The Healthy Skin Show

Many of you now by now that my dad was an ophthalmologist, so I guess there's a certain place in my heart for eye issues. However, when we talk about skin on the show, we might not think about the connection to our eyes, but a lot of people struggle with eye issues, especially since some medications that are taken to help skin conditions sometimes exacerbate eye issues. Today's guest is an optometrist, Dr. Carly Rose who is an optometrist who received a Bachelor of Science in Biology from Northern Kentucky University before heading off to optometry school in Chicago. She then chose to complete a year-long residency at the Cincinnati VAMC Eye Clinic. Dr. Rose owns a comprehensive primary eye care practice called Eyecare on the Square and a dry eye medspa, Clear Eyes + Aesthetics in Cincinnati OH.  She is a current member of the American Optometric Association, the Ohio Optometric Association, and the American Academy of Optometry. Have you ever dealt with dry eye or eye-related side effects from medications? Let me know in the comments below! In this episode: What is dry eye + what are the symptoms? What can cause an ocular surface condition? How screens + breathing can mess up tear production What you need to know about Demodex mites + eyes… yikes! Possible medications that can dry out your eyes Tips for dry eyes- at home or in a professional's office! Quotes “Tears are a lot more than just water. They're very, very complex. And it's really cool because it's also kind of like breast milk in that it, it changes percentage of components depending on what's going on in the environment. So they're reactive.” [2:52] “There are more dry eye patients than all macular degeneration and glaucoma patients combined. And that number is growing exponentially.” [03:57] Links Follow Dr. Rose and her practices on Instagram here, here, and here | Facebook | tiktok Check out Dr. Rose on her website Healthy Skin Show ep. 210: How Steroid Creams Impact Your Eyes w/ Dr. Brian Boxer Wachler Healthy Skin Show ep. 201: Before You Put Anything Around Your Eyes…w/ Rachael Pontillo Healthy Skin Show ep. 276: Dupixent Eye Side Effects: What's Going On? {RESEARCH} w/ Dr. Roselie AchtenReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

If working with an alternative medicine or integrative practitioner on your skin problems has been on your wish list, you must listen to this! Hopefully you’ll find this episode before you commit to working with anyone because the process of finding an integrative or alternative “skin rash-literate” practitioner isn’t as simple as it may seem. That’s because addressing chronic skin problems like eczema, psoriasis, rosacea, dandruff, chronic hives, dermatographia and even topical steroid withdrawal is a specialty. But functional trainings often lump them all in with gut + autoimmune problems – often treating them as if they were solely a gut problem. HINT HINT – they’re not JUST a gut problem. So let’s talk about why you can’t just look for any integrative or functional provider AND what you can do to vet those whom you’re considering working with! In this episode: Why you can’t just look for a functional or integrative practitioner and assume they are “skin problem” literate Being integrative is a spectrum Problems with functional medicine for chronic skin issues Suggestions on finding a knowledgeable practitioner Quotes: If you have a history of disordered eating or eating disorders, ask if they would still use elimination diets in your case. Because functional medicine does not teach anything about topical steroid withdrawal, your practitioner will likely assume you have severe eczema.Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

If you've ever joined a Facebook group and uploaded a picture of a crazy, bumpy rash and someone told you to just put a cream on it, there's no shame here. However, some people may actually have shingles, and you can't just "put a cream on it"! In honor of National Shingles Awareness Month and Week, I wanted to bring in an amazing expert on the topic to dish out the facts and what to watch out for. My guest today is Mamina Turegano, MD,. She's a triple board-certified dermatologist, internist, and dermatopathologist practicing at Sanova Dermatology in the greater New Orleans area specializing in medical and cosmetic dermatology. Dr. Turegano has a special interest in evaluating how nutrition, lifestyle, sleep, and other environmental factors can play a significant role in inflammation, aging, and cancer. She is a recent graduate of the Integrative Dermatology Certificate Program. In addition to providing skincare tips and knowledge on dermatological conditions through her social media platforms, she shares her Japanese mom’s anti-aging tips, which incorporate holistic and traditional Japanese beauty practices. Have you ever had shingles? How did you find out, and what did you do for it? Share with the community in the comments below! In this episode: What are shingles + how is it different from chickenpox? Is shingles just an "old person's" health issue? Signs + symptoms of a shingles outbreak Possible triggers for shingles Treatment options for shingles Are shingles contagious + who should be cautious around someone with shingles? Can you get shingles multiple times? Quotes "Stress... I would say that's probably the number one trigger is stress." [6:35] "Eczema herpeticum is actually related to herpes simplex. So different variant, but it can look similar if eczema herpeticum is localized to one area." [21:52] Links Follow Dr. Mamina on Instagram | Twitter | Facebook | tiktok Check out Dr. Mamina on her website Healthy Skin Show ep. 106: What The Heck Is Eczema Herpeticum? w/ Abby LaiReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

You go to the doctor, get blood panels run, but you're told you're fine. However, you don't feel well. Have you ever felt that maybe there's a step missing somewhere or something is just being overlooked?? Today you'll hear from someone who might be able to give you some insight on why things have shifted in the medical system and what you can do to support health, especially your mitochondrial health. My guest today is Dr. Robert Lustig, MD, MSL. He is Emeritus Professor of Pediatrics in the Division of Endocrinology and Member of the Institute for Health Policy Studies at UCSF. Dr. Lustig is a neuroendocrinologist, with expertise in metabolism, obesity, and nutrition. He is one of the leaders of the current “anti-sugar” movement that is changing the food industry. Dr. Lustig graduated from MIT in 1976, and received his M.D. from Cornell University Medical College in 1980. He also received his Masters of Studies in Law (MSL) degree at University of California, Hastings College of the Law in 2013. I'd love to hear if something really stuck out to you in this interview! Share with me in the comments below! In this episode: What is metabolic health + what all does it affect? Insight on the liver enzyme ALT + how it's normal range has changed What are Dr. Lustig's "Hateful Eight" for metabolic health? Thoughts about why the diabetes diagnosis is exploding Glucose vs. fructose - which is worse? The importance of fiber Quotes "It makes sense that the disease of alcohol and the disease of sugar should be the same, and that's why children now get type 2 diabetes and fatty liver disease without alcohol." [5:01] "It turns out there are a whole lot of mitochondrial toxins out in our environment. But the mitochondrial toxin that you have the most control over, that you could deal with yourself in a flash and get rid of about 85% of the mitochondrial dysfunction in your body in one fell swoop, is the molecule fructose, which is one half of sugar." [20:17] Links Follow Dr. Lustig on Instagram | Twitter | LinkedIn Check out a charity Dr. Lustig supports: Eat REAL Get ALL of Dr. Lustig's books: Fat Chance: Beating the Odds Against Sugar, Processed Food, Obesity, and Disease The Hacking of the American Mind: The Science Behind the Corporate Takeover of Our Bodies and Brains Metabolical: The Lure and the Lies of Processed Food, Nutrition, and Modern Medicine Looking for some healthy snacks made from REAL food? Try Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

If you're a longtime listener, you know that I HATE crazy food dogmas. I will say it OVER and OVER again! So, with this conversation, one of the important pieces that I want people to walk away from today is that this is not black and white- are certain foods good or bad for you, should you only eat Organic, you need to eat only after a certain time of day, etc. Food restrictions or diets are not a one size fits all. Today's guest, Dr. Gabrielle Lyon, is a Washington University fellowship-trained physician in Nutritional Science and Geriatrics and is board certified in Family Medicine. Dr. Lyon is the founder of the Institute for Muscle Centric-Medicine™. She services the leaders, innovators, mavericks, and executives in their prospective fields. In addition, Gabrielle works closely with the Special Operations Military and has a private practice that services patients worldwide. If you've increased your protein intake and it helped your skin health, what are your favorite ways to do so? Share with me in the comments below! In this episode: Why the argument against protein tends to be incorrect The importance of muscle in terms of longevity How does muscle act as a metabolic regulator? If you're dealing with a compromised skin barrier, what types of intake numbers might you consider? The BIG animal vs. plant question What happens inside the body when you exercise and why it's CRUCIAL for health Dr. Lyon's big announcement on the working title of her new book! Quotes "Everyone talks about insulin resistance, diabetes, cardiovascular disease, Alzheimer's. Much of these metabolic diseases begin in skeletal muscle first." [5:32] "For protein turnover, your body goes through about 250 grams, depending on your size, of protein turnover a day. That's a lot of protein turnover!" [6:32] Links Find Dr. Lyon online and download her free LYON PROTOCOL for a food guide here (scroll down halfway on homepage) Follow Dr. Lyon on Facebook | Instagram | Twitter Preorder Dr. Lyon's book Forever Strong: A New, Science-Based Strategy for Aging Well coming out this Fall! Try these brands for some supportive products to help get your protein intake up: Quell's Protein Powders | Vital Proteins | PaleoValley Healthy Skin Show ep. 065: Why Protein Is Good For Your Skin (And Solving Skin Rashes) Healthy Skin Show ep. 268: Plant-based Vs Carnivore Diet: What’s BestReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

If you’ve heard that skin rashes are caused by underlying gut problems, this can definitely be a factor – especially looking at gut function + your gut microbiome. That said, gut issues are just one factor in a case, so skin problems aren’t entirely gut problems! While I’ve discussed other gut problems that are associated with chronic skin issues, I haven’t yet dove into the link between low stomach acid + chronic skin problems. So let’s do that today so you can see why this often misunderstood issue (that’s pretty easy to figure out) is a great starting point to work on your case! In this episode: Overview of gut function + why any problems along the way create larger issues downstream Reasons why stomach acid could be low Symptoms of low stomach acid How to test for low stomach acid (at-home) Tips to naturally increase stomach acid Quotes: When stomach acid is chronically low, you can potentially end up with nutrient deficiencies + unwanted organisms in your GI tract that were swallowed. There are no backup systems in your gut so if one step fails, it triggers problems from that point onward in the digestive + absorption process.Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

You could be doing all the right things- eating clean, whole foods, tossing out all itchy clothing, and making sure you drink plenty of water. But you're still flaring. Today's guest speaks on possible external triggers that he's been researching that may be causing flares, and it can be everything from where you live to what specific chemicals are in your environment. My guest today is Dr. Ian Myles, who was born and raised in Colorado. He did his undergrad at Colorado State University, received his M.D. from the University of Colorado, then trained in internal medicine at The Ohio State University prior to beginning fellowship training in allergy and clinical immunology at NIH. He became a commissioned officer in the United States Public Health Service Commissioned Corps and has supported several US and international missions. Dr. Myles received his MPH from George Washington University before becoming the head of the Epithelial Therapeutics Unit to evaluate the efficacy and safety of a topical, live bacterial treatment for eczema. Have you changed anything in your environment or home and saw improvements in your rashes? Share with me in the comments below! In this episode: How the gut microbes prime the immune system to function properly and can affect cellular response in the skin Why you shouldn't be ONLY concerned with killing staph on your skin Why it's not in your head- allergic diseases HAVE increased since about the 1970s Aside from diet, what are some possible external triggers for eczema? (Hello clothing, sheets, and air quality!) Which chemicals seem to show up in the zip codes that have more eczema than you would anticipate? How do these chemicals physiologically harm the bacteria AND create signals for the body to create rashes (WOW!) Why eczema is not a drug deficiency and you need to look at the broader picture in your home and all of society Quotes "There's only seven chemicals you can use to give a mouse eczema so that you can then treat it, two of them are diisocyanates." [18:25] "In terms of the fabrics, I think laying that chemical up against your skin, or particularly polyester bedsheets I would worry about for children, if they're laying on that, that chemical is touching the skin, it's going to disrupt the bacteria's ability to do its job and it's going to directly activate the defects in the skin, or the receptors in the skin." [23:54] Links Find Dr. Ian Myles online here and on Twitter Try an AMAZING AirDoctor™ air filter here to clean up the air inside your home Get non-chemical laden sheets here for your whole family with Simply Organic BaReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

Stress is a VERY hot topic right now, and I'm actually thankful it is because in the past, I think many brushed it off and just didn't talk it about it. However with new research, we know that it's not just a stressful "event" such as a divorce or a family member's terminal diagnosis that can have negative effects on mind and body. It can be chronic things such as consistent fasting, reliving childhood trauma, or as my guest today acknowledges, fast talking! It truly is unique for each person. Today's guest, Christa Biegler, is an award-winning dietitian nutritionist, host of the Less Stressed Life podcast, and author of The Eczema Relief Diet & Cookbook. She helps health-savvy women overcome food sensitivities and fatigue without restrictive dieting to beat bloat, burnout & eczema breakouts. She lives with her unicycling husband & kids in the Midwest. What are some things you've seen stress affect in or on your body? Let me know in the comments below! In this episode: What is unrealized stress? Cortisol's impact on other hormones when you're stressed Being honest about YOUR stress (not compared to others) What's an "energy vampire"? Role minerals play in your body when you're stressed Testing options to check your mineral status The most valuable ratios of a hair tissue mineral analysis (HTMA) Quotes “There's a sodium-potassium pump in every single cell. So if you have low sodium-potassium like I did on my mineral results, then you're not only struggling to get nutrients in and out of every cell, but it's a backbone to making stomach acid." [14:09] "With more severe skin cases, I have seen more severe toxic burden being lost in the tissue. So that's looking at arsenic, cadmium, aluminum, etc..." [27:51] Links Find Christa online here Follow Christa on Facebook | Instagram Healthy Skin Show ep. 042: How Sulfur Can Trigger Skin Rashes w/ Christa Biegler Healthy Skin Show ep. 128: Eczema Sleep Problems w/ Christa Biegler, RD Healthy Skin Show ep. 146: Chlorine + Bath Additives w/ Christa Biegler, RDReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

As anyone who has worked with me in my clinical practice may know, I feel very strongly about monitoring thyroid function and trying to optimize it. Plus, I get questions ALL the time surrounding it. Because of that, I am so excited to have an expert on the thyroid, Dr. Eric Balcavage, on this episode to talk about this important topic. Dr. Eric Balcavage is a functional medicine practitioner, chiropractor, host of the Thyroid Answers Podcast, and the co-author of the book, The Thyroid Debacle. The book co-written by Kelly Halderman MD, addresses the problems with current allopathic and functional medicine approaches to hypothyroidism as well as the solutions to restoring thyroid physiology. Dr. Balcavage is also the owner and founder of Rejuvagen, a functional medicine clinic in Chadds Ford, PA. As a Certified Functional Medicine Practitioner and being Board Certified in Integrative Medicine, he is a nationally recognized speaker and educator on various health related topics including thyroid physiology, bile physiology, detoxification, oxidative stress, methylation and chronic illness. He has made it his mission to change the way medicine looks at hypothyroidism. If you're suffering with a skin condition, have you checked into thyroid function? Were you surprised by it? Let me know in the comments below! In this episode: What does it mean for your thyroid to not be working the way that it should? What can cause a cell to perceive danger and affect its function? The difference between the body having dysfunction vs. creating an adaptive response Dr. Balcavage's opinion on having Hashimoto's- is it different than having any other thyroid problems? The elephant in the room- why should you even care about your thyroid if you're having skin issues?? FREE things to do to reduce stress responses in your body which affect the thyroid and skin health Finally...Which diet is best? (It's probably not what you think!) Quotes “If we have a population that's about 50% overweight or obese and if about 50% of the population has some type of blood sugar regulation issues going on, then the number of people that struggle with problems with thyroid signal physiology and tissue or cellular hypothyroidism is probably closer to 50 or 60%." [05:17] "What's the biggest organ to dump stuff out if you have a bad gut, bad liver, and bad gallbladder? Skin is one of the best places to dump it out. If you have an immune inflammatory issue, you're producing a bunch of inflammatory chemicals that are going to have an impact on the skin." [18:36] Links Find Dr. Eric online at his Ready to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/

Today, it's all about the eyes, which are somewhat the extension of our brain, so treating ANY condition with them can be scary. I've gotten a lot of questions from listeners about dupilumab (Dupixent) and the side effects specifically when it comes to the eyes. So to dive in on this topic, I brought in today's guest, Dr. Roselie Achten, since her PhD focuses on ocular surface disease in atopic dermatitis patients before and during dupilumab treatment. Dr. Roselie Achten is a medical doctor and PhD student at the Department of Dermatology at the University Medical Center Utrecht in the Netherlands, and I am so excited to have her on the show! You can find some of her research findings in the links section below. Have you ever experienced any side effects with your eyes after starting dupilumab? I'd love to hear about it in the comments! In this episode: Stats on how many patients develop Dupixent eye side effects (aka. dupilumab-associated ocular surface disease) Eye symptoms of patients commonly complain about How long does it typically take to develop eye problems from Dupixent? What puts you more at risk for developing Dupixent eye side effects? What are your options if you develop Dupixent eye side effects? Can reducing the use of Dupixent help? Quotes “We were also quite surprised by the fact that the majority of the patients with moderate to severe atopic dermatitis already had characteristics of the ocular surface disease. So of the 70 patients that were analyzed, 90% of them already had characteristics of ocular surface disease before the start of Dupilumab treatment." [11:09] "If patients have these signs and symptoms of dupilumab associated ocular surface disease, we first start with tacrolimus skin ointment for the external eyelids. We also start with ketotifen, which is an antihistamine eye drop... also the artificial tears, it's more for if you experience a dry eye sensation, it could lead to improvement of that symptom for a little time." [17:12] Links Find Dr. Roselie Achten online here Healthy Skin Show ep. 244: How Do Biologic Drugs For Chronic Skin Conditions Work? w/ Heather Zwickey, PhD Long-term follow-up and treatment outcomes of conjunctivitis during dupilumab treatment in patients with moderate-to-severe atopic dermatitis - ScienceDirect Identification of Risk Factors for Dupilumab-associated Ocular Surface Disease in Patients with Atopic Dermatitis - PMC (nih.gov) Ocular surface disease is common in moderate to severe atopic dermatiReady to figure out your skin’s root causes so you can finally fix your skin + break free from meds to manage your skin?My virtual clinic works with adults worldwide struggling with eczema, psoriasis, rosacea, urticaria, hives, dandruff, perioral dermatitis + more.Trusted by over 1000 clients, we get results WITHOUT restrictive elimination diets.Schedule an assessment call at https://skinrepaircall.com/