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Can low VITAMIN D, high DHEA cause bad acne and oily skin?

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What can you tell me about these test results? I can see that my vitamin D is very low but I don't understand the other stuff very well. Am I low Omegas and folate? and do my hormones look okay. I see that my DHEA is a tad high, could that be the reason for my bad acne, oily skin and hair and other hormonal issues? I just want to understand what my moderate and high risks mean. Thank you

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Hello. Thanks for choosing Doctorspring.com
I have gone through all your reports. As you correctly pointed out, your vitamin D is very low and your DHEA is slightly on the higher side. Apart from that, they have checked for your cholesterol levels, tried ruling out familial causes of hypercholesterolemia, they have conducted tests to check your electrolyte levels and everything else seems to be fine.
So focussing on the two things that are not right. Vitamin D is very low and you should start taking vitamin d rich foods and calcium. Fish like tuna and salmon are very good sources of Vitamin D. Also you have a lot of vitamin d fortified foods available ( mostly dairy products ), so try to get those and make sure you are getting enough vitamin d from the diet. It is absolutely essential for calcium regulation in your body, failing which can lead to early osteoporosis.
Regarding your DHEA, it is slightly elevated, but if you are having problems like excessive acne, pimples and oily skin, then it is better to consult an endocrinologist, who can conduct some other tests to find out the reason. The values are not in alarming range and hence no intervention is required right now. One more thing that DHEA can cause is hirsutism ( excessive growth of hair ) and also lead to low HDL ( good cholesterol ) in our blood. So it is better to just get an opinion from the endocrinologist.
Moderate risk means that you have a possibility of getting the disease, but it can still be modified by changing lifestyle. For example suppose your cholesterol is 220 ( normal range < 200 ), we won't right away start you on drugs. Doctors will ask you to exercise, avoid fatty food and then re check your values. But if its around 300, it becomes high risk and immediately doctors will advise you to start on statins to lower your cholesterol levels immediately. This is what moderate and high risk means.
Hope this answers your query,

Dr. Deepu Sebin Sebastian
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MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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