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Its from a lack of vitamine D. 8ng/dl and it should be ATLEAST 30.
Ah, just be in the sun more and/or eat more fish.
Take supplements for the lack of vitamin d
First thing tomorrow!
Being under exam stress and not going outside for two months leads to increased cortisol levels, disrupted sleep patterns, and lack of sunlight. All of these factors trigger acne
Not really; Based on my bloodwork, I likely don't experience chronic stress or elevated cortisol for several reasons. First, my fasting glucose is perfect at 93 mg/dL - chronically elevated cortisol drives gluconeogenesis and would push this higher. Second, my inflammatory markers are exceptionally low with CRP under 0.6 and ESR at only 2 mm/h, whereas chronic stress and high cortisol typically increase systemic inflammation significantly. Third, my lymphocyte count is actually slightly elevated at 3.50 rather than suppressed, which contradicts high cortisol since cortisol is immunosuppressive and lowers lymphocytes. Fourth, my liver function is pristine with perfect AST, ALT, and GGT values and a FIB-4 score of 0.35, showing no signs of cortisol-driven metabolic dysfunction or fatty liver. Fifth, my eosinophils are normal at 0.20 when very high cortisol would dramatically suppress them. The combination of stable glucose metabolism, minimal inflammation, normal-high immune markers, and perfect liver function all point toward well-regulated cortisol levels despite my lifestyle factors like smoking ten cigarettes daily and sleeping only seven hours. My animal-based diet likely contributes to this by providing stable blood sugar without glucose crashes that trigger cortisol spikes, adequate protein and fats for satiety and stress recovery, and complete bioavailable nutrients. At age twenty with apparently strong genetics and metabolic resilience, my HPA axis seems to be functioning optimally, though my severe vitamin D deficiency of 8 ng/mL remains a significant concern that could eventually impact stress hormone regulation if left unaddressed.
Tbh the analyses are indeed very consistent in particular, your inferences based on lymphocyte and eosinophil counts, stemming from the immunosuppressive effect of cortisol, clearly summarize your metabolic status. The low CRP and ESR values prove that your animal based diet minimizes systemic inflammation and that you have high metabolic resilience. However, despite such stable biochemistry, experiencing acne suggests that the issue may be related to local immune regulation in the skin barrier rather than systemic stress. A vitamin D deficiency at 8 ng/mL may disrupt cytokine balance, making it harder for the skin to control its inflammatory response. In other words, the body isn't generally stressed but the skin's defense and repair mechanism is disrupted due to this deficiency. Having such clear liver function and FIB-4 scores provides you with a very strong metabolic reserve to begin a more intensive treatment like accutane. This clean starting record will minimize the risks for you during the treatment process