related to migrate and in this case

6:43

is true as well at the very

6:46

few. Experimental studies very few trials

6:48

or anything like that if any

6:50

at all Muslim or was called

6:52

observational studies. We look at large

6:55

groups of people what you know

6:57

about their diet but often v

6:59

depend on memory. But having said

7:01

all that the seems to be

7:04

a consistency about milk ingestion slightly

7:06

increasing the risk of actually and

7:08

are high glycemic index times and

7:10

others a tight that's high in

7:13

process. Cats are processed carbs. that's

7:15

right. So. That that is something going

7:17

on with diet but it's hard to

7:19

pin it down but assembly something that

7:21

of the jumped on the city the

7:23

ones will ask you about to notice

7:25

and actually change your diet and reduce

7:28

the severity of actually has going to

7:30

be good things. For the know think

7:32

the links x a whole nine like a is Neil

7:34

kind hormones. I had this five that it is. The

7:36

theory about mucus is odd. Some studies

7:38

have shown skim milk as the problem.

7:41

Not. Whole Milk. But. Some studies

7:43

have shown both Holbrook and Skim

7:45

Milk and other dairy products. It

7:47

could be hormonal. It could be

7:49

that there are bioactive compounds in

7:51

milk. Respond larger, usually quite good

7:54

for you, but in this case

7:56

could be triggering an inflammatory response

7:58

or something. I pad and. Picking

8:00

through all the different things I've heard

8:02

people blame at me on in the

8:04

past Sicily adult acne, that of once

8:06

you get past that adolescent take of

8:08

it to other things that I'm thinking

8:10

about ah you period and we talked

8:12

about periods has his his fitness the

8:14

other day and I definitely know anecdotally

8:16

myself and other people really certain type

8:19

of temples or in certain part of

8:21

the size linked see a cycle and

8:23

also stress. Yup, the happy

8:25

stories of stress very difficult to

8:27

do, very to rule to assess.

8:29

the was a soda Rabies study

8:31

of students at university looking at

8:33

your stress levels and claiming that

8:35

there was a relationship between high

8:37

stress and actually that was not

8:40

a mad idea because as we

8:42

spoken about me times on our

8:44

sister podcasts the How Support Stress

8:46

Does seems the where's Your Body

8:48

responds to the world around you

8:50

and can activate your immune system

8:52

and. Inflammation so stress

8:54

is not a silly idea or way

8:56

out. the have a stress could affect

8:59

your skin and with the menstrual cycle

9:01

the done studies of his and again

9:03

look if people notice you're angry guess

9:05

we're soon whole cycle will get worse

9:07

than this and you is related to

9:09

that and the pew and have an

9:12

effect on actually to was does go

9:14

along with is used it could be

9:16

the pews but also could be that's

9:18

the appeal is to settling down the

9:20

and to productions well. I

9:22

do any get to treatments in just

9:25

a second but one more as potential

9:27

cause. Based on scots question he asked

9:29

if it was a particularly pimply some

9:31

us can weather affects. Your skin. You

9:34

mention it would. I haven't seen

9:36

any studies showed this, but essentially

9:38

if you're more likely to perspire

9:41

is you've got more blood going

9:43

to the hair follicles and the

9:45

sebaceous glands, then it's quite likely

9:47

that weather could make a difference.

9:49

Also, a warm, humid med wherever

9:51

you skyn to be more irritable

9:53

scratching and therefore the com adorns

9:55

more likely to become infected and

9:57

less. One thing we've not told.

10:00

Infection as part of the cycle

10:02

of agony. Okay, will

10:04

maybe that kind of leads us to treatments

10:07

because this a lot of products on the

10:09

market that claim to erase acne. What do

10:11

we know as he has evidence behind it.

10:14

Will What we know is that

10:16

over the phone for products and

10:18

make things worse because you really

10:21

don't know what you're buying, what

10:23

you're getting some of a me

10:25

happy to say some of the

10:27

Me notes and then you're not

10:29

necessarily using them systematically. What's known

10:31

to worth is topical versions of

10:33

vitamins case there's a slightly antiseptics

10:35

when nobody's quite sure why how

10:37

it works Com Benzoyl Peroxide combination

10:40

therapy is what works best in

10:42

actually using a combination of things.

10:44

Anti biotics of go to be

10:46

dealt with carefully there's a lot

10:49

of resist the antibiotic resistance in

10:51

actually has of the overuse of

10:53

antibiotics and.is really to be sensitive

10:55

to and people listening to be

10:57

sensitive to is this weekend a

10:59

serious actually with says they are

11:01

robin just the usual pimples are

11:03

says developing so really pretty big

11:05

lump sum to the skin or

11:07

you already seeing the beginning of

11:09

some scars with the acne and

11:11

if that's the case. You've. Really

11:13

gotta get in early with acne treatment

11:15

because there's there's a very strong version

11:18

of the like of Vitamin A preparation

11:20

put isotretinoin which he take orally. I

11:22

know that were not meant to talk

11:24

about. Friends. That people probably. Now

11:27

it is rack attack. Yep, and it's

11:29

got side effects. Spoon that headaches

11:31

and give flare ups in the

11:33

skin is not a perfect drugs,

11:36

but it does control the scarring.

11:38

Very careful because it can cause

11:40

analysis and economy on costs the

11:42

same times you use. But and

11:45

scarring treatment early contains a person's

11:47

life because once caught in this

11:49

way hard to do with it

11:52

and it has fresh, significant psychological

11:54

effects. So that's really

11:56

severe and have acne. The people who is that

11:58

of dealing with normal and. Then look nice,

12:00

but it's probably not going to cause

12:03

permanent scarring, liberal and acne. The most

12:05

important question I think any to ask

12:07

you nominees. The Pope who

12:09

not. Satisfying

12:13

as to cease to pop up.

12:17

It's probably best not to because of

12:19

this. to do you fiction is part

12:21

of the sequence in the more you

12:23

fit with it more likely to face.

12:25

Nice to get. thought Norman.

12:28

I found a study. That's.

12:31

I found a study that showed

12:33

that watching painful puffing videos. Has

12:36

been shown to activate the pleasure center of

12:38

the brain. It's good for your mental health

12:40

to puppies is. No My because the

12:42

mental health towards to talk of somebody else

12:44

Poppins it's severe over the whole level. Stress

12:46

goes down in your inflammatory response goes I

12:49

met my be what screws to. Kill.

12:51

The other thing that I realized I was doing

12:53

some research about this is is acne as it's

12:55

like as a disease is unique to humans at

12:57

least according to some of the paper's authors that

13:00

I was reading and. Lucky. Said

13:02

you've got these sebaceous glands in

13:04

high density on that. Off of

13:06

the body is far and you face. Muscles

13:09

and stuff like that and one

13:11

of the evolutionary kind of theories

13:13

put forward at least by this

13:15

group of researchers, was that it

13:17

was to help baby slide out

13:19

more easily. During birth. This

13:22

isn't a journal, this isn't just making stuff

13:24

up bro journalists and was called medical hypotheses.

13:26

that's the neighborhood of it and I'll stick

13:28

with our prophecies. Me I think it's bullshit

13:31

say the other stuff going on as everyone

13:33

listen to us news is have babies for

13:35

the other stuff going on to have we

13:37

become arts and received an exact reasons cause

13:39

he married a psych. I will take all

13:42

the help I can get another one of

13:44

also in medical hypotheses. What a journal! I

13:46

can't believe I don't have a subscription to

13:48

this one already. Is that acne

13:50

is in adolescence to make them less

13:53

desirable to potential mates until they're. Ready.

13:55

To reproduce. So

13:57

basically it's to turn them off each other.

14:00

Until anywhere his than any haven't seen as

14:02

his nose. At a specific of if it's

14:04

a few. Service was shut down. Know

14:08

it's my new favorite. My new favorite

14:10

rates. Prepare to be receiving emails from

14:12

me too! I am with medical i

14:14

thought disease journal article I read for

14:17

which was time for quick summary with

14:19

Acme is a lot of the skaters.

14:21

Some. Was getting more severely than others.

14:23

Look for the environmental effects dogs and

14:26

stuff like that Combination fitness do work

14:28

bigger, worked with your doctor on that

14:30

and there are treatments for the scarring

14:32

form under perhaps as an adult Food

14:34

from first time versus bit more notice

14:37

and with of new new word plus

14:39

yet grice? thanks for that. Know what

14:41

sort of feedback of we had from

14:43

our other shows? Well. It's funny, we

14:45

were talking about hormonal says today and we

14:48

have had savant right into response to that

14:50

episode on the menstrual cycle. Eu talking that

14:52

menstrual tracking and the fact that there isn't

14:54

really a lot of great evidence for or

14:56

against using that for tracking if you're trying

14:58

to increase. Is both performance and Seven

15:01

said they don't even study female

15:03

rats. Afford a cycle is apparently.

15:07

Which is something we kind of talked about

15:09

a bit in the past. more on the

15:12

health report than him site or charges. Whole

15:14

issue of male bias in both notice medical

15:16

research human beings but also an animal Sons

15:18

of Wills outrageous even in cel studies have

15:20

you guys have. Way. Way back but that is

15:22

since how pick for another day. And most

15:25

common wisdom teeth. well. Yes, and

15:27

when we talk that listen teeth. The question

15:29

actually came from our producer Selby. He wanted

15:31

to know what the story was, bizarre, whether

15:33

to get I was, did he take a

15:35

nap Anyway, She went off and did it

15:38

says had recently taken out. So. So

15:40

we high ceiling had a dad

15:42

died. It was fascinating. I loved

15:44

it. Assess assess. The first

15:46

time anyone's ever said that after having fifty years

15:48

of research unit syndrome or some it's really have

15:50

was when he's done. Know I

15:52

just I think that's his job

15:54

has converted me into being weirdly

15:57

sucks the natives by medical procedures.

15:59

Even when somebody sort. For you, it. Didn't

16:01

hurt. I almost. I could

16:03

hear the rat style but

16:05

I didn't feel anything. And

16:08

to get we would usually as the all

16:10

my are just all. Of them Out fulfil

16:12

out He showed me the truth afterwards

16:14

I didn't even have to ask. He

16:16

was like she wanted to the teeth

16:18

Absolutely I wanna see the tastes and

16:20

I saw them and he said oh

16:22

you've had anti biotic as a child

16:24

I can see on your teeth. Ring

16:28

around the roots of you given.

16:30

His son foods which is time

16:32

to to note that the one

16:34

drugs shouldn't get was angry when

16:36

you're too young cause a speech

16:39

at least foot sandwiches or it.

16:41

so there's that love that history

16:43

is written in a recent is

16:45

so Shelby give you the youngest

16:47

member of the team. how do

16:49

you feel of up looks. I

16:51

really like it. It sounds lights

16:53

on about appear. Describes his

16:56

notice. If

16:58

you gotta grice the words and plague, I'm

17:00

on the fence about whether I want to

17:03

know about it, but you could email it

17:05

to us that Ras at A B C

17:07

that it that are you. And speaking of

17:09

things that are Rise, we are asking you

17:11

for your questions as always. But if you

17:13

can make it to Breeze Been for the

17:15

twenty second of March we are doing a

17:17

live show, a live recording of what's That

17:20

Ras. You could ask your question live to

17:22

Norman in May but you need to let

17:24

us know immediately because the competition. Closes Very

17:26

same to Francis's really is like

17:28

Taylor Swift is what would you

17:30

do Total sales to us with

17:32

concert. How many out the changes even as you across

17:34

the course of our lives. So. I'll bring

17:36

uses. The

17:40

Mls of address at A B C. Net. That I

17:43

used to be in the audience for free

17:45

to Ask Your Grace. Question to nominee May

17:47

on the twenty second of months to see to

17:49

see him in. You've.

18:02

Been listening to an A see

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