1-on-1 with a provider. A protocol built around your biology. We find the root cause - and we clear it. No prescriptions, no topicals.
Takes 2 minutes. Find out what's actually driving your acne.
Cystic and hormonal acne start inside - in your gut, your hormones, your biology. That is why topicals stop working the moment you stop using them.
A 30-minute consultation. A protocol built around your biology. Weekly 1-on-1 calls with your treatment coordinator until your skin is clear. No guessing, no trial and error.
We are not guessing. The root cause approach at Varden Hill comes from clinical experience and lived experience. Our provider has seen what happens when cystic acne goes unaddressed - and what happens when you actually fix the cause.
Every patient gets a 1-on-1 consultation. No shared queues, no generic protocols. A provider who reviews your case and builds a plan around your specific biology.
Board-certified dermatology provider
Telehealth licensed · 1-on-1 patient model
Specialising in inflammatory and cystic acne
Four steps. One protocol. Built around your biology - not a generic plan that everyone gets.
Your provider reviews your full history and identifies what is actually driving the inflammation.
A diet and nutrition plan built specifically for your biology. No generic advice.
A custom supplement formula built specifically for your biology — Zinc Picolinate, Vitamin A, DIM, Omega-3, and Selenium. Compounded and shipped directly to your door.
BHA Tone and Adapalene 0.1%, selected specifically for your skin to address texture, tone, and post-acne scarring.
Your treatment coordinator checks in every week to review progress, adjust the protocol, and make sure it is working — until your skin is clear.
The protocol is built for you. You follow it. We adjust it. No guessing.
We fix it from the inside with your protocol and compound. We finish it from the outside with your tailored topicals. And the app keeps learning your biology every single day until you're clear.
Same questions. Every day. The built-in AI picks up on patterns your provider is already watching for — so we can stop breakouts before they happen and find your exact triggers with real data, not guesses.
Watch your skin change in real time. Your before and after, built day by day.
Your free 30-minute consultation includes a full case review, a root cause assessment, and a plan - built for you, before you commit to anything.
Takes 2 minutes. The consultation is free.
Because everything else treated the surface. Topicals, Accutane, antibiotics - they suppress or reduce sebum while you're using them. They do not address why your body is producing the inflammation in the first place. Varden Hill identifies the root cause - gut, hormones, diet - and builds a protocol that fixes it at the source. That is why it holds when you stop, rather than coming back.
Most patients see meaningful improvement within 60 to 90 days, and most clear fully within 12 weeks. That is faster than Accutane — which typically runs 4 to 6 months, carries significant side effects, and addresses sebum rather than the root cause. Tretinoin alone can take 3 to 6 months just for texture improvement. Because we address the internal drivers — gut, hormones, inflammation — the results hold when the protocol ends, rather than coming back the moment you stop a topical or finish a course.
Your provider checks in weekly specifically so that does not happen silently. If something is not working, we adjust before it becomes a problem. Root cause protocols are iterative - your biology gives us information as the protocol runs, and we use that information to dial it in. If after a full protocol cycle there is no measurable progress, we will be the first ones to tell you why and what the next step should be.
Traditional dermatologists treat skin problems broadly - acne, eczema, psoriasis, rosacea, and dozens of other conditions. They have general protocols and limited appointment time. Most patients with cystic or hormonal acne leave with Accutane or an antibiotic - the same approach regardless of what is actually driving the inflammation. Varden Hill specialises exclusively in inflammatory and cystic acne, and we treat the cause rather than the symptom. Every patient gets a tailored protocol, weekly check-ins, and a provider who is adjusting the plan as your body responds.
None. The consultation is free and there is no obligation to proceed. You are being diagnosed, not sold to. Most patients who come in already know they want a real answer. The consultation just confirms we can give them one.
Every day, the app walks you through a short check-in — a photo of your skin, what you ate, how you slept, your digestion, stress, and movement. The built-in AI analyses patterns across your daily logs and flags correlations your provider is already watching for. This means we can catch what is driving a flare before it fully surfaces, adjust your protocol in real time, and build a clear picture of your biology over time. Your full log history is automatically shared with your treatment coordinator, so every weekly call is grounded in data — not guesswork.
Because we treat the cause rather than the symptom, most patients stay clear. The protocol addresses what was actually driving the inflammation — gut dysbiosis, hormonal imbalance, nutrient deficiency — and those changes are lasting. If something does resurface, you already have a provider who knows your biology in detail. We are not starting from scratch. We know exactly what to look at.
Yes — and many of our patients come to us after Accutane. Isotretinoin reduces sebum production effectively while you are taking it, but it does not address the internal drivers of inflammatory acne. For patients whose acne returned after a course, the root cause is still there. Varden Hill works from the inside — gut health, hormonal regulation, inflammation — which is a completely different mechanism. Prior Accutane use does not affect eligibility.
The compound is formulated from evidence-backed nutrients — Zinc Picolinate, Vitamin A, DIM, Omega-3, and Selenium — compounded specifically for your biology and dose. These are not pharmaceuticals, and the side effect profile is minimal compared to prescription acne treatments. Some patients notice mild digestive adjustment in the first week, particularly with zinc or omega-3 supplementation. Your provider reviews your full health history before finalising the formula and adjusts dosing if needed.
Each call is one-on-one with your treatment coordinator — not a nurse triage line, not an AI chatbot. You review your app logs together, your provider looks at your skin photos and checks in on any protocol changes from the prior week, and you adjust the approach based on what your biology is showing. These calls are where the protocol gets dialled in. Most patients notice the biggest improvements in weeks three through eight, as we accumulate enough data to fine-tune exactly what their skin responds to.
A 30-minute call. A real diagnosis. A plan that addresses the cause - not the surface. And it costs you nothing to find out.
Takes 2 minutes · Free · No commitment
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You will speak 1-on-1 with a licensed provider. Free. They will review your case, identify what is actually driving your acne, and build a plan specifically for you — before you commit to anything.
Tell us your name and where to send your confirmation.
We are reviewing what you shared. A 30-minute consultation with your provider is the right next step. Choose a time - and come prepared to finally get an answer.
Free Consultation
"Most patients leave this call understanding their skin for the first time."
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Your provider reviews your case
They will have reviewed your intake before the call. No repeating yourself. They come in knowing your history, what you've tried, and what hasn't worked.
You get a root cause assessment
Your provider identifies what is actually driving your acne - gut, hormones, diet, inflammation. You will understand your skin better after this call than after years of treating the surface.
You leave with a plan
Whether you proceed or not, you leave with clarity - what is causing it, what would fix it, what the next step looks like.
Before your appointment, we need a few more details so your provider can prepare a plan specific to you. Takes about 5 minutes.
Please complete this before your appointment
Your video call link
https://meet.google.com/pug-tdtr-bpzUse this link at your appointment time — we will also send it to your email.
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This helps your provider understand your history and tailor your protocol.
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Take a moment with this one. We genuinely want to know.
Pre-appointment
These are different from typical pimples — they tend to be uniform in size and persistently itchy.
Pre-appointment - Optional
Upload a photo of your skin so your provider can review the severity before your call. Entirely optional - your consultation is the same either way.
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Your provider now has everything they need to prepare for your consultation.
A confirmation and reminder have been sent to your email.
What others say
"The consultation took 25 minutes. They told me things about what was driving my acne that no dermatologist had ever mentioned. Four months later I have not had a single cyst."
Marcus, 23 - Cystic acne - 6+ years
"I understood my own skin better after that one call than I had in years of trying everything. Booked the protocol the same day."
Jordan, 21 - Hormonal acne - 4 years
"My jawline is the clearest it has been since middle school. Three months. I had been dealing with this for nine years."
Devon, 24 - Inflammatory acne - Jawline
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Varden Hill
Last updated: April 22, 2026
Varden Hill is a telehealth practice specialising in root cause protocols for chronic and inflammatory acne. We are committed to protecting your personal information. Questions about this policy can be directed to privacy@vardenhill.com.
We collect information you provide when you complete our skin assessment, book a consultation, complete your pre-appointment intake, upload photos of your skin, or communicate with us. This may include your name, email address, date of birth, health information relating to your skin condition, dietary habits, lifestyle factors, medications, and skin photos.
We use your information to provide and personalise your telehealth consultation and protocol, communicate with you about your appointment and care plan, send confirmations and reminders, and improve our services. We do not sell, trade, or rent your personal information to third parties.
Health information you share is treated with the highest level of confidentiality. It is used solely to provide you with care and is shared only with the licensed providers involved in your treatment.
Photos you upload are used exclusively for clinical assessment by your provider. They are stored securely and are never shared publicly, used in marketing, or provided to third parties without your explicit written consent.
Your information is stored securely using industry-standard encryption. We use trusted third-party services including Google for data storage and Zapier for workflow automation. These services are bound by their own privacy policies and data processing agreements.
Our website uses Microsoft Clarity and Google Analytics to understand how visitors use our site. These tools collect anonymised usage data including pages visited, time on site, and general interaction patterns. No personally identifiable health information is collected through these tools.
You have the right to access, correct, or delete your personal information at any time. To make a request, email privacy@vardenhill.com. We will respond within 30 days.
We may update this policy from time to time. We will notify you of significant changes by email. Continued use of our services after changes constitutes acceptance of the updated policy.
For any privacy-related questions, contact us at privacy@vardenhill.com.
Varden Hill
Last updated: April 22, 2026
By accessing or using Varden Hill's website and services, you agree to be bound by these Terms of Service. If you do not agree, please do not use our services.
Varden Hill provides telehealth wellness consultations focused on root cause protocols for chronic and inflammatory acne. Our services are educational and wellness-oriented in nature. We work alongside licensed healthcare providers to review intake information and develop personalised protocols.
Our services are not a substitute for emergency medical care. If you are experiencing a medical emergency, contact emergency services immediately.
You must be at least 18 years of age to use our services. By using our services, you confirm that you meet this requirement. Our services are available to residents of states where telehealth wellness services are permitted.
Your free 30-minute consultation is conducted via video call. By booking a consultation, you agree to:
Any protocol or recommendation provided by Varden Hill is based on the information you provide. Results vary between individuals. We do not guarantee specific outcomes. You are responsible for following your protocol as directed and communicating any concerns to your provider.
Varden Hill's services do not constitute a medical diagnosis. If you have a serious medical condition, are pregnant, or are currently under medical supervision, consult your physician before following any protocol provided by Varden Hill.
By uploading photos to our platform, you grant Varden Hill the right to use those photos solely for the purpose of clinical assessment by your assigned provider. Photos will not be used for any other purpose without your explicit written consent.
Initial consultations are provided free of charge. Fees for protocols and ongoing care will be communicated clearly before any payment is required. You will never be charged without your explicit agreement. Refund policies for paid services will be communicated at the time of purchase.
You may cancel or reschedule your appointment at any time by replying to your confirmation email. We ask for at least 24 hours notice out of respect for your provider's time.
Varden Hill's liability is limited to the amount paid for the specific service in question. We are not liable for indirect, incidental, or consequential damages arising from the use of our services.
We may update these terms from time to time. Continued use of our services after changes are posted constitutes acceptance of the updated terms.
For questions about these terms, contact us at legal@vardenhill.com.
About
Varden Hill is a telehealth practice built specifically for people with chronic and cystic acne who have tried everything and gotten nowhere. Not because they did not try hard enough. Because the treatments they tried were aimed at the wrong target.
Most acne treatment addresses the surface. Topicals, prescriptions, Accutane — they manage what you can see. Chronic acne, especially cystic and nodular acne, is almost never a skin problem. It is an internal one. Gut health, hormonal imbalance, chronic inflammation, diet — these are where it starts. That is where we work.
Every patient starts with a free 30-minute consultation. Before the call, you complete a detailed intake covering your diet, digestion, stress, sleep, supplements, and skin history. Your provider reviews everything before you ever speak.
On the call, you receive a root cause assessment — a clear explanation of what is most likely driving your acne based on your biology, not a generic template. If the protocol is a fit, we build it together. Four weekly calls, a nutrition and lifestyle plan, and a compound supplement formulated for your case.
Varden Hill was founded by Bryan Novar, a treatment coordinator who spent years watching patients cycle through treatments that addressed symptoms without ever finding the root cause. The practice operates under the clinical supervision of Dr. K. Lee, a licensed provider who reviews every patient intake and builds each protocol.
We are not a skincare brand. We are not a supplement company. We are a clinical practice built around one idea: find the actual cause, address it directly, and let the skin follow.
Clear skin from the inside out.
The consultation is free. You will leave knowing more about your skin than you did before — whether you move forward with us or not.
For questions about the practice, the protocol, or your account:
Varden Hill · Privacy Policy · Terms of Service
Clinical Evidence
Varden Hill protocols are grounded in peer-reviewed research. The studies below represent the clinical evidence base behind our approach to chronic and cystic acne — addressing gut health, hormonal imbalance, dietary inflammation, and micronutrient deficiency rather than surface-level symptom management.
Gut Microbiome & Acne Severity
Alterations in gut microbiota composition are directly associated with acne vulgaris severity.
Research published in the Journal of Dermatological Science found significant differences in gut microbiome composition between acne patients and healthy controls. Patients with moderate-to-severe acne showed reduced microbial diversity and lower populations of beneficial bacteria, supporting a direct gut-skin connection in inflammatory acne pathogenesis.
Intestinal Permeability & Skin Inflammation
Increased intestinal permeability contributes to systemic inflammation and acne pathogenesis.
A review in Gut Pathogens examined the relationship between intestinal permeability — commonly referred to as "leaky gut" — and inflammatory skin conditions. The evidence suggests that compromised gut barrier function allows bacterial endotoxins to enter systemic circulation, triggering inflammatory cascades that manifest in skin tissue.
High Glycemic Diet & Acne Prevalence
High glycemic load diets significantly increase acne prevalence and severity in controlled trials.
A randomized controlled trial published in the American Journal of Clinical Nutrition demonstrated that participants on a low glycemic load diet showed a 51% greater reduction in total acne lesion count compared to a control group. The study also found reductions in androgen bioactivity, a key driver of sebum production and cystic acne formation.
Dairy Consumption & Acne
Dairy consumption is positively associated with acne prevalence across multiple large cohort studies.
A meta-analysis in the Journal of the American Academy of Dermatology reviewed data from over 78,000 participants across multiple studies and found a consistent positive association between dairy intake — particularly skim milk — and acne prevalence. The proposed mechanism involves dairy-derived hormones and growth factors stimulating IGF-1 and androgen pathways.
Zinc Deficiency & Acne Severity
Acne patients demonstrate significantly lower serum zinc levels compared to healthy controls.
A study in BioMed Research International measured serum zinc levels in acne patients versus healthy controls, finding that acne patients had significantly lower zinc concentrations — and that severity of acne inversely correlated with zinc levels. Zinc plays a critical role in sebum regulation, anti-inflammatory activity, and wound healing in skin tissue.
Zinc Supplementation & Acne Reduction
Oral zinc supplementation produces clinically significant reductions in inflammatory acne lesions.
A systematic review and meta-analysis in Dermatology confirmed that oral zinc supplementation significantly reduced both inflammatory and non-inflammatory acne lesion counts. While effect sizes varied, zinc consistently outperformed placebo and produced results comparable to some topical treatments — without the antibiotic resistance concerns associated with conventional therapy.
Cortisol, Androgens & Acne
Cortisol elevation stimulates androgen production, directly increasing sebum output and acne severity.
Research in the Journal of Investigative Dermatology established the mechanism by which psychological stress — measured through cortisol output — exacerbates acne. Elevated cortisol stimulates adrenal androgen production, which in turn increases sebaceous gland activity. Patients with higher perceived stress scores showed proportionally higher sebum production and inflammatory lesion counts.
IGF-1, Insulin Resistance & Cystic Acne
Elevated IGF-1 and insulin resistance are strongly correlated with cystic and nodular acne severity.
A study in the British Journal of Dermatology found that acne patients had significantly elevated IGF-1 levels compared to controls, and that IGF-1 correlated directly with sebum secretion rates. The research supports dietary and lifestyle interventions that reduce insulin resistance as a primary therapeutic target for severe inflammatory acne.
The studies listed on this page are published, peer-reviewed research used to inform the clinical approach at Varden Hill. Citations link directly to PubMed abstracts. This page is intended for informational purposes and does not constitute medical advice. Varden Hill protocols are supervised by a licensed provider and tailored to each patient's individual presentation.
Root cause treatment. Backed by research.
The consultation is free. You will leave knowing more about your skin than before — whether you move forward with us or not.
Varden Hill · About · Privacy Policy · Terms of Service