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Blister Busters

Our experts offer these pre-outbreak hints that may put the brakes on your sore spots:

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  • Avoid stress by getting enough sleep and not overscheduling yourself.
  • "Supplements that boost your immune system may help," says Dr. Golden. She suggests taking as much vitamin C as you can tolerate, up to 5 grams (large doses can cause diarrhea), and between 400 and 800 IUs of vitamin E per day, as well as a multivitamin. Vitamin E oil can also be applied directly to sores to protect tissue and prevent scarring.
  • Watch your intake of chocolate and nuts (including peanut butter). They contain arginine, an essential amino acid that seems to stimulate HSV-1. Also avoid alcohol and caffeine, which act on the central nervous system. A food allergy may be behind cankers, so keep track of which edibles might set off an attack, and avoid them.
  • The amino acid lysine seems to counteract excessive arginine. Dr. Golden suggests taking 500 mg twice a day and doubling the dose during an episode.
  • An aspirin a day may keep a cold sore at bay. A small study reported in The Annals of Internal Medicine suggests that a daily 125-mg dose taken by adults at the first sign of a sore and continued throughout the outbreak can shorten its visit, as well as lessen the pain and inflammation.
  • Shield lips and surrounding skin from the sun by using sun­block; apply a lip balm or lipstick with an SPF of at least 30.
  • Avoid tartar-control toothpastes and mouthwashes that contain alcohol. Always brush teeth and gums gently.
  • Always use a clean cotton swab to transfer makeup, sun­screen, or lip balm ointment from the tube to the affected site to prevent contamination or re-infection.
  • Wash your hands after touching or treating a sore - otherwise, you might spread the virus to other people, other body parts, or re-infect the same area.
  • Even without treatment, both cold and canker sores will clear up within 7 to 14 days. "But if they linger longer or recur more frequently, the lesions may be a sign of a more serious autoimmune illness," says Moneymaker. High fever, spreading infection, or pain that can't be controlled with OTC medications are other signals that you should consult your doctor.

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