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in Lifestyle &middot June 8, 2018

My Skin Care Regimen

This post turned out a bit longer than I anticipated, but I’m glad you guys wanted to read it! This is another one that I decided on after running a poll in my Instagram stories, and your wish is my command. I take my skincare very seriously because a) I love makeup and I want to have a good palette to start working on and b) I spent a long time with a fair amount of acne. To be fair, it was never as bad as you see in Proactiv commercials, but decades of acne runs in my family. I’ve known for a long time that I shouldn’t expect my acne to stop when I became an adult, so I tried to adopt good skin care from a young age.

As I share my regimen, please keep in mind that I’m not a dermatologist or an esthetician. I’m sharing what I personally do and what I’ve heard from others, but I’m not telling you what you personally should do for your skin. If you’re struggling, see a professional! And make sure it’s someone with a license.

Last note before we get into my skincare regimen: if you shop online, use Ebates (affiliate). This is an awesome program that goes on your browser and gets you some cash back. When you go to a participating store’s website, you’ll get a notification including how much you can get in cash back, ranging from 1% to 10%. Every couple of months, you’ll get a deposit into your PayPal or a check. And that’s it!

This post contains affiliate links that (other than the one above) will not be marked as such. Thank you for supporting Kate the (Almost) Great!

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First things first – this is what I look like without makeup! I wanted to share this so that you guys know what I look like after doing all of these things. And since my glasses are large and block some of my face, I took this picture without them so you can get a better idea of what’s hiding behind them. (I don’t wear contacts anymore because of inflammation around my eyes, but that’s a story for another day.)

As I share my skin care regimen, you should know what my skin looks like. So here I am without makeup! I'm sharing how I manage my oily and dull skin in this post.

What I Put in My Body

It’s super important to take care of your skin from the inside as well as from the outside. And since I strongly believe that these impact the quality of my skin, it’s necessary for me to be honest (and transparent) about what I put in my body that affects my skin. I don’t want to lie to you and say that only the things I put on top of my skin affect it, but you should also know that if I don’t do everything else in this post, my skin looks dull, it gets textured, and I break out.

Water – I drink SO much water. I mean, bottles and bottles of water. I mostly do this because my medications give me dry mouth and because my POTS is affected by how hydrated I am, but it has the added benefit of improving my skin. I see the standard 8 glasses of water a day as a suggestion and drink probably 6 bottles of water. This isn’t to say that you should be drinking as much as I do – I’m supposed to drink 2-3 liters of water due to POTS – but (again) just being transparent.

Fruits and veggies – I also eat a lot of produce. This is partially because I can’t eat gluten, dairy, corn, soy, or eggs, so I kind of have to eat very healthy. But it definitely helps my skin! If you’re not sure how good this can be for you, the Cleveland Clinic says, “Fruit, vegetables and dark chocolate supply antioxidants and vitamins that help protect your skin from free radicals and sun damage, which keeps the skin looking younger and more radiant” (x). So, basically the doctor says you should eat fruits and veggies and (most importantly) dark chocolate.

Hormonal birth control – I can’t lie: I’m on a medication that affects your hormones which affects your skin. For those of you who don’t know, I have endometriosis, which is a condition in which tissue like that in your uterus grows outside of the uterus. Because this is connected to the reproductive organs, one of the big treatments for it is birth control. I’m currently on an injection once every 3 months, and it has done wonders for my endometriosis. And it has the added benefit of helping my skin! My acne had already been calming down a bit in the previous years, and it got even better once I started this. BUT it has not eradicated my acne and it hasn’t done anything else for my skin. In fact, in order to keep my skin at the quality that I enjoy, I have to do alllll of the things that I’m about to tell you.

My Skin Care Regimen: Daily

These are the products I use in my daily skin care regimen. I'm also sharing other skincare products I've tried that I like, both drugstore skincare and high-end skincare.

Facial Scrub – I like to use a mild exfoliant scrub every morning because I have mostly oily skin. My favorite of all time is by L’Oreal, but I haven’t seen it much in recent years and couldn’t even find a link to it for this post, which makes me sad. When I can’t find that, I like the ones by Garnier and Bioré. Something you should know is that an esthetician friend of mine has said that the St. Ives scrubs are really terrible for your skin because they strip it way too much, so don’t use those!

Moisturizer with SPF – SPF is SO important! You need to wear sunscreen (or something with it) even on cloudy days. In recent years, one of my grandmothers has had to have skin care removed from her nose three times, so I’m super vigilant about SPF. I like to use a moisturizer with SPF in it, and really like the one from Neutrogena. Because I have mostly oily skin like I mentioned, I use their oil-free one.

Regular Moisturizer – While sunscreen is super important, you shouldn’t use it too much because it can clog up your pores. This is why I use a moisturizer without SPF at night. I’m currently using this one from the Sephora Collection and sometimes this one by First Aid Beauty, but I’ve also loved the Clinique one.

Toner – Between oily skin and a penchant for blackheads, there’s so much going on with my skin. This is why I like to use toner 1 to 2 times a day. (Today.com has a great list of reasons why you should use one.) I’m a big fan of the Pixi Beauty Glow Tonic! When I started using it, I saw an improvement in my skin within a week.

Makeup Remover – Don’t. Sleep. In. Your. Makeup. Every now and then is fine, but not regularly. It can super clog your skin! I’ve been using the Neutrogena wipes for years because they’re so easy and they work so well, but if you’re a bit better about saving Earth than I am, you might want to try another form of makeup remover and use reusable “wipes.”

Cleanser – And, of course, you need to use cleanser. I use one at night to get clean my skin and get rid of any lingering makeup. Once again, my all-time favorite is from L’Oreal and rarely found, but others that I like are the charcoal beauty one from Boscia and First Aid Beauty. The classic Cetaphil is also good, but it’s not as good in my experience as the others.

My Skin Care Regimen: Weekly

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Face Mask – I try to do a face mask at least once a week to give my skin a little extra oomf and to help whatever is irritating it that week. I’ve accumulated a little stash of face masks that help with clogged pores, dull skin, and dry skin. This winter was actually the first time in my life that I started having problems with dry skin, which is why I said above that my skin is mostly oily. Recently, I’ve been loving the Origins mask for clogged pores, Sephora Collection sheet masks for brightening and nourishing, and the Boscia charcoal mask for clogged pores. | My Favorite Face Masks

Peel – Last year, Influenster sent me a Vitamin C peel to try and review. I enjoyed it, but kind of ignored it – until recently! A few weeks ago, my skin started to feel off. I can’t really explain it other than to see it was kind of a texture thing. On a hunch, I did the peel again and afterwards my skin was so soft that I couldn’t stop touching it. (Which, you know, isn’t the best thing for it, but it was also kind of involuntary.) It also started looking brighter! I’m going to keep doing this peel weekly, and I’ll get back to you in the next currently post if it does something even better.

Pore Stripes – Ah, pore strips. The most necessary tool for people with oily skin and regularly clogged pores like myself. I’ve been doing these weekly for what feels like years. The pores on my nose is almost always clogged with gunk and I feel like I’m never not pulling stuff out if it (gross, I know, but it’s true). In my years of using these, I’ve actually discovered that you need to keep these on longer than the box says. The Bioré box, at least, to keep them on for 15 minutes. I keep them on until more like 1-1.5 hours. This is because you’re supposed to wait for the strip to become firm and dry, and that takes a lot longer than 15 minutes. 2 hours is so long that not much is pulled out, but 1 hour is often too short. It might take a while to find what works for your skin. And who knows, maybe your skin only needs 15 minutes. Like I mentioned, I use the Bioré ones. I’ve tried others, including higher-end and K-beauty ones, but the Bioré ones are the best.

My Skin Care Regimen: Less Often

Facial – Okay, so I’ve only done this two or so times before, but it should be included. Again, I’m not an esthetician, let alone a licensed one, so everything I do to my skin is amateur hour. Sometimes, you just need to have a professional take a gander at your face.

Spot Treatment – This Clean & Clear spot treatment has been my saving grace for probably a decade now. Whenever I start to feel pimples coming, I put this on them. Sometimes, it prevents them from becoming a full-blown pimple. Sometimes, it just helps me weather the pimple storm. Either way, I can’t recommend it enough!

What’s your skin care regimen?

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Kate Mitchell

Kate Mitchell is a blogger, chronic illness patient, and advocate who helps people understand chronic illness and helps chronic illness patients live their best lives.

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  1. Kate the (Almost) Great | Boston Lifestyle Blog - My Evening Routine - Kate the (Almost) Great | Boston Lifestyle Blog says:
    February 7, 2019 at 7:59 am

    […] My skincare regimen […]

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  2. 10 Simple Self Care Methods That Will Improve Your Life | Boston Lifestyle says:
    October 22, 2022 at 3:58 pm

    […] bedtime medications and wash my face. After washing my face, I do my nighttime skin care routine (check out my entire skin care routine here), brush my teeth, floss, and use mouth wash. Then I read my bible reading for the day and, if I’m […]

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I don’t know the exact date of my RA diagnosis, bu I don’t know the exact date of my RA diagnosis, but this is from right around then in July 2010. ⁣
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When I was diagnosed, I had been having symptoms for 9 years. ⁣
- 9 years of foot pain (partially from tarsal coalition)⁣
- Arthritic damage in said food⁣
- Carpal tunnel off and on for several years⁣
- And more⁣
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I was finally diagnosed because I woke up one morning and was unable to open my jaw more than 8 mm. It turned out that I had horrible arthritic damage to my TMJs, which got me off the waiting list at MGH rheumatology. I left that appointment with an autoimmune arthritis diagnosis. ⁣
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The fact that July is not only my diagnosis anniversary but also Juvenile Arthritis Awareness Month has always seemed right. I may not have been diagnosed with JA, but given the amount of arthritis I had along with my many years of symptoms, it's generally accepted that I had it. ⁣
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This year marks 16 years since diagnosis and this fall marks 25 years since my symptoms started. It's pretty weird that so much time has already passed!⁣
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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate at 19 at Fenway Park for a Red Sox game. ⁣
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#RheumatoidArthritis #AutoimmuneDisease #Arthritis #JuvenileArthritis #JRA
Dos and don'ts for when someone in your life is di Dos and don'ts for when someone in your life is diagnosed with autoimmune arthritis! What are some that you would add?⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: "So someone you know was diagnosed with Autoimmune Arthritis". Under the Do column (indicated with a green checkmark) is:⁣
"As how they feel about it⁣
Offer specific ways to help⁣
Treat them normally⁣
Ask follow-up questions⁣
Wear a mask around them when sick."⁣
Under the don't don't column (indicated with an x in a red circle) is:⁣
"Say “At least it’s not xyz!”⁣
Say that and not follow through⁣
Assume nothing about their lives has changed⁣
Conflate autoimmune arthritis with osteoarthritis⁣
Pass your cold to an immunosuppressed person".⁣
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#AutoimmuneDisease #RheumatoidArthritis #PsoriaticArthritis #AnkylosingSpondylitis #JuvenileArthritis
Weekj 26 of 2026 Weekly Scenes of a summer week Weekj 26 of 2026 Weekly 

Scenes of a summer week in Maine! So glad I work from home, which means I can work from my real home (Maine, if that wasn’t clear)

1️⃣ Lots of Harley time
2️⃣ Working from home means saving my PTO for fun things!
3️⃣ Lots of duck families (📸 my dad)
4️⃣ What a lot of my days look like - Harley and my current project (needlepoint). And, yes, I’m still in a cast.
5️⃣ Learned how to play Mahjong, which my parents love
6️⃣ Lake views on the 4th

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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs:
1️⃣ Harley the golden retriever on a deck as seen through some plants
2️⃣ Kate takes a selfie
3️⃣ A duck with little ducklings following on a lake
4️⃣ Harley coming up to Kate. Her legs are out on an ottoman, 1 foot in a walking cast, and an in-progress needlepoint project
5️⃣ Looking down at a Mahjong table with the game set up
6️⃣ A kayak on the shore of a lake 

#MaineTheWay #MaineSummer #Needlepoint #MaineLife
Living with chronic pain is really hard. You’re wi Living with chronic pain is really hard. You’re winning every day you’re still here.⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: The background image is a lake at sunset. Text reads what's above the first square and also "katethealmostgreat".⁣
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#ChronicIllness #ChronicPain #RheumatoidArthritis #Fibromyalgia #Endometriosis
I've been spending a fair amount of time at my foo I've been spending a fair amount of time at my foot surgeon's office this year, and boy has it been messing with my head. ⁣
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I spent a lot of time from 2001-2010 dealing with my left foot. Long story short, it took until this foot surgeon saw me in 2010 after fixing this foot for me to be diagnosed with rheumatoid arthritis. But I spent those 9 years going from doctor to doctor, having surgery after surgery, trying to figure out what was causing my pain and to fix it. ⁣
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Was it the tarsal coalition? Did I have another chronic health issue? Etc. ⁣
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I spent from age 10 to 19 unsure what exactly was wrong with me and in huge amounts of pain. We thought we figured it out, and then something else happened. ⁣
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We know exactly what is wrong with this foot this time around: in 2024, I got 3 stress fractures, and no one put me in a boot. They almost fully healed before breaking in 2025, and then the same thing happened in 2026. ⁣
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This is a different part of the foot than I used to deal with, but any problems with my feet and especially my left foot messes with me. While this doctor eventually fixed the problems and even got me diagnosed with RA, every time I go back to his office, I have to fight not to become 17 again. ⁣
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PTSD is a bitch.⁣
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(PS - if you want to know why I'm going back to this guy when it messes with me, it's because I don't trust anyone else to fix my foot.)⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: Kate takes a selfie in a doctor's office. ⁣
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#PTSDAwareness #ChronicallyIll #TarsalCoalition #RheumatoidArthritis #Osteoporosis
Week 25 of #2026Weekly Happy to be in Maine for Week 25 of #2026Weekly 

Happy to be in Maine for a few weeks! I didn’t get up to a lot, so another week of very few pictures

1️⃣ IVIG 
2️⃣ Lots of beautiful birds have been coming to my mom’s bird feeder!

⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣⁣

I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣⁣⁣⁣

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IDs: 
1️⃣ Looking at Kate’s lap. Tubes are coming out from under her shirt and there’s a Kindle
2️⃣ Birds arriving at a bird feeder as seen through a window

#ChronicallyIll #InvisibleIllness #ChronicPain #IVIG
What do you have to do every day for your chronic What do you have to do every day for your chronic illnesses? ⁣
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For context, I have rheumatoid arthritis, fibromyalgia, endometriosis, POTS, heart disease, osteoporosis, and more. ⁣
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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: ⁣
Things I Do Every Day for My Chronic Illnesses⁣
Take pills at least 4 times a day⁣
Don’t eat gluten, dairy, corn, soy, or eggs⁣
Sleep 7+ hours a night⁣
Consume 80-100 grams of protein, 120 mg of calcium, 5-10 grams of sodium⁣
Wear a mask whenever I leave the house⁣
Do pilates 4+ days a week⁣
Work from home⁣
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#ChronicallyIll #InvisibleIllness #RheumatoidArthritis #Fibromyalgia
Filmed this back in April (hence the sweater) but Filmed this back in April (hence the sweater) but it applies to whenever I have appointments! 

Video: Kate talks to the camera while holding a purse. She holds up individual items mentioned in the video before putting them in the bag. There are captions. 

#ChronicallyIll #RheumatoidArthritis #Osteoporosis #ChronicPain
There are a lot of medical advancements that I'm g There are a lot of medical advancements that I'm grateful for, but one of them is the ability to do IVIG at home. ⁣
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I'm on IVIG - or, in my case, subcutaneous immunoglobulin replacement therapy - because I have to kill the better part of my immune system. There are, in fact, some parts of my immune system that don't attack me, which is why we add them back in. This helps reduce my chance of serious infection and also made my rheumatologist feel comfortable enough to increase my Rituxan dose. ⁣
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This is a weekly treatment that I do, but it's so much better that I can do it at home than going into the hospital. It takes around 2.5 hours from taking my pre-meds to tossing my needles into a Sharps container. While it's another thing that I have to do, because I do it at home, I don't have to risk exposure to infections at the hospital or deal with Boston traffic, which would add another hour to the process. ⁣
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I can finish my treatment and then go about my day, which I'm very grateful for.⁣
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⬛⁣⁣⁣⁣⁣⁣⁣⁣⁣
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I’m Kate, a chronic illness patient and advocate sharing what my life is like with 10+ chronic illnesses. Follow me for more and check out my blog at katethealmostgreat.com⁣⁣.⁣
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ID: A Kindle on Kate's legs. There are tubes for an infusion coming out of her shirt.⁣
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#IVIG #ChronicallyIll #RheumatoidArthritis #Autoimmune #AutoimmuneDisease
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