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Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 56786
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I’ve very bad acne all over my face & back. And I feel so

Customer Question

Hi, so I’ve very bad acne all over my face & back. And I feel so weak & tired all the time. I was such an energetic women. Now i don’t feel the energy anymore . I’m always so tired. Can you please tell me what’s wrong with me? And can you please tell me how to cure my acne .. I’ve called my gp so many times . they say it’s not urgent but i know it is i don’t feel good. I’ve been struggling with acne for so much time. I’ve tried every possible skincare & medication. I don’t know what to use now. I need a doctor to see me.
JA: How long have you been dealing with this issue? Any other skin concerns?
Customer: 3 years now
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: that’s it i guess.
Submitted: 17 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 17 days ago.

What is your age?

Customer: replied 17 days ago.
I’m 22
Expert:  Dr. Arun Phophalia replied 17 days ago.

Thanks for the further information.

I am writing the answer for you and will get back to you in 5 minutes.

Unless you wish to speak in person, you can ignore the request for a phone call automatically generated by the website, not by me.

Thank you.

Customer: replied 17 days ago.
Alright I’ll wait for your answer, thank you!
Expert:  Dr. Arun Phophalia replied 17 days ago.

Tiredness will require blood tests for thyroid function tests and hormonal blood work.

The factors that directly contribute to acne are:

1) excess oil production,

2) pores becoming clogged by “sticky” skin cells,

3) bacteria, and

4) inflammation.

5) hormonal issues

6) hereditary factors.

A 20% azelaic acid cream is very effective.

A prescription of tretinoin (Avita, Retin-A) will also help.

Avoid fatty and fried food.

Drink plenty of fluids.

Fruits and vegetables and healthy food would also help.

1. Please avoid any oil-based cosmetics --water-based is better.

2. Please use a salicylic acid-based moisturizer daily in the daytime ( Cetaphil for example).

3. Please use a soft soap like Dove sensitive skin

4. Use Adapalene 0.1% gel daily at bedtime to reduce inflammation and regenerate healthy skin. This is over the counter.

Most likely you have androgen sensitivity.

Hence, anti-androgen therapy with prescription medication Spironolactone 100 mg daily for 3 months will clear up skin faster.

I wish your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using Just Answer.

Customer: replied 17 days ago.
Can you prescribe me Roaccutane please.
Customer: replied 17 days ago.
I’ve already tried all this
Customer: replied 17 days ago.
Nothing worked
Expert:  Dr. Arun Phophalia replied 17 days ago.

This is not a telemedicine website, unfortunately.

The website is only meant to provide medical education and answers specific to your questions only.

I apologize for the inconvenience.

I know that’s not what you want to hear right now.

I would be happy to answer any other medical concerns you have.

A prescription of any kind here would be both illegal and malpractice

The website is not authorized to issue any prescriptions or notes or referrals.

An urgent care center can do that for you.

I am just a messenger, I am afraid.

Sorry again.

You may contact;

Customer: replied 17 days ago.
Alright no problem thank you :)
Expert:  Dr. Arun Phophalia replied 17 days ago.

You are very welcome.

Wishing you a speedy resolution and all the very best in life.

It was a pleasure to assist you.

I sincerely hope that I have helped you and that I have earned my 5-star rating today!

Thank you.

Stay blessed.