Milk contains progesterone and other hormones that are known precursors to DHT, the principal acne-producing hormone in human beings. Cow milk contains Iodine, the quantity of hormones gets improved when farmers inject their cows with an increase of hormones. That is done to increase the efficiency of milk by confirmed cow. These injections increase the quantity of IGF – 1 within milk. It should be noted that it is IGF -1 that woks along with testosterone and DHT to cause pimples. But Skim milk was associated with higher IGF-1 amounts than whole milk.The sedation PIM focuses on practice based evaluation of the following five quality indicators: Risk assessment. Informed consent. Depth of sedation. Patient safety . Patient fulfillment. This activity is approved through the American Board of Internal Medicine’s-Approved Quality Improvement Pathway and is normally eligible for 20 points towards the self-evaluation of practice performance requirement of maintenance of certification. ABIM can be an independent, not-for-profit organization that grants board qualification – a well recognized marker of doctor quality – to internists and subspecialists. Qualification is a rigorous, extensive program for evaluating physician knowledge, abilities and attitudes to assure both individuals and payers that a doctor has achieved competence for practice in a given field.