Dermatologist Talks Rosacea: Triggers, Treatments, and Derm-Approved Skin Care
ฝัง
- เผยแพร่เมื่อ 3 ก.ค. 2024
- I see rosace in clinic all the time, and rest assured there are ways you can manage triggers and soothe your rosacea, whatever type you may have.
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00:00 Intro
00:17 What is Rosacea?
02:54 Why Do We Get Rosacea?
05:45 Rosacea Treatments
06:21 Skin Care for Rosacea
Music by WABI SABI - snowflake - thmatc.co/?l=519BB0F1
DISCLAIMER: The information in this video is not intended as medical advice, diagnosis, or treatment. Always seek the advice of your physician. Also, product links may be affiliate links. Affiliate links support my TH-cam channel so I can continue to create videos for you.
Always good advice from this channel! Thanks!
I just recently had red spots around my cheeks and my derm said it might be rosacea or perioral dermatitis. I came across your video and started to use the la roche posay moisturizer you mentioned and also using the sunscreen of that same line. It’s been helping a lot calming my skin down, so thank you for your recommendations! 🙏
Thank you for this informative video on managing rosacea, it's so helpful to hear from a dermatologist like you. I've been struggling with rosacea for a while and have found that DermalMD Rosacea Serum has been incredibly effective in reducing the redness and inflammation on my skin. It's great to see a product that's dermatologist-approved and specifically formulated for rosacea. Thank you again for the tips and recommendations!
Ty for this information and for showing the products as that really helps me.
I hadn't had major flushing on my neck and chest for years with small pustules on occasion. It didn't bother me so I never saw a Dr. Unfortunately I starter experiencing styes almost weekly a year ago that progressed into blepharitis them chalazions that won't go away. Spent tons of time and money trying to treat them and finally went to see an ophthalmologist instead of an optometrist and was diagnosed with Ocular Rosacea. Thank you for the in-depth information. You're helping so many people!
Both Avene and La Roche Posay have excellent ranges for rosacea (anti rogue). Both creams have the same active ingredient- Ruscus extract. Excellent for shrinking blood vessels and controlling general redness. Avene’s product is good for day time (light) and La Roche Posay for night time (think & shiny). Avene has a great cleanser in the collection. Given to me by y dermatologist, highly recommend.
Colorscience has a tinted physical sunscreen specifically designed for people with rosacea, called All Calm. I really like it. It is the only sunscreen I have ever used that doesn't sting. And it works well as a foundation, it is the only skin makeup I use now. It's expensive but well worth it for the improvement I have seen in my skin and the quality sun protection it provides. Highly recommend. I even use it as a foundation for nightime events now, it works so well as basic makeup.
Could you possibly make a video or short in rosacea with oily skin? I have acne rosacea but I have oily skin, so most products that are recommended are too heavy or pore clogging!
There is lines that are made for also mixed and oily skin! Like rosalic UV legere...rilastil rs deliskin fluid..
Same here
Same!!
Yes please!
Yes please
La roche posay anthelios hydrating spf 50 has really helped my skin
I have had rocescia since I was 15 (30 now). My holy grail is the Avené redness concentrate. If I was only allowed one rosacea product, that would be it! :) It is a bit pricey, but if I use it consistently, I really see the difference. I use it periodically, 1-2 times per day, depending on the redness, and how well I have been taking care of my skin. I usually see a fairly big difference within a week or two.
Another thing I am experimenting with is an almond oil/sugar scrub. I made one a few months ago (just brown sugar and enough almond oil to get a scrub consistency). I used it in the shower, and after that, I used a body shampoo as normal. My skin went silky soft, and it did seem to affect the red dots on my arms a little. I will try to do this 2-4 times a month (depending on my skin, and if it is possible), and see if it will improve further.
I really need to get better about skincare in general.
I'm someone with very mild rosacea. I'm oily and was acne prone but now I'm in my 50s and I just try to be careful not to overdo it with exfoliants. I like the rosacare (?) moisturizer for night.
Thanks so much for the video, I have red patches on my chin and it was sitting there for about couple of years, yesterday I bought CeraVe produkts and I must say redness it's gone!!! Cannot be happier
I love watching your video ,thank you Dr jenny ,
I love Cetaphil's Redness Relief night moisturizer, alongside the LRP Toleriane Dermallergo one, both are great for my highly sensitive rosacea prone skin.
I was diagnosed with inflammatory rosacea about a month ago and put on doxycyclene, which seems to be helping! I have been using the aveeno calm + restore gel moisturizer for almost 2 years and love it, but the doxy seems to be drying out my skin and with fall and colder temps, my skin is dry and itchy. I'll give the La Roche-Posay Toleriane Ultra Soothing Repair Moisturizer a go and see if it helps as my daytime moisturizer!
Did it help?
Recently I've started chemical peels,I'm surprised how much helped my rosacea that reds and tiny bumps, definitely see a specialist before getting them started with gentle ones and built up,that and changing to mineral sunscreen really helps,mine is not bothering mes as much now!
Which kind of peel are you using? I just bought a BHA and a AHA and I’m not sure which one to try out
@@FashionbyBrittany i actually get done in a salon,they start off gentle then move up ,just makesure if you decide professional root,check reviews just incase. I also use to use a glycolic peel by guinot which is good aswel.i have found a very low grade retinol a couple times a week really helpful. Otherwise a very basic fragrancefree cleaser/moisturiser
@@Banana11128Will glycolic acid peel worsen rosacea?
@@luvsmallhome it helped me but with a specialist. But I have heard for some can..
Thank you thank you for sharing this video. Really got me to thinking in trying some new products form what you have shared. Especially since I’m still trying to find a good one that I like for my moisturizing routine.
I have used vanicream cleanser and I love it! I have used Cerave before to even Dermatologica calming serum and moisturizer to even their spray. I didn’t really enjoy the Cerave cleansers it felt kinda harsh. As for the Dermatologica brand it was good but not great. It had a nice lavender scent very calming. I have even tried one that I found a natural chamomile petal scrum by SpaLife. That one was good as well just like the Dermatologica brand.
I just started using the Vitamin C serum by L’Oreal (12%) it’s not but at all. I do notice my skin much more bright then how it looked before. I don’t use it every day on the L’Oréal I do it every other day or at night. Just because I love the scent and calming feel from the spa life or Dermatologica beand.
The moisturizer cream that I’m using right now is the Aveno brand called Aveno calm and restore redness relief moisturizing cream. It’s has a nice sent of oatmeal. It’s has a thick and creamy texture but absorbs nicely to my dry/sensitive skin. It’s doesn’t control the redness but it’s nice on the skin.
My favorite sunblock would have to be again by Aveno hydrate and protect sunscreen spf 60. It’s about $10 at the drug store. It has this light weight goes on nice doesn’t leave the white residue goes on clean. It really feels hydrated to the skin as well. Definitely a favorite of mine. I use it on my arms, legs to even my face. I use to by one by Cerave sunblock that would tint to my skin but that product got discontinued. I have tried the original store brand sunblock (by HEB drugstore) and it was ok. I don’t like how it felt on my skin and looked kinda white. But I would rather wear sunblock to nothing at all due bc like you said of rosacea. I even try to wear a cap when I’m out or at work (even having on sunblock). I need to do better on replying sunscreen/sunblock but doing my best on that part. Thanks again for this video! Continue to share your tip and videoed on skin care. Love your channel and videos!
I have rosacea but it seems to get better with acids. My skin seem to love them. I only use them a couple of times a week to protect my barrier but it works. I make sure i keep my skin well hydrated at all times. I suffer from autoimmune arthritis as well so it seems i have a tendency to inflamation based conditions.
One thing that works really well as well for me is staying away from sugar. It is "toxic" for me. Sends my CRP through the roof.
🙇🙏 Thank you! I was misdiagnosed as having acne by my GP for a decade and put on harsh topicals and tea tree oil products (worse and worse). I visited my derm first time in my 30s. She told me it's not acne and put me on metronidazole and oral minocycline as well as rosacea skincare education for 3 months. My face just became clear like that (wanting it for my entire life) 😭. It's been 2 years and my skin has never been better (nearly no flareups). Correct diagnosis by expert like you is beyond important! I use Aveeno products (the triple oat serum is a bless) #OatIn and my rosacea is very happy with them. #Calming #Soothing Love you and thank you, doc!
Glad you had it properly assessed
@@dr.jennyliu Also want to thank you for the Beauty of Joseon sunscreen recommedation as most Asian sunscreens contain alcohol (stings my rosacea). This one actually works on my face. I greatly appreciate you and thank you once again.
But you still have to use metronidazole and minocycline?
This video was super helpful. I can’t wait to try these products for my rosacea since I seem to have redness from most products.
Thank you so much for your help.
I have such large pores snd some redness. But so sensitive. Touching my skin will make it read for 20-30 min. I notice the less products i use the better it looks.
although many derms recommend niacinamide as an ingredient to calm redness - i actually find it to be irritating and causes more redness/bumps on my face...
I have rosacea type 1 and 2 (erythematotelangiectatic and papulopustular,) with a Fitzgerald type IV skin tone. I started to get it a few years ago when I was 29 and went on accutane. My derm said accutane does not trigger rosacea, but I didn't have rosacea at all until I went on accutane. In fact, it was misdiagnosed as retinoid dermatitis the entire time I was on accutane. The only moisturizer that has helped is a Korean one, the Aestura Atobarrier 365 cream (not the hydro soothing cream, which I found to be too light.) I keep going back to it. It helps so much with my eczema and with healing allergic skin reactions, too. I used to like the Skinfix Redness Recovery mask, until I realized it has a fragrant plant extract that I am allergic to (rosa damascena flower water) and it was irritating my skin because of that.
For whatever reason, spicy food and chocolate do not affect my rosacea at all. The only thing that seems to irritate it is heat and allergic reactions. In talking to other people with rosacea, it seems like spicy food seems to affect white Europeans with rosacea and not people of color. I'm sure that's not true in all cases, but I'm South Asian and I've eaten spicy food my whole life. It doesn't seem to affect my skin at all.
I like Pharmaceris products from N series (for strenghtening capilaries). They are not available in all countries. But works well and price is good.
My dermatologist prescribes Desonide ointment when I get really bad flare ups and I find that helps a lot. I use the Cera Ve moisturizer cream in the morning and night to keep my skin moisturized. I never heard of the mask you mentioned but I’m interested in trying that.
Desonide helps me also!
I live in a dry mountainous climate and I only get redness in winter. The rest of they year my skin is fantastic, but as soon as winter arrives I get extremely dry and the redness pops up.
I feel like I always have such tough skin to help. I have rosacea and mostly everything stings and burns or makes my face feel hot. I have only found a couple products that don’t do that. Plus I struggle with hormonal acne. I’ve had prescription azelaic acid and it just made my whole face feel itchy all night. It was super uncomfortable. I stopped and noticed that it wasn’t really doing anything for me anyways. It’s frustrating. I get the flushing. My eyes get red and I get styes every now and then and I also get the red bumps on my nose (especially on my nose since it’s always red). So far cetaphil gentle cleanser and the moisturizing cream are the only products that don’t give me flushing when using them.
Im surprised azeleic acid wasnt brought up at all
I have found the “Celestial” moisturiser from LUSH to be really calming. But I go through so much of it because I think I need something a little richer at night - so I’m trying Susanne Kaufmann’s Nourishing Rich Cream which is their recommended moisturiser for rosacea. Big bonus is both these creams smell amazing. I am also trying SK’s Protection Serum also their rosacea specific product. It feels a little “active” when first applied - not a burn but not as comfortable as the moisturisers but it goes quickly (in about a minute)
Avoid foaming cleanser period.
I have terrible rosacea with papules and pustules. I use Avene lipid replenishing lotion to help rebuild my skin barrier at night. With out of control flares, I use Prosacea. During the day I use CeraVe Night cream you recommended.
Have a derm. Check for demodex, and you can get an Rx for Noritate cream and antibiotics.
I've lived in a subtropical climate my entire life and my face always gets red when I'm hot or do any sort of labor or exercise. I also sweat easily so I have to carry clean handkerchiefs with me wherever I go. I've tried so many gentle cleansers and moisturizers but I still can't control the redness, I avoid taking pictures because of it. Hopefully these tips will help
I just found out I have rosacea and I’m 33 and it’s gotten worse! I’ve researched everything !!! I just started using the roshe-posay moisturizer!!! I want to try the cera ve pm … my face is really red and I need it to heal ! I need start using sun screen I love spicy food ! I want to use a hood facial cleanser I haven’t found one that I like but I’ve seen the vanicream in a lot of videos and affordable but I’ve noticed it has to be gentle and calm Forsure! And I have to get that cetaphil redness relief I want to try it !!! Hopefully it helps ! Loved the video !!!! 😢 I want my face normal again
I really like the CeraVe gel cleanser she mentioned. Also, whenever possible I get things that have no added scent.
Love the rosacea content!! Do you recommend double cleansing (using balm cleanser) to remove spf?
That’s my favorite way
my dermatologist has been prescribing me with azelaic acid 15-20%, is it recommendable?
What are the best treatment for rosacea for pregnant women? Are all products mentioned safe?
I have had the redness for years, but recently my rosacea has progressed to having a pimples and even lumps on my nose. It’s really disturbing, can be painful. But while at the same time I’ve been undergoing surgery for my cataracts, I developed a sudden violent burning in my eyes that lasts for sometimes up to a half hour, usually when one eye at a time. Makes driving rather dangerous until I can get pulled over, it was only recently that I discovered that it could be a result of the rosacea spreading to my eyes. And probably had nothing to do with the cataract surgery. I’m waiting on a referral to a dermatologist from my primary care doctor. I have been using CeraVe, having read that you are only supposed to use a mild skin cleanser. I don’t know what else I am doing wrong though. Hopefully I will get some good results from a dermatologist, I’m getting tired of looking like WC Fields. One more thing, when you need to use foundation to cover your ugly skin, how do you keep reapplying sunblock?
Oof, I feel your pain. Sending love and light your way and that you find relief soon.✨
Use a sunscreen powder.
Also, have you looked into Azaleic Acid 15% gel? Do some research on it, but everywhere I look, Azaleic acid is recommended for rosacea. I’m acne prone and have been diagnosed with rosacea recently. The cream version from The Ordinary broke me out, but I just came across the gel at 15% for my ultra sensitive skin that kept breaking out into hundreds of tiny pustules, PLUS cystic acne. I was given a Rx for Seysara (antibiotic) and was put on spironolactone as well.
In order to calm my skin down, I strictly used Vanicream “Moisturizing Cream” for about 2 weeks, along with oil cleansing with organic hemp seed oil, washing off with Dermalogica “Special Cleansing Gel” (no wash cloths, only hands) both morning and night, and then I introduced the Azaleic Acid gel Rx I got from my dermatologist. I’ve been using the Azaleic Acid, then La Roche Posay Cicaplast Balm B5, then Vanicream Moisturizing Cream to seal it all in. My skin’s texture has been coming back, thankfully. You might want to try the La Roche Posay Cicaplast Balm B5 first, and then the Azaleic acid, but do what feels best for you. I hope this helps.🙏🏽
@@christinacastillo1089 I also tried Ordinary AA and my skin broke out terribly. Are you saying the 15% AA prescribed by doctor is not breaking out but helping your skin?
Hello Dr. Liu. I'm 58 and would like to know your suggestions on anti-aging serums and exfoliators for acne type of rosacea, please?. I just started using Sunday Riley Juno and Luna, but that can get pricey, and like most, I'm on a budget. Thank you so much for the content you share on your channel.
The Skinfx Redness Recovery Mask states to wear it nightly, but do you suggest only doing it when you have a flare up or see more redness than usual (1-2x per week) instead?
I want to cry! Thank you so much for this video. After a year of misdiagnosis, I just found out I had Rosacea. I’ve been dealing with flare ups of large puss filled cystic acne and a bulbous nose currently. I know my skin barrier is very damaged. I grabbed the cerave hydrating cleanser and moisturizer, olay vitamin c serum, Hyluronic acid serum, and I have Azelaic acid on the way to use for night time.
Is there anything else that I can incorporate into my routine over time to help my skin? An AHA, BHA, or even a slugging treatment with the cerave healing ointment? I bought so much stuff and I’m just planning on keeping it simple until I see repair 😅 I’m trying not to be impatient but it’s so hard when I’ve been dealing with this for so long. Lol. Thanks for the listen!
Similar to me. Actually I discovered my skin type by accident. I always thougt I have problematic skin and I had really bad acne for many years. Even my 1st dermatologist said, I have acne because I have oily skin. So I continue to use strong anti acne products. But my face still looked bad. One day, arriving home late at night, I was too lazy to wash my face and apply cream. So I only cleansed my face with Bioderma Sensibio micellar water. Bought it only because of hype on social media. 😄In the morning, I thought I would better not see myself in the mirror, but as a surprise, my face looked really good, clean and radiant, no new bumps had appeared. So I started using it every day. Bought also gel wash and cream. All for sensitive skin. Bioderma Sensibio cream was not the best option for my skin (still much better than those who I used before), and switched to another. But I finally stopped my acne from that day in few weeks, because I started to use right products and stopped to torture my skin.
Sunscreen will be very important.
I have type 1 and 2, and I put zinc on my face and had such a terrible reaction.
I have perioral dermatitis and possibly just the kind of rosacea that causes flushing? Unfortunately that skinfix mask is a no-go for me as it contains rosa damascena water. Fragrant rose derivatives (damascena or centifolia) are the only ingredient I’ve been able to definitely confirm are a trigger for my PD. :(
My rosacea is mainly just redness and my dermatologist prescribed me Aprilon capsules. are those helpful for redness?? I hear conflicting thoughts from dermatologists…it’s quite confusing.
What daily sunscreen do u reccomend?
Dr. I would like to ask you about oily and rosacea skin. It becomes very itch 😭😭😭
Please can you tell that tiny pumps can be razor bumps and can they be treatable?
Is sulfur recommended for Rosacea?
I have been using the CereVe Hydrating Facial Cleanser that you mention in this video for a few weeks now and today I woke up and most of my entire face was bright red. I became so anxious because it looked terrible. It looked like my face had a chemical burn. I normally have dry skin so I thought this cleanser would be gentle but it wasn’t at all. It dried my face out so bad. My face feels like it is burning up.
Same thing happend to me. It is already in the garbage can.
Love your channel would luxima normaliser treatment help my rosacea 😮
Is the sodium hydroxide ingredient safe on the skin?
What a your views on LED light therapy for rosacea??
The Paula’s Choice Azelaic Acid Boost did not help my rosacea - in fact I had less redness when I stopped using it. Not using anything for rosacea right now - just doing my regular skin care routine that includes a retinol at night and a 10% vitamin C serum by Timeless each morning. (In addition to moisturizers and sunscreen.)
The only strength that Shown to treat rosacea is prescription so unfortunately it is not uncommon to have what you described
What sunscreen do u use??
@@auroraestrada3337 I blend a tinted and an untinted DRMTLGY brand
Please can you recommend mineral sunscreen spf no white cast?
Which lasers?
What home devices can help with capillaries on face ? I heard faustina 3n1 can help with longer use of it
I have acne rosacea Also eczema on my face that is new my face tends to stay dry and I use cerave to was and the pm moisturizer. Is they else I can you for both.
About skinfix products, I have the skinfix multi peptide cream, it was good at first but now my skin is tight and as per videos, I may have roseaca or perio.. dermatitis. It's around my mouth. Should I stop using this cream?
A few of the moisturizers you recommended contain shea butter. Is this ok for acne prone skin? Nervous to try something if it could clog my pores. Or is that a myth about shea butter clogging pores?
Ingredients don’t cause acne per se it’s all about the FORMULATION the best way to know is to try it on your skin
Thanks for making this very helpful video. My doctor told me I have acne rosacea, I have tiny bumps like oil glands skin colour around my eyes and on my cheeks and forehead is there any treatment can you recommend please?
Dermatologists tend to recommend an OTC azelaic acid, around 10%, slowly introduced to your routine, paired with a really calming moisturizer. Keep in mind that when you use acids, you HAVE to use a really good mineral SPF in order to not further damage the skin. You might be able to get away with a chemical one, but rosacea tends to make your skin more reactive to those chemical sunscreens.
If you have rosacea is it possible to have hiper sweatting face and redness and like your face is burning?
Hey, I use non water resistant sunscreen, do I still need double clean? I used DHC cleaning oil then vanicream face wash. Looks like it is too much my rosacea area because gots more red. wondering can you recommend very mild double cleaning first step? Thank you!
I find a hyperalegenic wipe off cleaning milk good rather that water
What is your problems about rosacea?
I’ve suffered with it for 7 years!! Had really bad pustules then they heal and turn flaky and peel not great for putting make up on I work in customer service and it’s stressed me out for years as either cakes or can see redness!!! I noticed when as no time to wash face was busy non stop back to hospital for my dad id collapse in bed my skin improved lots from not washing it much?
Cetaphil redness cream is really difficult to find, even Amazon do not carry it
Can u suggest a good mineral sunscreen for rosecea for people who is allergic to chemical sunscreen??
That’s will be great help.
Thank you
Try Elta MD sunscreen specifically for acne and rosacea skin. It comes regular and also tinted.
Vanicream facial spf
I never thought I had rosaca but the last year my nose always is red and my ears are always red. My cheeks sometimes get red but not like my nose and ears daily. Over the last year with this happening I have got broken capillaries all over my nose and some on my cheeks nothing seems to help. I don't want broken capillaries all over my nose it makes me sad. I'm not able to afford to get lazor done. I have been taking care of my skin wear sunscreen and everything but it just keeps getting worse
Rosacea can definitely have a range of spectrum of severity and presentation.
@@dr.jennyliu what's the best thing at home I can do for broken capillaries?
Dark circle or dark spot removed cream sil vous plaît
Great info doc..👍...What is the best treatment for melasma skin of color in dermatologist clinic?
There isn’t one. Often best when combo of topicals and procedures are used
What do you think of la roche posay dermo cleanser for rosacea? What are the best sunscreen for sensitive rosacea skin?
I haven’t tried that one. For rosacea I like colorescience, cetaphil, EltaMD,
@@dr.jennyliu what body sunscreens do you recommend for sensitive skin?
Preferably mineral
@@wendyarch332try Blue Lizard, it’s a mineral sunscreen.
I just started IPL for rosacea. What are your thoughts on this? I’ve had one out of three done. Very helpful video I just found out it was rosacea.
Is there a purging period when it comes to the La Roche Posay Toleriane Double Repair mositurizer spf 30? I noticed it cleared A LOT of redness on my top cheeks but the middle of my cheeks developed small clusters of pimples. I don't know if thats purge or what? My skin did feel tender and super sensitive all day but the next day while the pimple clusters and some redness was still there, it seemed better.
I would really like the feedback!!!
That isn’t purging if your getting irritated I would stop and try another product
@@dr.jennyliu thank you for your reply! Honestly I’m at a crossroads, as an update: my skin cleared a lot and the cluster pimples went away after a day or two, my skin is less red and now pink and when I put on the moisturizer, I put Dew Point Versed gel first and then the las roche posa y and it has worked SO well. My skin is soft and hydrated. I have rosacea combo skin so I’m a little complicated! But my skin is reacting better now? Idk!
My naturopath said they have a link between rosacea and intestinal candida and or histamine intolérance .. i try her treatment by limit the fond and supplement to Killing candida etc.. and i see alreay résulte...so maybe it Will be good that à DR work with this method...my doctor, my dermatologue cant helpme because they have no study for that.. and nobody want to work in there sens !!! So damage.😢
Eye cream recommendation for ocular rosacea?
Wish I knew???
Good video but no one ever really addresses the mites. Where do they come from? Side sleepers I wonder... but even more important is MAKEUP FOR ROSACEA. What products are safe as naturally I want to cover the redness its so ugly, but none of you ever mention it. 😢
Stay away from products with any fragrance if possible. Also, try a tinted moisturizer/sunscreen as a makeup base.
"Where do they come from?" Everyone has them. I read a national geographic article about the human genetics/susceptibility involved but it's behind a pay wall now. Very interesting. They come out at night and eat skin oils and hide during the day in our pores. This is why some people get the pustules, at least in my n=1 study. I don't do this anymore and I anticipate flack, but I added a super conservative drop of tea tree oil in my moisturizer for a year or so and now I no longer get the pustules. This is also why ivermectin works for some people. And yes, there is prescription ivermectin available it's called soolantra.
Edit:auto correct spelling
Hi! I have rosacea and stated with a new Ginseng oil cleansing, I want to know if it's good for my skin cause I hace mix skin and my rosacea now is with not hidratiation 😭 my skin care now is cleaner and uv protector I'm so worried right now help me
Do you have any recommendations for actives that people with rosacea can use?
Everyone is different some can use tretinoin but some only retinol. You know your skin best. Nothing is truly off limits if it works for you without causing irritation
All product is not available in India😂
Please, please stop the constantly cutting in the video edit. It is annoying and detracts from what you are saying.
How do you spell peptide in LPS lotion. Tried to Google it, transcript was no help
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