An interesting article about Rosacea – Repair Your Skin’s Barrier To Treat Redness and Flushing

Repair Your Skin’s Barrier To Treat Redness and Flushing

Repair Your Skin's Barrier To Treat Redness and Flushing: A healthy skin barrier prevents allergens and irritants from provoking rosacea symptoms.

A healthy skin barrier prevents water loss and allergens, irritants and chemicals from penetrating skin and causing many commonplace rosacea symptoms.


Disrupted skin barrier allows for the penetration of allergens, irritants and chemicals, provoking excessive free radical damage and worsening rosacea symptoms.

A disrupted skin barrier allows for problematic amounts of water to evaporate from skin, leading to dryness, and for irritants and allergens to penetrate the skin, provoking symptoms.



Dermatologists have found that rosacea patients who use barrier repair products (and not just moisturizers) for extended periods of time frequently regain a normal flush response.

Unlike moisturizers, which sit on the surface of the skin to prevent the evaporation of water, barrier repair products actively repair the skin, helping treat more fundamental causes of its tendency to be dry, irritated and reactive.

A moisturised skin barrier — skin is more hydrated, but still very vulnerable to allergens, irritants and general environmental factors which worsen rosacea.

A healthy, functional skin barrier does more than prevent water loss, it also shields the skin from allergens and irritants.

Frequently patients experience irritation from numerous sources, such as the climate (particularly if dry and cold) and cosmetics.

Many ingredients in skin care products are not intended to be substantially absorbed into the skin. However if the skin’s barrier is impaired they can affect the skin in untoward ways by reaching deeper into it than intended, producing redness, irritation, stinging, itching and prickling sensations.

If your skin’s barrier is extremely unhealthy, even water can be irritating.

Rather than trying endless moisturizers for your skin’s irritation you should make an effort to repair the fundamental deficiencies it has developed.

Vital Components of the Skin Barrier

Skin is made up of proteins protected by a mixture of oils comprising approximately 50% ceramides, 25%cholesterol and 15% fatty acids.

Changes to any of these components, either in quantity or quality, can lead to faulty skin barrier function.

Skin irritation from many sources, including the process of flushing, exposure to daylight, the hormonal influence of stress and inferior facial cleansers, are known to alter the properties of the skin barrier.

Consequences for Blood Vessel Reactivity

Skin irritation is accompanied by an increase in blood flow, which in rosacea quickly becomes pathological and leads to persistent redness and visible capillaries.

By improving the skin barrier the likelihood of skin irritation is decreased and so follows less of the blood vessel reactivity which leads to harmful episodes of flushing.

Ingredients Which Harm/Degrade The Skin Barrier

Skin care products for acne and aging skin concerns are replete with ingredients which (either in small quantities or if misused) can abuse the skin’s barrier.

Prime examples are alcohol, benzoyl peroxide, essential oils and several exfoliating acids such as glycolic acid.

Alkaline products, particularly soaps but also many cleansers and some moisturizers, inhibit activities in the skin which produce natural ceramides.

Sulfates, such as sodium laureth sulphate, and other surfactants and detergents found in many cleansers, actively remove ceramides, cholesterol and fatty acids from the skin.

While this may be passable for someone with very oily skin, all skin types and conditions, and particularly patients with rosacea, can benefit greatly by avoiding these ingredients.

Ingredients Which Repair The Skin Barrier

Repair Your Skin's Barrier To Treat Redness and Flushing: A healthy skin barrier prevents allergens and irritants from provoking rosacea symptoms.

Combinations of ceramides, fatty acids, cholesterol, natural occlusives (such as grape seed and squalene) and humectants (such as glycerin, sodium hyaluronate/hyaluronic acid) in products such as Epiceram are effective at restoring healthy skin barrier function.

Beta glucan and centella asiatica help accelerate the restoration of the skin’s barrier by the above ingredients.

Beta Glucan

Occurring naturally in the skin, beta glucan modulates healing, strengthens the skin’s protective abilities and accelerates skin renewal.

Centella Asiatica

Centella asiatica (titrated extract) improves the skin’s tolerance while protecting against irritation.

Centella asiatica also stimulates collagen synthesis to help heal and re-densify weakened skin.

Testing Products for Irritancy In Rosacea Patients

The reaction of blood vessels in response to skin care products can be measured via laser doppler velocimetry(LDV) and photoplethysmography (PPG).

When synchronized with the pulse rate, these instruments measure changes in the skin’s vasculature.

They also help detect irritation which doesn’t produce immediate visible redness but which may be cumulatively harmful. This is known as sub-clinical inflammation.

Used in conjunction with other methods LDV and PPG help confirm the suitability of both the individual constituents and the final formulae of the Clinic’s products.

Summary of What To Do

First, avoid removing the essential components of the skin barrier by avoiding cleansers which are alkaline(those which have a pH above 7) or contain sulphates. For the most part this mandates avoiding soaps.

If possible, use a skin-supporting cleanser which contains ceramides to protect the skin during cleansing. TheRosacea Anti-Inflammatory Foaming Cleanser is an example of such a product.

Second, avoid exfoliating acids and drying treatments such as benzoyl peroxide, at least until your skin has recovered (this will take months and allow a year of barrier repair techniques to see a durable change in your skin’s reactivity and sensitivity).

Use effective, tested barrier repair products, such as Rosacea Treatment Fluid and Rosacea Treatment Creamwhich have demonstrated efficacy on rosacea patients.

Apply Rosacea Treatment Fluid or Cream more generously at night, taking time to massage gently until the point of complete absorption, for optimal and faster results.

A diet with a balanced intake of Omega 3 and 6 essential fatty acids also supports the development and maintenance of healthy skin barrier function.

References

New Methods for Restoring The Skin Barrier — Clinical Dermatology.

The Skin’s Vasculature — Biology of Skin.

Crawford GH, Pelle MT, James WD. Rosacea: I. Etiology, pathogenesis, and subtype classification. J Am Acad Dermatol 2004; 51: 327-41; quiz 42-4.

Pelle MT, Crawford GH, James WD. Rosacea: II. Therapy. J Am Acad Dermatol 2004; 51: 499-512; quiz 3-4.


Author: Peter Wilson.

Reviewed: Sunday, 22 September 2013.

http://www.rosacea-treatment-clinic.com.au/Skin-Barrier/Repair-Treat-Red-Flush.html

Fake Rosacea Products

In the last 5 years I used the following Rosacea Products with no results:

-Ruboril and Metroruboril(Isis Pharma),

-Roselian(Uriage),

-Rubialin(SVR),

-Rosaliac(La Roche Pousy),

-Ivatherm for sensitive cuperozic skin,

-Avene tollerance extreme and anti-redness and

-Mirvaso(Galderma).

All this product products promiss to reduce redness and to make the blood vessels smaller but no one of them does what it claims.

STOP BUYING THEM NOW. YOU WILL SAVE MONEY AND A LOT OF PAINS.

A Natural Approach to Dermatitis by Andrew W. Saul – Doctoryourself.com


Ten Ways to Dodge Your Dermatologist

While in college, a friend of mind went to a dermatologist because he had a slight rash. The specialist told him it was dermatitis and issued him a nifty cream to put on it. The visit cost my friend half a weeks pay, and when he came to realize that dermatitis meant itchy skin, he went ballistic. You might be able to save some space in your checkbook, and maybe even some time in the waiting room, with a few of these ideas:

Shampoo less often.  If you are troubled by simple but annoying scalp conditions, this is really worth a try before you drop the big bucks on a doctor. A physician I go to for once-a-decade physicals prescribed not one but TWO antibiotics (one topical, one oral) for a chronic scalp irritation.  He also recommended a very expensive shampoo and said to use it often. Nuts to that; the condition went away when I simply stopped shampooing every day and went to just once a week.

Use less soap. Not none, but less! I am not suggesting that you become the poster person for vagrancy; just use less of what everybody knows dries out skin. You use soaps and detergents to dissolve grease and oil when you wash your clothes and clean your dishes. We all know that soaps and detergents cut grease. Right! They do the same to your skin, removing the natural moisture, oils and softness that no product can truly replace. A naturopath once told me that one should shower without soap, except for judicious application to personal areas that really need it.

Do not trust sun block. To avoid sunburn, wear loose, cool, comfy clothes instead. Simple, no?  You’d be genuinely surprised just how many people still do not realize that the ozone layer is not what it was thirty years ago.  More ultraviolet light (UV-B in particular) does in fact now reach us than it did a generation or two ago. You can avoid practically all basal cell and squamous cell carcinoma, the two most common types of skin cancer, simply by putting on some clothes. I like a nice tan as much as the next person, but you simply have to use common sense here. Look: if you were diagnosed even with relatively easy-to-cut-out skin cancer, wouldn’t you do just anything to be able to go back and prevent it?  Even wear a hat and a shady shirt?  Well, now is the time to start.

Switch to more natural perfumes, soaps and deodorants. For this, you may need to stop by your local health food store. There really are many more natural, much more gentle alternatives to the cheap, caustic, common cosmetic chemicals that contribute to creams and other commercial creations’ irritation of our skin! (Has the Pulitzer Prize in Alliteration been awarded yet?)  I know two people who used to have numerous, small polyp-like growths on their neck and underarms.  These were no more than slightly unsightly, yet they were hardly an improvement to the basic birthday suit.  In each case, they went away when the one person stopped using anti-perspirant deodorants, and in the other case when the woman stopped putting perfume directly on her skin.  Read the label; even some “natural” deodorants are not that natural.  However, most are a big improvement for a small cash difference.

Build skin health from the inside out. To have healthy skin, grow it. Your skin is an organ, not exactly like your lungs or heart, but a lot more visible, and a lot bigger, too.  Your skin is, in fact, your body’s largest organ. Eat more fiber; try a near-vegetarian diet; and how about a few days juice fasting?  See for yourself if a healthy inside equals a healthy outside.

CHOCOLATE: Stop eating it.  It is no myth but a matter of observable fact that if you eat a good bit of chocolate, your skin will break out. If you cut out the chocolate, your skin will likely improve. Part of this is due to dietary fat; part is due to chocolate itself. Try and see.  Hershey’s common stock will do well without your help.

Use less skin and hair glop. You’ll save a pile of cash, and if you follow the suggestions above, you won’t need all that the stuff anyway. I remember a neat Nancy cartoon where she bathed and showered and dried her hair, then covered it with all the sprays, gels, mousses and what have you. She looked in a mirror, realized how yucky her chemical hair was, and went back into the tub to wash it off all over again. Okay, it wasn’t the most hilarious cartoon I’ve ever seen (that, of course, would be the Far Side take on the real reason dinosaurs became extinct). But the point was made nonetheless.

Take your vitamins. Your skin loves vitamin E (internally and externally), the B-complex vitamins, and assorted other nutrients that modern diets so often lack.

Eat more lecithin.  Lecithin contains linoleic and linolenic acid, the absolutely essential fractions of dietary fat. As adult Americans try to reduce their fat intake (generally a good idea), no one has told them that they may thereby be creating a fatty acid deficiency. Since the US government and most dietitians just cannot own up to the necessity of food supplements, we had better consider them ourselves. The irritable-skin, dry-skin, broken-skin consequences of long-term linoleic and especially linolenic acid deficiency are probably very common. I eliminated my own psoriasis-like skin problem with just a few days supplementation of three tablespoons of lecithin per day. A few TBL per week keeps it away.  No dermatologist needed.

Reduce stress.  A personal observation: I was under high stress at one job for about four years, and I noticed four things: 1) my hair got gray; 2) my hair started to come out in the comb; 3) when I started taking more vitamins, the hair stopped coming out; and 4) when I started doing the work I love, my hair stopped graying.  In my opinion, I am less gray than I was in 1989. You can look at my untouched photo on this websites main page, marvel at my toupee, guess my age, and email me your answer. The winner will receive absolutely nothing. I am kidding about the toupee; it’s all natural.

http://doctoryourself.com/dermatology.html

http://www.amazon.com/Doctor-Yourself-Natural-Healing-Works/dp/1591203104

Rosacea and Mirvaso Pros and Cons

Rosacea is a common condition characterized by transient or persistent central facial erythema, visible blood vessels, and often papules and pustules. Because the facial skin is the predominant site of involvement, many patients sense that rosacea alters their social and professional interactions, leading to problems on the job, in their marriage, or in meeting new people.

DISEASE DEFINITION
The expert committee stated that the diagnosis of rosacea requires the presence of one or more of the following primary features concentrated on the convex areas of the face: flushing (transient erythema), nontransient erythema, papules and pustules, and telangiectasia.

ROSACEA SUBTYPES:

1. Erythematotelangiectatic type (ETR)
The flushing that rosacea patients experience is prolonged. Many people without rosacea experience evanescent flushing in response to embarrassment, exercise, or hot environments. The flushing of
rosacea, however, is not the evanescent several seconds to fewminutes of pinkness that is commonly experienced. Usually rosacea patients describe their flushing to last longer than 10 minutes. Such a prolonged vasomotor reaction may help in differentiating physiologic flushing from that seen in rosacea
patients. The central portion of the face is generally the site of the most intense color,9 but the redness
may also involve the peripheral portion of the face,

2. Papulopustular rosacea (PPR)
Patients with PPR (also known as classic rosacea, pink papular rosacea, and typologic center disease) present with a strikingly red central portion of the face but have persistent or episodic inflammation characterized by small papules that may be surmounted by pinpoint pustules. Edema may accompany such episodes but is frequently subtle in its expression. There is almost universal sparing of the periocular skin, which contrasts strikingly with the intense redness at adjacent sites. A history of flushing is often present; however, this symptom is usually milder than that experienced in patients with ETR. Irritation from external stimuli is also not as constant a feature; thus scaling and roughness are often absent. These patients are most often women in midlife.Telangiectases are often subtly present but may be obscured by the generally erythematous background.

3. Phymatous rosacea
The expert committee designated phymatous rosacea as one of the 4 rosacea subtypes.1 Phymata include marked skin thickening and irregular surface nodularities, and can occur on the nose (rhinophyma), chin (gnathophyma), forehead (metophyma), one or both ears (otophyma), and eyelids (blepharophyma). Four variants of rhinophyma (glandular, fibrous, fibroangiomatous,
actinic) can be recognized clinically and have distinct histopathologic features.

4. Ocular rosacea
Blepharitis and conjunctivitis are the most common findings in rosacea patients with ocular manifestations. Inflammation of the lids with recurrent chalazion and inflammation of the meibomian glands may be present. Interpalpebral conjunctival hyperemia, conjunctival telangiectases, and watery or dry, irritated eyes can occur. Burning or stinging, itching, light sensitivity, and a foreign body sensation are frequent symptoms in the patient with ocular rosacea. Keratitis, scleritis, iritis, and complications of such involvement are infrequent but can occur.

More about Rosacea in the files attached (including pictures for each Rosacea type):

2009-03-23_17-44-06_Rosacea

Rosacea Grading System

Stories about what Rosacea can do to people’s life in the attached file called Rosacea in Real Life:

Rosacea_in_Real_Life

Books about Rosacea:

1.Rosacea Diagnosis and Management, Author: Frank C. Powell,
http://www.amazon.com/gp/product/1420072587?ie=UTF8&tag=rosaceasuppor-%2020&linkCode=as2&camp=1789&creative=390957&creativeASIN=1420072587
2.Acne and Rosacea: Epidemiology, Diagnosis and Treatment, Author: David J. Goldberg, Alexander Berlin,
http://www.amazon.com/gp/product/1840761504/ref=as_li_ss_tl?ie=UTF8&tag=rosaceasuppor-20&linkCode=as2&camp=1789&creative=390957&creativeASIN=1840761504
3.Acne and Rosacea The Complete Guide, Author: Alison Bowser,
http://www.amazon.com/Acne-Rosacea-Complete-Alison-Bowser/dp/0091929709/ref=sr_1_5?s=books&ie=UTF8&qid=1420976172&sr=1-5&keywords=Acne+and+Rosacea
4.Pathogenesis and Treatment of Acne and Rosacea, Author: Christos C. Zouboulis , Andreas Katsambas
http://www.amazon.com/Pathogenesis-Treatment-Rosacea-Christos-Zouboulis/dp/3540693742/ref=sr_1_1?s=books&ie=UTF8&qid=1420976172&sr=1-1&keywords=Acne+and+Rosacea
5.ACNE and ROSACEA, Author: G. Plewig , A.M. Kligman,
http://www.amazon.com/ACNE-ROSACEA-G-Plewig/dp/3642640966/ref=sr_1_6?s=books&ie=UTF8&qid=1420976172&sr=1-6&keywords=Acne+and+Rosacea
6.Rosacea, Your Self Help Guide, Author: Arlen Brownstein, Donna Shoemaker,
http://www.amazon.com/exec/obidos/ASIN/1572242248/ref=nosim/rosaceasuppor-20
7.The Official Patients Sourcebook on Acne Rosacea, Author: James N. Parker M.D.
and Philip M. Parker M.D,
http://www.amazon.com/exec/obidos/ASIN/0597832129/ref=nosim/rosaceasuppor-20
8.Rosacea Diet and Rosacea 101, Author: Brady Barrows,
http://www.amazon.com/exec/obidos/ASIN/0595228003/ref=nosim/rosaceasuppor-20
9.The Rosacea Handbook, A Self Help Guide, Author: Ann-Marie Lindstrom,
http://www.amazon.com/exec/obidos/ASIN/188705314X/ref=nosim/rosaceasuppor-20
10.Joy-Full, Holistic Remedies, Author: Georgie Holbrook,
http://www.amazon.com/Joy-Full-Holistic-Remedies-Rosacea-acne-through-ebook/dp/B004ZG7SKA/ref=sr_1_8?s=books&ie=UTF8&qid=1420976172&sr=1-8&keywords=Acne+and+Rosacea
11.The Rosacea – Acne Natural Remedy, Author: Georgie Holbrook,
http://www.amazon.com/Rosacea-Acne-Natural-Remedy/dp/1609107748/ref=sr_1_7?s=books&ie=UTF8&qid=1420976172&sr=1-7&keywords=Acne+and+Rosacea

Web-sites where you can find information about Rosacea including forums of Rosaceans:

http://irosacea.org/index.html

http://rosacea-support.org/community/

http://www.rosacea-research.org/

http://www.rosacea-control.com/index.php

http://www.joy-full.com/index.html

http://www.rosaceagroup.org/The_Rosacea_Forum/

http://www.rosaceaworld.com/

mirvaso-logo

What is Mivaso:

Mirvaso is a new treatment released by Galderma in August/September 2013.  It is a temporary fix for facial redness.

1 INDICATIONS AND USAGE

MIRVASO (brimonidine) topical gel, 0.33% is an alpha adrenergic agonist indicated for the topical treatment of persistent (nontransient) erythema of rosacea in adults 18 years of age or older.

2 DOSAGE AND ADMINISTRATION

Apply a pea-size amount once daily to each of the five areas of the face: central forehead, chin, nose, each cheek. MIRVASO topical gel should be applied smoothly and evenly as a thin layer across the entire face avoiding the eyes and lips.

riw-logo

Mirvaso gel Pros and Cons at the links below:

 pros-and-cons_6354749_lrg

Positive and Negative Anecdotal Reports 

Please note about the following anecdotal reports in two spreadsheets (Positive and Negative):

Positive(https://docs.google.com/spreadsheet/ccc?key=0AlEUxAios6BjdGxCYXZ6RldQbi14ZnBIZy0tcDRkZGc&usp=sharing)

66 reports

Negative (https://docs.google.com/spreadsheet/ccc?key=0AlEUxAios6BjdDlxZG1XTTlIaUVrek9DYW5fcE5YbUE&usp=sharing)

242 reports

Edge Effect Quiz – Which Nature Are You? by Eric R. Braverman, M.D.

Summary about Neurotransmitters :

DOPAMINE—This is the brain neurotransmitter that is associated with high voltage BETA waves and can result in high energy, powerfulness and reflexively fast responses. It mediates motivation, interest, drive, and pleasure. Functionally, dopamine is associated with initiation of
movements as well as perception. Persons with dominance in this brain chemical frequently are high achievers, leaders, goal-directed, and oriented to the rational aspects of life.

Deficiencies in psychological terms can be noticed in fatigue, burn-out, depression, compulsions and addictions. Too much dopamine can lead to hallucinations and aggressive behaviors.

ACETYLCHOLINE—this neurotransmitter is produced in the parietal lobes and is associated with language, intelligence/learning, and attention. It is prevalent throughout the body as well as the brain and is responsible for memory and cognition. Persons strong in this neurotransmitter tend to be creative, inquisitive, open-minded, quick thinking, intuitive, and innovative.

Deficiencies in psychological terms can be noticed in memory problems, loss of energy, apathy, and loss of enthusiasm for learning. Too much acetylcholine can lead to paranoia and isolation.

GABA—Gamma-aminobutyric acid is an inhibitory neurotransmitter produced in the temporal lobes and is associated with calming, rhythmic theta brain waves. Psychologically persons strong in this neurotransmitter tend to be associated with routine, stability, calmness, consistency, empathy, organizational skills, and reliability.

Deficiencies can be noticed in terms of increased anxiety, tremulousness, worry, loss of order, loss of stability, and a sense of uncertainty. Too much GABA is associated with excessive caretaking, subjugation, and enabling behaviors.

SEROTONIN—is considered one of the most complex neurotransmitters as it plays many roles in the central nervous system. Produced in the occipital lobes, this neurotransmitter is associated with re-synchronizing your brain so that every morning you wake up feeling refreshed and rested. It is a key neurotransmitter for emotional stability and “feeling good.”

Dominance in serotonin is associated with playfulness, easy going attitude, optimism, joy, spontaneity, and serenity. Imbalances are associated with certain mood disorders, especially depression. In the early stages, deficiencies can be noticed in terms of sleep difficulties, loss of
enthusiasm, joylessness, and poor judgment. Excessive serotonin is associated with extreme nervousness, distractibility, and a tendency to be overly sensitive.

The  Braverman Nature and Deficincy self-assessments are means of gauging brain-based influences upon mental health and functionality. The scores are to be interpreted with input from your professional team
of health care providers and are not intended as a substitute for medical treatment. In addition, blood tests are considered the most accurate means of assessing neurotransmitters. This assessment instrument can be used for preventive measures as well as for tailoring your treatment specifically to your brain-based behaviors and current neurotransmitter functionality.
In addition to bringing the results to your next counseling session, we encourage you to also share them with the professionals who are instrumental in supporting your mental health care needs.

Instructions
Answer each question by choosing either True or False. At the end of each group, record only the total number of true statements in the space provided.

Answer the questions in terms of how you feel most of the time, not just today. For example, if you’ve had a bad night’s sleep and feel tired today answer the questions that pertain to your energy levels based on how you feel on a more average day.

BRAVERMAN NATURE ASSESSMENT

1A Dopamine

Memory & Attention 
I find it easy to process thoughts. T / F
I concentrate effectively. T / F
I am a deep thinker. T / F
I am a quick thinker. T / F
I become distracted because I do so many tasks at once. T / F
I enjoy intense debate. T / F
I have a good imagination. T / F
I tend to criticize and analyze my thoughts. T / F
Physical
I have a lot of energy most of the time. T / F
My blood pressure is often elevated. T / F
Sometimes in my life I have had episodes of extreme energy. T / F
I have insomnia. T / F
I find exercising invigorating. T / F
I don’t ordinarily need coffee to jump-start me in the morning. T / F
My veins are visible and tend to look as though they might pop out of my skin. T / F
I tend to have high body temperature. T / F
I eat my lunch while I am working. T / F
I engage in sexual intercourse any chance I get. T / F
I have a temper. T / F
I eat only to reenergize my body. T / F
I love action movies. T / F
Exercising makes me feel powerful. T / F
Personality
I am a very domineering individual. T / F
I sometimes do not notice my feelings. T / F
I often have trouble listening to others because my own ideas dominate. T / F
I have been in many physical altercations. T / F
I tend to be future oriented. T / F
I am sometimes speculative. T / F
Most people view me as thinking-oriented. T / F
I daydream and often fantasize. T / F
I like to read history and other non-fiction books. T / F
I admire ingenuity. T / F
I can be slow in identifying how people can cause trouble. T / F
I don’t usually get tricked by people who say they need my help. T / F
Most people view me as innovative. T / F
I am often agitated or irritated. T / F
Little things make me anxious or upset. T / F
I have fantasies of unlimited power. T / F
I love spending money. T / F
I dominate others in my relationships. T / F
I am very hard on myself. T / F
I react aggressively to criticism, often becoming defensive in front of others. T / F
Character
Some individuals view me as tough-minded. T / F
Most people view me as achievement-orientated. T / F
Some people say that I am irrational. T / F
I will do anything to reach a goal. T / F
I value a religious philosophy. T / F
Incompetence makes me angry. T / F
I have high standards for myself and for others. T / F

TOTAL NUMBER OF T RESPONSES: —————-

2A Acetylcholine
Memory & Attention
My memory is very strong. T / F
I am a good listener. T / F
I am good at remembering stories. T / F
I usually do not forget a face. T / F
I am very creative. T / F
I have an excellent attention span and rarely miss a thing. T / F
I have many good hunches. T / F
I notice everything going on around me. T / F
I have a good imagination. T / F
Physical
I tend to have a slow pulse. T / F
My body has excellent tone. T / F
I have a great figure/build. T / F
I have low cholesterol. T / F
When I eat, I love to experience the aromas and the beauty of food. T / F
I love yoga and stretching my muscles. T / F
During sex I am very sensual. T / F
I have had an eating disorder at some point in my life. T / F
I have tried many alternate remedies. T / F
Personality
I am a perpetual romantic. T / F
I am in touch with my feelings. T / F
I tend to make decisions based on hunches. T / F
I like to speculate. T / F
Some people say I have my head in the clouds. T / F
I love reading fiction. T / F
I have a rich fantasy life. T / F
I am creative when solving problems. T / F
I am very expressive; I like to talk about what’s bothering me. T / F
I am buoyant. T / F
I believe that it is possible to have a mystical experience. T / F
I believe in being a soul mate. T / F
Sometimes the mystical can excite me. T / F
I tend to over react to my body. T / F
I find it easy to change; I am not set in my ways. T / F
I am deeply in touch with my emotions. T / F
I tend to love someone one minute and hate him or her the next. T / F
I am flirtatious. T / F
I don’t mind spending money if it benefits my relationships. T / F
I tend to fantasize when I am having sex. T / F
My relationships tend to be filled with romance. T / F
I love watching romantic movies. T / F
I take risks in my love life. T / F
Character
I foresee a better future. T / F
I am inspired to help other people. T / F
I believe that all things are possible, particularly for those that are devoted. T / F
I am good at creating harmony between people. T / F
Charity and altruism come from the heart, and have plenty of both. T / F
Others think of me as having vision. T / F
My thoughts on religion often change. T / F
I am an idealist, but not a perfectionist. T / F
I am happy with someone who just treats me right. T / F
TOTAL NUMBER OF T RESPONSES:————–
3A GABA
Memory & Attention
I have a stable attention span and can follow other people’s logic. T / F
I enjoy reading people more than books. T / F
I retain most of what I hear. T / F
I can remember facts that people tell me. T / F
I learn from my experiences. T / F
I am good at remembering names. T / F
I can focus very well on tasks and people’s stories. T / F
Physical
I find it easy to relax. T / F
I am a calm person. T / F
I find it easy to fall asleep at night. T / F
I tend to have high endurance. T / F
I have low blood pressure. T / F
I do not have a family history of stroke. T / F
When it comes to sex, I am not very experimental. T / F
I have little muscle tension. T / F
Caffeine has little effect on me. T / F
I take my time eating my meals. T / F
I sleep well. T / F
I don’t have many harmful food cravings such as sugar. T / F
Exercising is a regimented habit for me. T / F
Personality
I am not very adventurous. T / F
I do not have a temper. T / F
I have a lot of patience. T / F
I don’t enjoy philosophy. T / F
I love watching sitcoms about families. T / F
I dislike movies about other worlds or universes. T / F
I am not a risk taker. T / F
I keep past experiences in mind before I make decisions. T / F
I am a realistic person. T / F
I believe in closure. T / F
I like facts and details. T / F
When I make a decision, it’s permanent. T / F
I like to plan my day, week, month, etc. T / F
I collect things. I am a little sad. T / F
I’m afraid of confrontations and altercations. T / F
I save up a lot of money in the event of a crisis. T / F
I tend to create strong, lasting bonds with others. T / F
I am a stable pillar in people’s lives. T / F
Character
I believe in the adage “Early to bed, early to rise”. T / F
I believe in meeting deadlines. T / F
I try to please others the best I can. T / F
I am a perfectionist. T / F
I am good at maintaining long-lasting relationships. T / F
I pay attention to where my money goes. T / F
I believe that the world would be more peaceful if people would improve their morals. T / F
I am a very loyal and devoted to my loved ones. T / F
I have high ethical standards that I live by. T / F
I pay close attention to laws, principles and policies. T / F
I believe in participating in service for the community. T / F

TOTAL NUMBER OF T RESPONSES: —————-

4A Serotonin
Memory & Attention
I can easily concentrate on manual-labor tasks. T / F
I have a good visual memory. T / F
I am very perceptive. T / F
I am an impulsive thinker. T / F
I live in the here and now. T / F
I tend to say, “Tell me the bottom line”. T / F
I am a slow book learner, but I learn easily from experience. T / F
I need to experience something or work at it hands-on in order to understand it. T / F
Physical
I sleep too much. T / F
When it comes to sex, I am very experimental. T / F
I have low-blood pressure. T / F
I am very action-oriented. T / F
I am very handy to have around the house. T / F
I am very active outdoors. T / F
I engage in daring activities such as skydiving and motorcycle riding. T / F
I can solve problems spontaneously. T / F
I rarely have carbohydrate cravings. T / F
I usually grab a quick meal on the run. T / F
I am not very consistent with my exercise routine; I may exercise daily for three weeks and then skip it
for a month. T / F
Personality
I live life in the immediate moment. T / F
I like to perform/entertain in public. T / F
I tend to gather facts in an unorganized manner. T / F
I am very flexible. T / F
I am a great negotiator. T / F
I often just like to “eat, drink & be merry”. T / F
I am dramatic. T / F
I am very artistic. T / F
I am a good craftsman. T / F
I am a risk taker when it comes to sports. T / F
I believe in psychics. T / F
I can easily take advantage of others. T / F
I am cynical of other’s philosophies. T / F
I like to have fun. T / F
My favorite types of movies are horror flicks. T / F
I am fascinated with weapons. T / F
I rarely stick to a plan or agenda. T / F
I have trouble remaining faithful. T / F
I am easily able to separate and move on when relationships with loved ones end. T / F
I don’t pay much attention to how I spend my money. T / F
I have many frivolous relationships. T / F
Character
I always keep my opinion open in case something better comes up. T / F
I don’t like working hard for long periods of time. T / F
I believe things should have a function and purpose. T / F
I am optimistic. T / F
I live in the moment. T / F
I pray only when in need of spiritual support. T / F
I don’t have particularly high morals and ethical values. T / F
I do what I want, when I want to. T / F
I don’t care about being perfect; I just live my life. T / F
Savings are for suckers. T / F
TOTAL NUMBER OF T RESPONSE: ————–
Results:
1A. Total number of T responses: dopamine nature.

2A. Total number of T responses: acetylcholine nature.

3A. Total number of T responses: GABA nature.

4A. Total number of T responses: serotonin nature.
Scoring Your Braverman Nature Assessment
EDGE EFFECT SCORE SHEET NATURE ASSESSMENT
The category with the most true responses will identify your dominant nature. A classically dominant nature is typically a score of 35
and above in any one category, which suggests a less than balanced life. When any other nature(s) is 10-15 points lower, ie. a score
reading 40 Dopamine, 33 Acetylcholine, 25 GABA, and 17 Serotonin, it would appear that GABA and Serotonin are life long relative
deficiencies needing balance even in times of good health.

DOPAMINE NATURE If you have a dopamine nature, you are part of 17% of the population. When you are balanced, you are likely to be strong-willed who knows exactly what you want and how to get it. You are fast on your feet and self-confident. You are highly rational, more comfortable with facts and figures than with feelings and emotions. You are able to assess yourself critically, but you may not respond well to the criticisms of others. You focus intently on the task at hand and take pride in achievement. Strategic thinking, masterminding, inventing, problem solving, envisioning, and pragmatism are exciting and you function well under stress. A majority of doctors, scientists, researchers, inventors, engineers, generals and architects are dopamine dominant, but this does not preclude you from other professions. You may like to play chess, listen to books on tape, or do difficult crossword puzzles. You are tireless, perhaps overly alert, and may need less sleep than others. When exercising, you may enjoy weight-lifting more than aerobic activities. You may not be overly sensitive and miss it when others consider their feelings more important than your reasons. You may be distant from your children, and the stability of your marriage may depend on the loyalty and goodwill of your spouse. Excessive dopamine Too much dopamine can lead to excessive risk-taking behaviors and impulsive actions. Violence and over-control of others may be recurrent problems. Sexual activity level might be too high for sustained relationships to endure, as extramarital sexual activity may result. As teenagers, reckless driving, shoplifting, or date rape may result if you did not learn to balance your dopamine extremes in time.

ACETYLCHOLINE NATURE You are adept at working with your senses and view the world in sensory terms. You are highly creative and open to new ideas. You are a quick thinker who is always taking other people into consideration. You are devoted to making things the best they can be, no matter how much effort it requires. You are flexible, creative, and spontaneous, and are willing to try anything new as long as it promises to be new and exciting. If your acetylcholine nature is in balance, you are intuitive and innovative. You take pleasure in anything involving words, ideas, and communication. (Acetylcholine is produced to a great extent in the parietal lobes of the brain, which is responsible for language, intelligence, and comprehension) You may be ideal in the roles as counselor, mediator, think tank member, yoga and meditation instructor, religious leader, and in public service. Strong acetylcholine levels are associated with high brain speed, which impacts the creative function, so artists, writers, advertising professionals, and actors are frequently acetylcholine dominant. You are extremely social, even charismatic. You love meeting and greeting and making new friends. You come across to others as authentic and grounded. People find you charming, and you find relationships come easy to you. You invest a great deal of energy and time into your relationships and feel that you are personally reaping the rewards. You are an optimist, and your see the possibilities in people. You are attentive to the needs of children and romantic with you significant other. You are good at remembering other people’s feelings and reactions, and this enables you to not hurt others. You are altruistic and benevolent. You love adventure. You are open to new things and not afraid of failure. You like to travel, but you can also enjoy reading about the lives of others. Your quest for learning makes you interested in a variety of topics and adept at sharing your knowledge with others.5 Too Much Acetylcholine You may give too much of yourself, to the point of not considering your own needs or becoming masochistic. You may feel the world is taking advantage of you, or become paranoid. You may become socially isolated as a result. Panic disorder, manic episodes, or anxiety can result.

GABA NATURE A person with a GABA nature is stable. Almost 50% of the world share this nature, whose hallmarks are consistency, sociability, and concern for others. If you have a GABA nature, you will likely show up every day for work and be there when others need you. When your GABA is in balance, you remain calm when chaos swirls around you. Characteristics of objectivity, levelheadedness, punctuality, practicality, and confidence all come naturally to you. Staying organized is very important to you, and rigid schedules are comforting rather than confining – they eliminate uncertainty and ensure smooth sailing. GABA dominant people tend to gravitate to careers as administrators, accountants, security officers, nurses, medical technicians, air-traffic controllers, news reporters, EMT’s, meeting planners, bus drivers, and homemakers. No matter what the job, the GABA-natured person is the one who tethers the group, who stays focused on the matter at hand, yet usually defers to the majority. You are the consummate team player, deriving pleasure from fulfilling your obligations and taking care of those you love. You are sensible, settled, and not prone to wide swings of emotion or outbursts of anger. You both relish group activities and cherish one-to-one connections. Making others comfortable makes you happy. Marriage is seen as a long-term haven. You probably believe in traditions and institutions, and enjoy your part in making them work, especially at your place of worship. You look forward to holiday gatherings, and planning for them seems more like play than work. You probably like history books and biographies. Collecting memorabilia and creating scrapbooks may provide hours of entertainment. There are times when you feel you’ve had a strong nurturing effect on others, such as after hosting a holiday dinner. EXCESS GABA Producing too much GABA may ratchet up your nurturing tendencies to the point where you ignore your own needs or end up getting hurt. You may spend too much energy looking for love, and then relying too heavily on you mates. You may look too much to authority figures for advice and continuously craving and following the advice of others.

SEROTONIN NATURE Serotonin resynchronizes your brain while you sleep so you wake every morning with a fresh start. If you have a serotonin nature, you are among 17% of the population who really know how to enjoy themselves. Serotonin is associated with delta waves (which are produced in abundance when we sleep) and affects our ability to rest, regenerate, and find security. If you have a serotonin nature, you know how to live in the moment. You are a realist, keenly responsive to sensory input, yet you can be impulsive, too. You love to participate in activities for the “love of the game” and not as a means to an end. Achievement to you means getting something done now. You thrive on change – you’ll alternate tasks and find new ways of doing repetitive ones. You will try new foods, pick up a new hobby, and plan a different vacation every year. When balanced, a person with a serotonin nature is receptive to stimuli, in touch with both mind and body, often physically coordinated, and very resourceful. You are not put off by struggle and undeterred by setbacks. If your work doesn’t feel like play, it is not worth doing. Your serotonin nature is ideal for professions requiring motor skills, hand-eye coordination, flexibility, and crisis management. Tools are extensions of the serotonin brain. Construction workers, oil riggers, truck and ambulance drivers, military personnel, hairstylists, bartenders, pilots, and computer programmers – who get to play with the most advanced and expensive tools – are all likely to have a serotonin nature. Professional athletes, movie stars, photographers, and fashion models might also have serotonin natures. Serotonin dominance would also be essential for trouble-shooting business executives hired to save floundering companies; for surgeons, orthopedists, and chiropractors; for detectives and investigators; and6 for specialists in crisis intervention. If there is excitement anywhere, you will find it, whether it be parties, celebrations, video games, casino gambling, mountain climbing, hunting, skydiving, hang-gliding, skiing, or scuba diving. You are passionate in your relationships, but refuse to be tied down. It is important that those close to you recognize your need for freedom. You can be the life of the party; you can be cheerful, optimistic, and easygoing. You want everyone to join in and be part of your fun. You may have a special fondness for children, although you may be overwhelmed by the commitment needed to care for them. You delight in playing with them, and the roles of a favorite aunt, uncle or grandparent appeal the most to you. You are intensely loyal to coworkers, friends, and family. People appreciate your practical side and the way you make the best of any situation. You have many and varied friendships, but they may be more broad than deep. Your impulsivity and desire for new experiences may move you away before deeper roots are formed. You disdain order and routine, and with your love for independence, this can put a strain on your closest relationships. When you are maximizing your serotonin mature, you experience serenity throughout the day. You experience highs doing what others consider dangerous, such as bungee jumping, motorboat racing, whitewater rafting, motorcycling, or just staying out all night carousing. When you play hard, your body is in serotonin overdrive, and you are having the time of your life. TOO MUCH SEROTONIN Producing too much serotonin can make you extremely nervous. You can become hesitant, distracted, vulnerable to any manner of criticism, and morbidly afraid of being disliked. In the extreme, someone with an excessive serotonin personality is painfully shy and sees himself as inadequate and inferior. Such people are plagued by sadness, anger, and a desperate desire for interpersonal interaction, which, ironically, they are too fearful to attempt.

DEFICIENCY ASSESSMENT

1B 
Memory & Attention 
I have trouble paying consistent attention and concentrating. T / F
I need caffeine to wake up. T / F
I cannot think quickly enough. T / F
I do not have a good attention span. T / F
I have trouble getting through a task even when it is interesting to me. T / F
I am slow in learning new ideas. T / F
Physical 
I crave sugar. T / F
I have decreased libido. T / F
I sleep too much. T / F
I have a history of alcohol or addiction. T / F
I have recently felt worn out for no apparent reason. T / F
I sometimes experience total exhaustion without even exerting myself. T / F
I have always battled a weight problem. T / F
I have little motivation for sexual experiences. T / F
I have trouble getting out of bed in the morning. T / F
I have a craving for cocaine, amphetamines or Ecstasy. T / F
Personality 
I feel fine just following others. T / F
People seem to take advantage of me. T / F
I am feeling very down or depressed. T / F

People have told me I am too mellow. T / F
I have little urgency. T / F
I let people criticize me. T / F

I always look to others to lead me. T / F

Character
I have lost my reasoning skills.T / F
I can’t make good decisions.T / F

TOTAL NUMBER OF T RESPONSE:

2B
Memory & Attention
I lack imagination. T / F
I have difficulty remembering names when I first meet people. T / F
I have noticed that my memory ability is decreasing. T / F
My significant other tells me I don’t have romantic thoughts. T / F
I can’t remember my friends’ birthdays. T / F
Physical
I have insomnia. T / F
I have lost muscle tone. T / F
I don’t exercise anymore. T / F
I crave fatty foods. T / F
I have experimented with hallucinogens or illicit drugs. T / F
I feel like my body is falling apart. T / F
I can’t breathe easily. T / F
Personality
I don’t feel joy very often. T / F
I feel despair. T / F
I protect from being hurt by others by never telling much about myself. T / F
I find it more comfortable to do things alone rather than in a large group. T / F
Other people get angrier about bothersome thing than I do. T / F
I give easily and tend to be submissive. T / F
I rarely feel passionate about anything. T / F
I like routine. T / F
Character
I don’t care about anyone’s stories but mine. T / F
I don’t pay attention to people feelings. T / F
I don’t feel buoyant. T / F
I am obsessed with my deficiencies. T / F
TOTAL NUMBER OF T RESPONSE:


3B
Memory & Attention
I find it difficult to concentrate because I’m nervous and jumpy. T / F
I can’t remember phone numbers. T / F
I have trouble finding the right word. T / F
I have trouble remembering things when I am put on the spot. T / F
I know I am intelligent, but it is hard to show others. T / F
My ability to focus comes and goes. T / F
When I read, I find I have to go back over the same paragraph a few times to absorb the information. T / F
I am a quick thinker but can’t always say what I mean. T / F
Physical
I feel shaky. T / F
I sometimes tremble. T / F
I have frequent backaches and/or headaches. T / F
I tend to have shortness of breathe. T / F
I tend to have heart palpitations. T / F
I tend to have cold hands. T / F
I sometimes sweat too much. T / F
I am sometimes dizzy. T / F
I often have muscle tension. T / F
I tend to get butterflies in my stomach. T / F
I crave bitter foods. T / F
I am often nervous. T / F
I like yoga because it helps me relax. T / F
I often feel fatigued even when I have had good nights sleep. T / F
I overeat. T / F
Personality
I have mood swings. T / F
I enjoy doing many things at one time, but I find it difficult to decide what to do first. T / F
I tend to do things just because I think they’d be fun. T / F
When things are dull, I always try to introduce some excitement. T / F
I tend to be fickle, changing my mood and thoughts frequently. T / F
I tend to get overly excited about things. T / F
My impulses tend to get me into a lot of trouble. T / F
I tend to be theatrical and draw attention to myself. T / F
I speak my mind no matter what the reaction of others may be. T / F
I sometimes have fits of rage and then feel terribly guilty. T / F
I often tell lies to get out of trouble. T / F
I have always had less interest than the average person in sex. T / F
Character
I don’t play by the rules anymore. T / F
I have lost many friends. T / F
I can’t sustain romantic relationships. T / F
I consider the law arbitrary and without reason. T / F
I now consider rules that I used to follow ridiculous. T / F
TOTAL NUMBER OF T RESPONSE:
4B
Memory & Attention
I am not very perceptive. T / F
I can’t remember things that I have seen in the past. T / F
I have slow reaction time. T / F
I have a poor sense of direction. T / F
Physical
I have night sweats. T / F
I have insomnia. T / F
I tend to sleep in many different positions n order to feel comfortable. T / F
I always awake early in the morning. T / F
I can’t relax. T / F
I wake up at least two times per night. T / F
It is difficult for me to fall back asleep when I am awakened. T / F
I crave salt. T / F
I have less energy to exercise. T / F
I am sad. T / F
Personality
I have chronic anxiety. T / F
I am easily irritated. T / F
I have thoughts of self-destruction. T / F
I have had suicidal thoughts in my life. T / F
I tend to dwell on ideas too much. T / F
I am sometimes so structured that I become inflexible. T / F
My imagination takes over me. T / F
Fear grips me. T / F
Character
I can’t stop thinking about the meaning of life. T / F
I no longer want to take risks. T / F
The lack of meaning in my life is painful to me. T / F
TOTAL NUMBER OF T RESPONSE:

Results:
1A. Total number of T responses: dopamine deficiency.

2A. Total number of T responses: acetylcholine deficiency.

3A. Total number of T responses: GABA deficiency.

4A. Total number of T responses: serotonin deficiency.

Circle the highest number. This is your most deficient nature, and is the one which is most likely to lead to illness. Your deficient nature can be the same or different to your dominant nature. In fact, you’ll most likely realize deficits to your dominant nature sooner than you would recognize deficits to other aspects of your biochemistry, simply because you are used to behaving and feeling a specific way. Often, you burn out your edge just by being yourself. For example, dopamine natures often push themselves too hard at work and burn out their edge. Serotonin natures are known to overindulge, especially with alcohol, which would also lead to a biochemical imbalance. When GABA natures don’t get enough sleep, they create problems for themselves as well.

Any category with between 3 and 5 true statements is considered a minor deficiency. Any category with between 6 and 8 true statements is considered a moderate deficiency. If you have more than 9 true statements in any one category, it is considered a major deficiency. If you have 15 or more true statements in any one category, you need to get help immediately.

Minor deficits are the early warning signs of health problems. If ignored, they will eventually lead to more serious deficiencies, ultimately affecting your dominant nature, even if they occurred in another nature. If you fell into the moderate deficit range, you probably have already sought medical treatment for any number of ailments. Minor and moderate deficits can be treated without medications and usually respond to a combination of natural/nutritional, hormonal and life-style changes.

Major deficits warrant medical treatment and should be addressed immediately. These deficits are treated as diseases, i.e. Parkinson’s disease, severe mood disorders, high blood pressure, memory loss, seizure disorder, depression, learning disability, attention deficit disorder, migraines, sleep disorders, irritable bowel syndrome, manic depression, anxiety, among others. These conditions most likely require mediations: nutritional, hormonal and/or life-style changes will not be adequate in addressing these problems. If you experience any of these symptoms or illnesses, it is important to consult your doctor and get immediate treatment.

Please find below the Boosters for your brain according with the deficiency:

braverman.test1

Sources:

http://advancedpsychcare.tripod.com/sitebuildercontent/sitebuilderfiles/braverman.test.pdf

http://cabecahealth.com/forms/Dr_Braverman_Quiz.pdf

http://www.starsofwellness.com/pdfs/StarsofWellness_BravermanAssessment.pdf

http://www.douglaslabs.com/Edge%20Effect%20Quiz.pdf

Books for a better understanding of your brain and solutions that may work for you

“The time to repair the roof is when the sun is shining.”

John F. Kennedy

My Current Reading List with books for a better understanding of the brain:

1. The Edge Effect: Achieve Total Health and Longevity with the Balanced Brain Advantage 

2. The Mood Cure: The 4-Step Program to Take Charge of Your Emotions

by Julia Ross (ttp://www.moodcure.com, http://www.dietcure.com)

http://www.amazon.com/The-Mood-Cure-Program-Emotions–Today/dp/0142003646/ref=sr_1_1?ie=UTF8&qid=1392824953&sr=8-1&keywords=the+mood+cure+by+julia+ross

3. The Better Brain Book: The Best Tool for Improving Memory and Sharpness and Preventing Aging of the Brain

http://www.amazon.com/The-Better-Brain-Book-Preventing/dp/1594480931/ref=sr_1_1?ie=UTF8&qid=1392825025&sr=8-1&keywords=the+better+brain+book

The chief function of the body is to carry the brain around.  - Thomas Edison