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Overview

Insulin Fasting Test

Insulin Fasting Test

also known as: Immunoreactive Insulin

An Insulin Fasting Lab test is done to evaluate insulin production by the Beta cells in the pancreas. It is also practiced to help determine the cause of low blood glucose, which is a disease known as Hypoglycemia. It is also performed to help diagnose the presence of an insulin-producing tumor in the Pancreas called Insulinoma which in fact causes Hypoglycemia, and also to identify the insulin resistance or to help determine when a type II diabetic might need to start taking insulin to supplement oral medications. It is advisable to take the insulin fasting test when you have low blood glucose levels with symptoms such as sweating, palpitations, dizziness, fainting; when you have diabetes and your insulin production needs to be monitored; sometimes when it is suspected that you have insulin resistance.

  • HIGH AND LOW INSULIN:
  • Insulin helps transport glucose, the body's main source of energy, from the blood to within cells.
  • If a person makes too little insulin or is resistant to its effects, cells starve. If someone makes too much, then symptoms of low blood glucose emerge.
  • A normal fasting blood insulin level is below 5

  • A blood sample is drawn from a vein in your arm. So ,it is recommended that you should either wear a sleeveless or a short-sleeved shirt. Wearing a shirt with full- sleeves that can easily be rolled-up is also fine.
  • You may be asked to fast for 8 hours before the blood sample is collected.
  • In some cases, a health practitioner may request that you fast longer.
  • Diagnose an insulinoma, verify that removal of the tumor has been successful, and/or to monitor for recurrence
  • Diagnose the cause of hypoglycemia in an individual with signs and symptoms.
  • Identify Insulin resistance
  • Monitor the amount of insulin produced by the beta cells in the pancreas
  • When a type II diabetic might need to start taking insulin to supplement oral medications
  • Handful milliliters say; one to two teaspoons of a blood sample would be obtained directly from you.
  • An Insulin Fasting Lab test can be done at numerous sites like the doctor's clinic, test center, and infirmaries.
  • The blood will be dragged out from the needle by a nozzle, saved in a vessel and sealed with your name.
  • This sample is carried to the research laboratory for examination.
  • LimitationsThis insulin assay is performed using a 2-site electrochemiluminescent immunoassay on the Roche automated platform.1 This test could be effectively used for those patients not receiving exogenous insulin or those receiving unmodified human insulin. Test 004333, Insulin is highly specific for human insulin, as shown in the table below. This test does not react, for instance, with several of the insulin analogs used to treat diabetes as indicated in Table 1 below. The efficacy of each test depends on the patient treatment and goal of the ordering physician. It is important that the physician ordering and interpreting the results understands the specificity of the test.Table 1: Cross reactivity to insulin analogs1-3• Human insulin: 100%• Insulin aspart: <1%• Insulin glargine: <1%• Insulin lispro: <1%• Insulin glulisine: <1%• Insulin detemir: <1%Notes:• Circulating antibodies to insulin, both autoantibodies and antibodies to therapeutic insulin, can interfere with the immunoassays for insulin.4,5• As with all tests containing monoclonal mouse antibodies, erroneous findings may be obtained from samples taken from patients who have been treated with monoclonal mouse antibodies or who have received them for diagnostic purposes.1 In rare cases, interference due to extremely high titers of antibodies to streptavidin and ruthenium can occur.1 The test contains additives that minimize these effects.
    Specimen
    Serum
    Volume
    0.8 mL
    Container
    Red-top tube or gel-barrier tube.
    Type Gender Age-Group Value
    -
    UNISEX
    All age groups
    < 225mIU/L
    Average price range of the test is between Rs.500 to Rs.1400 depending on the factors of city, quality and availablity.

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    Table of Content

    What is Insulin Fasting Test?
    Preparation for Insulin Fasting Test
    Uses of Insulin Fasting Test
    Procedure for Insulin Fasting Test
    Limitations of Insulin Fasting Test
    Specimen Requirements
    Normal values for Insulin Fasting Test
    Price for Insulin Fasting Test
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    Popular Questions & Answers

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    Homeopath, Secunderabad
    I have acne prone skin. Can I wash my face with lukewarm water? Is this beneficial to treat these stubborn acne? How ...
    Maintaining good hygiene is essential. Lukewarm water can be used. Do use cold water later. Do not frequently touch the pimples as that can lead to infection. Do not use soap frequently as it can make the skin dry. Eat only healthy food. Include fruits and vegetables everyday. You can try Homeopathy which can help overcome this problem naturally.
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    MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
    Endocrinologist, Dharwad
    Mr. lybrate-user, Thanks for the query. First thing to be done is to do a Thyroid Function test, check the hormone levels and come back with the results. The swelling could be due to hypothyroidism or due to hyper activity. Plus there is a need to get ultra sonography of the gland should be done. Please do not rub any juice on the gland. It may do more harm than any good. The thyroid swellings occur because of some internal functional problems. Which can be detected only by proper testing. Hence you may have to go to an endocrinologist near by for getting these things done. Thanks.
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    Hi I am having diabetes since 2010 whenever I check my Sugar at home it is around 180 but when get it checked from lab it was about 289 and even I am loosing my weight.

    MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
    Endocrinologist, Dharwad
    Hi I am having diabetes since 2010 whenever I check my Sugar at home it is around 180 but when get it checked from la...
    Mr. lybrate-user, Thanks for the query. Blood glucose checked with gluco meter or with venous blood at labs, can be having such a huge difference. You have not mentioned whether it is fasting, after food or random. If you are loosing weight means blood glucose is not well controlled. Hence my suggestion is please come back with following details: FBG, PPBG & HbA1c%, drugs being taken with dosage, dietary pattern and extent of exercise being done daily. Based on those details I will be able to guide specifically. Once if the blood glucose is well controlled then weight loss is stopped and one can even regain the same. Thanks.
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    Please tell me what atta should we eat in house for - each one of following - Mom looking for Weight Loss, Grandpa has diabetes, Papa has cholesterol and bp, I need high protein less carbs, do computer work all day.

    M.Sc - Dietitics / Nutrition
    Dietitian/Nutritionist, Greater Noida
    Please tell me what atta should we eat in house for - each one of following - Mom looking for Weight Loss,
Grandpa ha...
    Go for multi grain atta mix chana, jawar ragi, soy atta in whole wheat atta with bran which is not available in packed atta either buy fresh atta from chakki or mix bran in it. You all need high fibre diet. Consult me privately for customized diet according to your family needs.

    Popular Health Tips

    These Sexual Mistakes Compromise Penis Health!

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    Sexologist, Delhi
    These Sexual Mistakes Compromise Penis Health!

    When it comes to maintaining proper penis health, most men have a very good idea of what to do. They know all the basics of penis care, from taking care to wash properly to regularly inspecting the manhood to applying a high-quality penis health crème. But in the heat of the moment, when sexual fun is getting hot and heavy, a man might make a silly mistake. Those sexual mistakes can compromise penis health in a serious way.

    Not sure what sexual mistakes might be a problem? Here's a list of the biggest issues a man might find himself doing when things are hot - and might regret when things cool off.

    1. That lube isn't really lube. A man who is getting it on but suddenly realizes the need for lube might reach for whatever is handy, assuming a bottle of lube is not available - and sometimes that means he will try to use anything from shampoo or conditioner to lotion or cooking oils. Obviously these things are not meant for use as a sexual lubricant, and can lead to dry and cracked skin, irritation and more. Using lube designed specifically for the sexual purpose is always recommended.

    2. The condom is too small. Though it is very important to always wrap it up before sexual activity, the wrapping itself might sometimes be the issue. Using a condom that is too small might lead to a little irritation in the heat of the moment, but a man can often ignore that for pursuit of pleasure. The aftermath is when things get rough, as the penis can develop small cuts, tears or even blisters from the use of a condom that is too tight. It pays to test out a variety of condoms to find the best fit.

    3. There's been too much drinking. Sometimes a bit of inebriation can be a good thing, as it lowers inhibitions and can help both partners relax before the main event. But too much drinking can lead to serious problems, including trouble with getting it up or issues with stamina. But too much alcohol consumption can lead to even worse things, such as forgetting to use a condom or even suffering memory loss that leaves a man wondering just what happened the night before. Avoiding this is simple: don't drink too much before a bedtime romp.

    4. Cleaning up is not a priority. There are plenty of bodily fluids sliding around during sexual activity, and much of that understandably winds up on a man's penis. From the natural lubrication that occurs during sex to the traces of spermicide in the condom, there can be several substances that linger. A man who doesn't clean off his penis after sex is asking for trouble, as those fluids can dry on the penis skin, leading to itching, irritation and redness, as well as a potential penis rash.

    A man who pays attention to good penis care should always remember that caring for the penis extends to those moments when things are hot and heavy. Not only should a man be fully prepared for any sexual encounter, he should also be sure to take care to clean up well afterward. Maintaining good health should also include regular use of a high-quality penis health crème (health professionals recommend Man 1 Man Oil, which is clinically proven mild and safe for skin). Look for a crème that includes a multitude of vitamins and nutrients, such as vitamin A for odor-fighting properties, vitamin E to keep skin supple, and vitamin C to enhance sexual health. Amino acids such as L-arginine for blood vessel dilation and acetyl-L-carnitine for protection against peripheral nerve damage are also helpful. Combine it all in a Shea butter base and a man has the recipe for great penis health.

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    Know The Ayurvedic Approach To Reversing Diabetes!!

    Graduate of Ayurvedic Medicine and Surgery (GAMS)
    Ayurvedic Doctor, Panipat
    Know The Ayurvedic Approach To Reversing Diabetes!!

    Glucose is the primary ingredient within the body which is turned into an energy source. This is what we use when we move, walk or make the slightest movements. To metabolize glucose into energy, your body needs insulin, which is a hormone produced within the pancreas. However, if the body doesn't react to the insulin or the pancreas is unable to produce enough, glucose cannot be converted into energy and thus results in type 2 diabetes.

    Symptoms of type 2 diabetes

    1. Sudden or gradual weight loss despite increased hunger - Many people complain that they feel hungry and eat more, but despite this, tend to lose weight. This occurs as the body cannot metabolize glucose and uses energy reserves from fat or muscles leading to weight loss.
    2. Frequent infections and slow healing - If you are afflicted with Type 2 diabetes, then it might affect your immune system and you may be prone to infections. Also, any cuts or bruises on your body will take much longer to heal than normal.
    3. Irritability and fatigue - Another common symptom of type 2 diabetes along with the other symptoms mentioned here is quick irritability and fatigue. This is because most of the body is deprived of sugar and thus lacks the energy needed to function normally. 
    4. Constant thirst and increased urination - If you feel constantly thirsty despite drinking ample water and urinating frequently, this may be a tell tale sign of type 2 diabetes.
    5. Skin darkening in folds and creases of the body - Also known as acanthosis nigricans; this is a darkening of the skin where it also becomes velvety to the touch. It usually develops in the folds on skin in areas such as the neck and armpits and is a direct result of insulin resistance.

    Causes of Type 2 diabetes

    Some of the most common causes of Type 2 diabetes could be:

    1. Being overweight
    2. Lack of physical activity
    3. Genetic predisposition or family history 
    4. If you are more than 45 years of age
    5. Hormonal problems such as Polycystic ovarian syndrome

    Reverse Diabetes

    There three major factors that can help you prevent and reverse pre- and type II diabetes: proper diet and appropriate nutritional and herbal supplementation, exercise, and weight management.

    1. Diet: Proper diet is critical for both preventing and treating pre-and type II diabetes. One of the most important dietary precautions you can take is to eliminate all refined sugars and sugar products from your diet. Also reduce or eliminate your intake of alcohol and caffeine; avoid fast, processed "junk" foods and soda, altogether; and eat protein snacks between meals.
    2. Eating According to the Glycemic Index: Another important dietary tip is eat meals that contains an abundance of low-glycemic (low-sugar) foods. By doing so you can significantly improve your body's ability to maintain low insulin and blood sugar levels. Low-glycemic foods include raw, organic leafy green vegetables, fruits that contain pits, sweet potatoes, yams, organic whole-grain breads and cereals, most legumes and nuts, skim and buttermilk, poultry, white fish, shellfish, and lean cuts of beef and veal.
    3. Nutritional and Herbal Supplements: In addition to a healthy diet, many people at risk for or who already have pre- or type II diabetes will also benefit from various nutritional and herbal supplements.
    4. Exercise: Regular exercise should be part of every diabetic's daily routine. Exercise in combination with a weight loss program has been proven to reduce the odds of developing diabetes by 58 percent among people who are at risk for the disease. If you wish to discuss about any specific problem, you can consult with the doctor for diabetes ayurvedic treatment.
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    Tips For Monsoon!

    BHMS
    Homeopathy Doctor, Bahadurgarh
    Tips For Monsoon!

    Monsoon is the season that brings happiness to our life as it makes the environment cool after the hot and scorching sun rays during the summer. But, even after having the cool splash of monsoon rain, there are some flaws and negative effects from which you need to protect yourself.  There are certain health risks that are brought by monsoon from which people needs to be really careful. If you have kids and elderly people at home, they will be really susceptible and are affected with the health conditions like allergies, cough, cold etc.  Even when you are having your diet, it will be really important to be cautious about meal and choose the adequate type of meal that won’t make you sick.

    The first water droplets of the monsoon make us relieved and joyous. This season can be a remedy of rashes we got due to prickly heat during the summer. But, we too need to be really careful during monsoon with regards to the food we intake and the activities we perform.  There are certain health risks we can suffer due to monsoon. Especially kids are very susceptible during monsoon. This is the season where waterborne bacteria can attack us and we can get reduction in our immunity level. Normally people suffer from indigestion, allergies and several types of infections. Let us find out some tips that will keep us healthy during monsoon.

    Be healthy throughout the monsoon season in India needs particular care to be taken. The rainfall and water lying around makes it very simple for mosquitoes to type and rises the risk of mosquito conveyed infections, such as malaria and dengue high temperature with fever. Viral infections are also spread easily during the monsoon season.

    Tips stay healthy in monsoon season

    • If desired to eat road side food, the rainy season isn’t the time to indulge. water and raw vegetables is  are not hygienic during  the monsoon.
    • Use a powerful insect repellent to hold mosquitoes away and prevent getting bitten. It’s furthermore good concept to take anti-malarial drug during this monsoon.
    • Where likely, try to avoid walking through rainy water. It can lead to numerous fungal diseases of the feet and heels.
    • Keep the items like Umbrella, rain coat etc when you are going out.
    • Take moderately hot food and drinks in this monsoon.
    • Keep away the children to play in the rain and rainy water.
    • Also avoid walking where water is lying on the street, as traffic will propel by and spray it all over you.
    • Dry your feet when they get wet.
    • Avoid colds and coughs by keeping your body moderately hot and dry.
    • Don’t go in air conditioned rooms with wet hair and damp apparels.
    • If you suffer from asthma or diabetes, avoid residing any place with wet walls. It encourages the development of fungus and can be especially hurtful.
    • Drink many of heating herbal teas, particularly those with antibacterial properties.

    Choice of diet during monsoon

    During the monsoon season, it is advised not to consume fast food and the snacks from the roadside stalls. This can give rise to stomach infection.  Most of the time people suffer from the problem of indigestion during the monsoon season as the airborne bacteria are very well active in the environment and can easily get inside your body with the food you eat.  Since during the monsoon season, humidity is really high in the environment, the ability of body to digest comes down. It will be better for people to avoid the oily food which are prepared in street. Only the healthy food prepared at home must be considered.

    1. Fruits

    It is really essential for you to consume adequate fruits during the monsoon season as this helps you restore energy.  But there is also choice of fruits as well.  Go for the items like pears, mangoes, apples and pomegranate. Even there are some fruits that helps bringing out pimples on your face. On order to remove pimples from your face, you need to avoid the fruits like muskmelon and water melon. Even consuming excessive mangoes can give rise to pimples.

    2. Dry food

    It is better not to go for the watery food during the monsoons such as juices available outside, lassi ad other watery fruits. Instead go for the dry category of food such as pea, flour, corn etc. As consumption of too much watery food during monsoon can give rise to swelling in your body. So, it’s better to avoid.

    3. Increase your immunity

    One of the major problems suffered by people during the monsoon season is reduction of immunity level in body. Today, there are ways in which you can easily increase your immunity level through home remedies. Whenever you are preparing soup, add a clove of garlic at the beginning ones the oil is hot. This will increase immunity level of an individual during monsoon.

    4. Water

    Since water borne diseases are quite common during the monsoon season, try not to drink water that is not purified. Even after filtration, it is better to drink the boiled water as this will kill all germs and bacteria that have formed in water.

    5. Stay away from high blood pressure

    If you have a problem of high blood pressure, it will be better to consume very little salt in meal or else this will give a boost to the problem of high blood pressure. Thus, it is important to avoid those food items that have good amount of salt.

    6. Bitter vegetables

    You should definitely have a dish of bitter vegetables in your meal such as neem, bitter gourd etc to avoid skin infections and allergies. If you don’t like to consume it in a boiled form, make a fried form to add taste in your tongue. This is a wonderful remedy to stay away from all types of skin infections.

    7. Stay away from stagnation

    During the monsoons, stagnant water will be very well available at your home and outside. It is really important to avoid stagnant water as this will give rise to diseases like malaria and dengue. You should always throw away the water inside the unused tank, flower pots as well as water coolers.  Since stagnant water is a place where the mosquito can breed, avoiding such stagnant water will be an important consideration when you are living in monsoons. Also don’t forget to place mosquito net or a repellent when you are asleep at night.

    8. Medium low salt food

    During monsoons when you are preparing meal for your family, it will be important for you to include low salt. During the monsoons people can get high blood pressure level due to salty food. Water retention is again another problem which can be checked with the help of low salt food.

    9. Prefer dry fruit

    Not all foods are good for all seasons. For example the watery fruits and juices are good during summer as we get dehydrated. But, during monsoons this can be a reason for trouble. The food such as watermelon, lassi, rice etc can create swelling in your body during monsoons. It is better consuming the food that is dry in nature.

    10. Other forms of milk

    During monsoons it is better to avoid milk. Rather, it will be good to consume other forms of milk in condense form such as yogurt, curd, sweet etc. If you want to drink milk, it is better to boil it in 100 degree Celsius and then drink it. This will help you stay away from the harmful germs that are likely to attack your body.

    11. Avoid spicy food

    During monsoon since the weather is not too hot or too cold, you will be inclined towards the spicy foods. But this will be absolutely a wrong step for you. You must avoid having spicy food during the monsoon season. It can lead to skin allergies and irritation.

    1 person found this helpful

    Myths And Facts About Diabetes!

    MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
    Endocrinologist, Dharwad
    Myths And Facts About Diabetes!

     1) Diabetes is curable :

    Diabetes is  mainly due deficiency of Insulin (hormone produced by Beta cells of pancreas), plus resistance to action of insulin, overweightor obesity  and inactivity. Therefore, to treat diabetes we need drugs that initiate insulin secretion, reduce insulin resistance. In some cases  insulin itself. Plus dietary control and regular exercise to maintain normal weight or reduce excess weight. Hence it can only be effectively controlled. Cure is not possible.

    2) Eating Sugar or Sweets causes Diabetes :

    It is incorrect to say that eating sweets and / or sugar causes diabetes. Basically excess food intake will lead to excess production of glucose. That puts excess load on insulin producing cells in pancreas due glucotoxicity. Also due to central obesity  the fat around internal organs causes lipotoxicity affecting the beta cells. Therefore, excess food intake in general and weight gain  are the reasons for diabetes.

    3) Jaggery is better or safe in diabetes :

    Jaggery and sugar both are essentially same. Both contain sucrose, as they are prepared from sugar cane juice. Hence eating either of these will increase blood glucose considerably. In jaggery there are some vitamins and a few antioxidants. But both are bad for a diabetic person.

    4) Rice should not be eaten in diabetes :

    Not really true. Because in south India this is the major or at times only main food. Rice has a high glycemic index so gets converted to glucose rapidly. So polished rice is not good. Brown rice is better. Quantity should be regulated. All other cereals  also are converted  glucose after digestion. 

    5)Allopathic Medications Damage Kidneys, so go for either Ayurvedic or Homeopathic Drugs :

    In fact diabetes itself affects kidney, particularly the filtering membrane of glomerulurous  (a filtering unit in the kidney).   Even when diabetes fairly well controlled, kidney does get affected. The drugs used to treat diabetes  help in overcoming kidney damage. Therefore it is wrong to think that modern drugs cause kidney damage. In fact some of the other drugs contain heavy metals (Bhasmas), which can be harmful to the kidney.

    6) Sugar intake is essential for body :

    Some people keep asking that eating sugar is very necessary for getting energy for the body tissues. This is not at all true.  Because all the cereals like rice, jowar, wheat, ragi, bajra and other millets, contain starch as the main ingredient. Hence intake of each of these foods  provides glucose after digestion. So there is no separate need for taking sugar.

    Few things to be remembered and practiced are :

    • Always use whole grain flour, as it contains a good amount of biber content for making chapati or roti.
    • Consume more of green leafy vegetables and salads with every meal.
    • Consider fruits and green leafy vegetables as part of regular snacks
    • Take small meals on more number of occasion to avoid glucose surge.
    • Avoid Maida and foods made from it. It is probably worst kind of food that one can consume.
    • Form healthy food habits.
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    Adult Acne - 8 Facts About It!

    Diploma In Trichology - Cosmetology, PG Diploma In Clinical Cosmetology (PGDCC), Diploma In Aesthetic Mesotherapy, PG Diploma In Clinical Research
    Aesthetic Medicine Specialist, Ahmedabad
    Adult Acne - 8 Facts About It!

    Acne is often misunderstood to be a condition that only affects teenagers. However, acne can develop even when a person is in his or her thirties. This sort of acne is known as adult acne. As wth any other health condition, there are a number of myths associated with adult acne. Here are 7 facts you should know about adult acne.

    1. You’re not the only one. Adult acne is a fairly common skin condition. It affects both men and women though the latter are more susceptible to it. Even people in their 50s can develop acne.
    2. Adult acne and teenage acne is not the same. Acne that develops in the teenage years tends to affect the forehead area. It consists of mainly white heads and black heads that develop as a result of clogged pores.
    3. On the other hand, adult acne affects the lower half of the face appears in the form of bigger, red nodules. These often recur in the same place.
    4. Adult acne in women is mostly due to hormonal changes. A woman’s body is constantly facing hormonal changes during menstruation, pregnancy, menopause or as a result of changing birth control methods. These hormonal changes are often accompanied by acne breakouts. A chronic acne breakout can also indicate serious hormonal imbalances or conditions such as polycystic ovarian syndrome.
    5. Stress is a primary contributor to adult acne. Stress and acne have a cyclic relationship with each contributing to the development of the other. Chronic stress can lead to hormonal imbalances which further lead to the development of acne. Frustration caused by the appearance of acne can worsen the stress and if not controlled this can further aggravate acne.
    6. Using the right skin care products can prevent adult acne. Washing your face multiple times may not prove to be the best way to prevent acne as this rids the skin of necessary oils. When it comes to skincare, it is essential to choose the right product. Ideally, choose cleansers that contain benzoyl peroxide or salicylic acid and non-comedogenic skincare products. Products that contain tea tree oil can also help reduce acne inflammations.
    7. Do not pick the pimplesAcne may be a temporary condition but can leave lasting effects if the pimples are picked or manually burst. Doing this can lead to the formation of permanent scars. Acne scars range from mild to severe and can later be treated with a range of procedures including dermabrasion, chemical peels and laser.
    8. What you eat can affect your acne. High glycemic index foods and dairy can lead to hormonal imbalances and have been linked to adult acne breakouts. This includes refined carbohydrates, processed sugars and all forms of milk. If you wish to discuss about any specific problem, you can ask a free question.
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