Fighting Rosacea? Get the Red Out!!

Acne Rosacea and its variants—Ocular Rosacea and Rhinophyma—are best treated initially with strong antibiotics, such as minocycline, metronidazole or ivermectin. However, most cases that aren’t severe can be treated with OTC products. My recommendations are oral LOMA LUX Acne Pill ( and topical EPIONCE NUTRICEAUTICALS. Lytic Gel Cleanser is a great way to cleanse the pores to help treat and prevent Acne Rosacea. (See my ACNE blog for special cleansing instructions.) After cleansing twice daily apply Lytic Plus Lotion. Avoid other products (other than oil free makeup). See below for other product recommendations if you have overlapping components of Vascular Rosacea and/or Sensitive Skin Rosacea.

If you have Vascular and/or Sensitive Skin Rosacea, antibiotics won’t work. If your doctor makes this mistake, using either topical or oral antibiotics, you will know they aren’t very discerning. However, there is a topical prescription that often works in a safe way to “get the RED out”. This is Mirvaso R Cream. This is applied in the morning and gives about eight hours of consistent relief from the redness. (Don’t let your doctor treat you with strong topical corticosteroid creams. This will also get the red out for a few hours, but it has some serious side effects, such as cataracts, glaucoma and Angry Face Syndrome, which is a rebound worsening of the redness.

What are my best OTC recommendations for this type of Rosacea? LOMA LUX Eczema tablets help make the skin softer and less dry/sensitive prone. (See Topical EPIONCE products are IDEAL for calming inflammation and maintaining a healthy complexion. Gentle Foaming Cleanser once to twice daily is great for most people—but those with the worst sensitive complexions should use Milky Lotion Cleanser. Then after cleansing apply Balancing Toner twice daily. (You can spray it directly into your clean palm/fingers and then rub it on the face.) Immediately after this step apply Medical Barrier Cream lightly in AM and Intensive Nourishing Cream at bedtime.

Taking some practical steps can amplify the above therapeutics. Avoidance of certain foods (alcohol, cheese, hot food and beverages, etc) and environmental stress (heavy sun, wind, etc) and strong emotions (anger, stress, etc) can be helpful. Even something as simple as sucking on a cold drink or ice cubes during a hot or stressful event can dramatically take the RED out temporarily! Avoiding harsh or irritating exposures to the complexion is a necessary component of therapy. Avoid harsh acne products—even some mentioned in the Acne Rosacea section above may be too strong for the vascular/sensitive type.

You will be amazed after one to two months at your progress toward a normal complexion! Remember, be consistent and AVOID OTHER PRODUCTS. Keep all chemicals away from your face—even hair products. Keep your hands washed off so as not to transfer irritants by handling your face.

Wishing You All The BEST Health and Healing During The Holiday Season!!!
Steven A. Smith, MD
Psalms 103 “Benefits”

How to Treat Dry Skin – What Is Icthyosis?

Of course everyone suffers from dry skin. And there are so many moisturizers to choose from. But, did you know that some people suffer every day of their entire life? This common skin condition is called Icthyosis Vulgaris (translated, fish skin). What is it? Ever hold hands with someone who had it? You would remember the experience! The dry scaly texture is very real and very difficult to reverse. It is embarrassing for those who suffer. Some topical treatments help, but give only mild relief temporarily. The entire body is involved, but hands and legs are typically the worst. Large plate-like scales can form, especially in cold weather. Icthyosis (severe lifetime dry skin) is hereditary, so one parent and some of the children typically have similar conditions.


NOW REAL RELIEF IS AVAILABLE!!! After you’ve seen several doctors and gotten very little relief, what do you do? I have found that a combination of topical and oral therapy has brought the BEST long lasting relief. This consists of EPIONCE BALANCING TONER applied morning and night, followed immediately by EPIONCE RENEWAL ENRICHED BODY LOTION. (For the hands, substitute EPIONCE MEDICAL BARRIER CREAM in AM and EPIONCE EXTREME BARIER CREAM at bedtime. Remember to always spray on EPIONCE BALANCING TONER first.)

The oral medication that empowers the topical therapies above, FROM THE INSIDE OUT, is over the counter LOMA LUX PSORIASIS. This oral liquid is taken once daily on an empty fasted stomach, typically when you first get out of bed in the morning. Then after taking it with water only, you should wait on breakfast, coffee, etc. for about an hour. This allows the unique ingredients (special minerals) to get maximally absorbed. After a month of consistent combination topical AND oral therapy, most people with dry skin – even the severe Icthyosis type – experience a lifetime best soft smooth skin! Itching is also improved. The longer the therapy, the better the improvements.

REAL TIME–While writing this blog I stopped to see a patient with lifetime dry skin. She also has a parent and children with similar skin. She has used the above combination therapy for one year. She told me that this is the BEST and only thing that has ever helped her. I hear this frequently.

Of course this regimen needs to be continued to maintain the best results. However, it can often be interrupted during warm weather months–as my patient above did this summer, only needing to restart therapy in early November. Please, if you know of someone who suffers from dry skin, let them know of this. They may be discouraged, so you may have to be persistent, but this will be a Godsend to them!

As always, many Psalms 103 Healing Blessings!

Dr. Steven A. Smith, M.D.

Below is the link to, where you can buy these remarkable products and see for yourself why I have patients who would gladly give up a movie or their Starbucks before they would give up their Epionce – ESPECIALLY at this time of year!

Fabulous Holiday Specials means time to stock up – also, a gift with purchase and free beauty bag. Shipping is always free when you use our preferred shopper code:


No internet access? Just call 866-374-6623

What is Causing My Dandruff and How Can I Treat It?

This is probably the most common condition, other than dry skin, that I will talk about. In fact on one end of the spectrum, it can be considered dry skin of the scalp (i.e. Dandruff). While on the other end of the spectrum it can be considered scalp Psoriasis. For our purposes we will define Seborrheic Dermatitis – also called Seborrhea – as everything from mild Dandruff to severe scalp Psoriasis. It manifests any time in life. Cradle cap occurs in newborns and SEB DERM often manifests in the elderly – stroke and Parkinson’s patients are especially prone.

What does it look and feel like? If mild, just asymptomatic flaking or dryness, usually confined to the scalp, face and ears. As it worsens redness appears with the flakes. Sometimes a greasy oily surface texture can also be present. Severe cases can have itching, burning and even discolorations in darker skinned people. Rarely SEB DERM can spread to the central chest and groin/anogenital regions. Eyebrows and ear canals are very common locations.

What causes it? Several factors are at play. Hereditary risk is a major concern. Ask if anyone in your family ever suffered from bad Dandruff or Psoriasis or Eczema. (This entire spectrum of inflammatory skin and scalp conditions are certainly interconnected.) Stress is a major factor in onset and subsequent flaring cycles. Finally, many now believe that yeast microbes play a role. Diet and hygiene round out the rest of the causative factors, but they play more subtle, long term roles.

Now for the BEST PART–let’s get the SEB DERM better, maybe even put it into remission!  Topical therapy includes various shampoos for the scalp, and lotions & creams for the face and ears. These require maintenance to continue to be effective. Oral therapy like over the counter LOMA LUX Psoriasis can be even more effective–making the SEB DERM completely go away.

First, let’s cover external applications. EPIONCE INTENSIVE NOURISHING CREAM, preceded by EPIONCE BALANCING TONER is excellent for easily irritated dry prone facial skin.  Use it once to twice per day. Cleanse first with EPIONCE GENTLE FOAMING CLEANSER. If the complexion is opposite–oily and acne prone, cleanse twice daily with EPIONCE LYTIC GEL CLEANSER.  Follow this with EPIONCE LYTIC TONER &/or EPIONCE LYTIC PLUS LOTION.
Several medicated shampoos can help control the scalp.  Ketoconazole OTC shampoo and zinc shampoo (like Head & Shoulders) are good–especially if rotated back and forth monthly.

For FREE SHIPPING when ordering Epionce products, remember to use Dr. Smith’s Epionce Expert Code: 20030213

Internal OTC treatment can be added to the above for the GREATEST EFFECTIVENESS.  LOMA LUX Psoriasis is an oral once daily unique mineral remedy that can balance and heal from the inside. This can take 2–5 months of daily dosing, but can really pay off in reducing disease severity–sometimes even getting the SEB DERM into a long term remission–one that can turn it off for months to years without any maintenance efforts.

SEB DEM is one of my favorite things to treat because it is usually so responsive to good care. Be patient and persistent and let me know how you do!

P.S. Remember to continue all treatment for an extra month after all symptoms are gone. This helps lock it into a solid remission.  Finally, REMEMBER HIS BENEFITS. Psalms 103.

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