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Drugs or surgery will take the fat off and keep it off

EAT PLENTY OF
· Fresh fruits and vegetables for beta carotene and vitamin C.
· Seafood, lean meat, poultry, yogurt, and whole grains for zinc and vitamin B6

LIMIT
Keep supplements
Iodized salt
High doses of vitamins B6 and B12

Almost everyone experiences an occasional flare-up of acne, but it is most prevalent during adolescence, afflicting 85 percent of teenagers to some degree. Hormones are responsible for most cases of acne. In rare instances, sensitivity to a food may exacerbate existing acne, but food does not actually cause it.
Heredity is suspected in some cases of severe acne. A number of medications can also cause acne; major offenders include steroids and other hormonal agents, iodine preparations, lithium, and anticonvulsants. Stress often triggers a flare-up of acne, most likely by altering hormone levels.

HOW FOOD CAN HELP
Clear, glowing skin reflects overall good health. This requires regular exercise, adequate sleep, quitting smoking, and avoiding excessive exposure to the sun, as well as a diet rich in some important nutrients.

CHEMICALS AND STREET DRUGS CAN ALSO CAUSE ACNE
"Chloracne" is a well-recognized clinical sign of exposure to certain chemicals, like dioxins-seen in vietnam veterans who were exposed to the defoliant Agent Orange.
Steroids, and the use of the drug Esctasy, have also been linked with acnelike skin rashes.

Eat vitamin A- and C-rich foods
They help build and maintain healthy skin. There is some evidence that beta carotene, which is converted by the body into vitamin A, may reduce sebum production. The best dietary sources of beta carotene are brightly colored fruits and dark green vegetables.

Include B6
It may reduce acne by helping to reduce acne by helping to regulate hormones implicated in the develpment of acne lesions.

DON'T FORGET ZINC
Some studies link this mineral to skin health and claim it may help to improve acne. Zinc promotes healthy hormone levels and advances healing.
Do not attempt to self-trat acne with high-dose vitamin and mineral supplements; this might worsen the condition. Some studies show that high doses of vitamins B6 and B12
can aggravate acne symptoms, and high doses of vitamin A can cause dry, flaking skin and hair loss. Excessive intake of vitamin A has also been linked with the risk of osteoporosis.

GOOD NUTRITION IS THE FIRST LINE OF DEFENSE
Most persistent mild to moderate acne can be controlled with proper skin care, good nutrition, and nonprescription drugs, such as 2.5- to 10 percent strength benzoyl peroxide gel, lotion, ot ointment.

A dermatologist may prescibe tretinoin, a topical medication derived from vitamin A; an antibiotic may also be tried. Isottetinoin (Accutance), a potent oral drug, is reserved for severe cystic acne. Since Accutance can cause severe birth defects, women taking this medication should be counseled to use multiple methods of birth control.