In my naturopathic medical practice, I believe that in order to optimize your health, you need to optimize your gut. This is especially true when treating common inflammatory skin complaints such as acne, eczema, psoriasis and rosacea. Research has termed the link between our gastrointestinal health and skin homeostasis as the Gut-Skin Axis and as it turns out, the bacteria that reside within our gut play a large role in mediating this relationship.
Gut dysbiosis, a state of microbial imbalance, has been seen to impair skin barrier integrity causing permeability. Skin barrier disruption results in an immune response that is pro-inflammatory in nature. A disruption in our gastrointestinal barrier, popularly known as leaky gut, also has been seen to cause microbiota metabolites to gain access to the blood stream resulting in an accumulation in the skin-disrupting skin integrity.
Anything that impacts the composition of our gut microbiota or disrupts the integrity of our gut lining will have an impact on our skin homeostasis. The most common offenders are the following:
When treating inflammatory skin conditions such as acne, eczema, psoriasis and rosacea, it is important to reset, restore and optimize gut health and function. I often test individuals gut microbiota composition, digestive/absorptive function, inflammatory and immunity markers as well as vitamin B12 and iron levels when treating skin conditions. Depending on your case, hormone testing may also be required to ensure there isn’t a hormonal imbalance, this is typically more related to acne depending on your presentation.
Keep your gut microbiome happy with probiotic rich foods such as kimchi, sauerkraut, pickles, kombucha and kefir as well as soluble fibers like flax and avocado. Depending on the results of your gut health/functional assessment, you may also require supplemental probiotic specified to your imbalance and condition. There are certain strains of bacteria that have been seen to impact different types of skin conditions, so I always say that in order to gain the most benefit from your health investment, be as individualized as specific as you can.