What next for rosacea? metro gel completely ineffective. getting worse. small red bumps on cheeks. triggers seem to be sun, exercise and hormones.

Yes: Diet can really help- certain foods like alcohol, coffee, spicy foods ; sugar tend to aggravate, while a diet rich in fruits ; vegetables can help- see http://bit.Ly/1iz45yv for more info. There are many natural therapies like creams with green tea, licorice ; other herbs- see http://altmedicine.About.Com/cs/treatments/a/rosacea.Htm you may also benefit by consulting with a homeopath.

Rosacea treatment: If the topical treatments are not working it is time to add an oral antibiotic. My favorite is minocycline. E can also treat your problem with photofacials (non invasive laser treatments).