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Dr. Alexandra Davidson

Reviewed By

 Dr. Frank Lipman sits on a chair, cross-legged, arm resting on the back of the chair, lightly touching his other hand that is resting on his thigh. He is wearing blue denim, a blue dress shirt and a navy textured blazer and black glasses. He is smiling, showing his front teeth looking off to the side.

Dr. Frank Lipman

Chief Medical Officer at THE WELL

Updated: 08/31/2024

Are you struggling with skin issues like acne, psoriasis, rosacea, or eczema? Are you a skincare enthusiast and want to get that summer glow from within? It’s time to look below the skin's surface and understand that when it comes to achieving and maintaining great skin, one of the most impactful areas to consider is the connection between your gut microbiome and skin health!

The Gut-Skin Connection in Action

This relationship, known as the gut-skin axis, is a bidirectional relationship between the gastrointestinal tract and the skin. Essentially, the health of your gut microbiome—the community of trillions of bacteria and other microorganisms living in your digestive system—can affect your skin, and vice versa. A balanced and healthy gut microbiome supports proper digestion, nutrient absorption, and immune function, all of which are crucial for healthy, glowing skin. An imbalance in the gut microbiome, known as dysbiosis, can trigger systemic inflammation, which often manifests in the skin.

Inflammation: The Common Denominator

Inflammation is a key player in the gut-skin connection. Conditions such as acne, eczema, and psoriasis often have an inflammatory component. Studies show that when the gut is imbalanced, it can lead to increased intestinal permeability (leaky gut), allowing toxins and partially digested food particles to enter the bloodstream. This activates the immune system, resulting in widespread inflammation that can exacerbate skin conditions.

Nutrient Absorption and Skin Health

The gut is responsible for absorbing nutrients that are vital for skin health, such as vitamins A, C, D, E, and essential fatty acids. When gut health is compromised, nutrient absorption can be impaired, leading to deficiencies that negatively impact skin integrity, hydration, and the ability to repair itself. In fact, nutrient deficiencies are often identified as risk factors for skin diseases. 

Hormonal Regulation

The gut also plays a role in hormone regulation, particularly with hormones that affect the skin, such as cortisol, insulin, and androgens. Imbalances in gut health can disrupt hormonal balance, contributing to conditions like acne and other hormone-related skin issues.

Key Strategies for Achieving Great Skin

1. Nourish Your Gut

To promote a healthy gut microbiome, focus on a diet rich in diverse, nutrient-dense foods:‍

  • Probiotics: These beneficial bacteria help maintain a healthy gut environment. Include fermented foods like yogurt, kefir, sauerkraut, kimchi, and miso in your diet.
  • Prebiotics: Prebiotics are non-digestible fibers that feed beneficial gut bacteria. Foods like garlic, onions, leeks, asparagus, and green bananas are excellent sources.
  • Fiber-Rich Foods: A diet high in fiber supports regular bowel movements and helps remove toxins from the body. Whole grains, legumes, fruits, and vegetables are all good sources of fiber.
  • Anti-Inflammatory Foods: Reduce inflammation by incorporating foods rich in omega-3 fatty acids, such as fatty fish, flaxseeds, chia seeds, and walnuts.
  • Drink Bone Broth: It is rich in collagen, amino acids, minerals, hyaluronic acid, and gelatin - all of which can help to improve skin hydration, elasticity, and reduce appearance of wrinkles. If you prefer not to drink bone broth, you can add collagen peptides in your routine - they can be mixed with your coffee, tea, water, or smoothie! 

2. Hydration

Adequate hydration is essential for both gut and skin health. Drinking enough water supports digestion, helps flush out toxins, and keeps your skin hydrated and supple. To ensure you are properly hydrating, aim to drink about half of your body weight in ounces each day. You can start the day with a tall glass of water to ensure you are re-hydrating first thing. Adding some fresh citrus and/or enjoying herbal teas are other great ways of supporting hydration.

3. Manage Stress

Chronic stress can disrupt your gut microbiome and trigger skin issues like acne, eczema, and psoriasis. Incorporate stress-reducing practices into your daily routine:

  • Mindfulness and Meditation: Spend a few minutes each day practicing mindfulness or meditation to calm your mind and reduce stress.
  • Exercise: Regular physical activity releases endorphins, which help manage stress and improve overall mood.
  • Sleep: Aim for 7-9 hours of quality sleep each night. Adequate sleep is crucial for both gut and skin health.

4. Skincare Routine

While internal factors are crucial, a consistent skincare routine can enhance your skin’s appearance:

  • Gentle Cleansing: Use a mild, sulfate-free cleanser to remove dirt and impurities without stripping your skin of its natural oils.
  • Exfoliation: Exfoliate 1-2 times a week with a gentle exfoliant to remove dead skin cells and promote cell turnover.
  • Moisturizing: Choose a moisturizer suited to your skin type to keep your skin hydrated and plump.
  • Sun Protection: Apply a broad-spectrum sunscreen with at least SPF 30 daily to protect your skin from harmful UV rays. Avoid midday sun when you can as this is typically when the UV index is at its highest. 
  • Other topical considerations: my top 4 - vitamin C, niacinamide, retinol, hyaluronic acid - these are anti-inflammatory, anti-aging, and can help to improve overall skin health by reducing the appearance of fine lines/wrinkles, promoting collagen and improving skin elasticity. 
  • Red Light Therapy: to improve skin complexion, combat sun damage, reduce inflammation, and promote collagen production.

5. Supplements

In many cases, supplements can be supportive to gut and skin health. Here are my top 10 favorites, their benefits, and where to find them.

1. Collagen Peptides

  • Benefits: Enhances skin elasticity, hydration, and reduces wrinkles.
  • Sources: Collagen supplements, bone broth, and collagen-rich foods.

2. Omega-3 Fatty Acids

  • Benefits: Reduces inflammation, supports skin barrier function, and keeps skin hydrated.
  • Sources: Fish oil supplements, flaxseed oil, chia seeds, and fatty fish like salmon.

3. Vitamin C

  • Benefits: Promotes collagen production, brightens skin, and acts as an antioxidant.
  • Sources: Ascorbic acid supplements, citrus fruits, bell peppers, strawberries, and broccoli.

4. Vitamin E

  • Benefits: Provides antioxidant protection, helps in skin repair, and moisture retention.
  • Sources: Vitamin E supplements, almonds, sunflower seeds, and spinach.

5. Zinc

  • Benefits: Supports wound healing, reduces inflammation, and helps manage acne.
  • Sources: Zinc supplements, pumpkin seeds, lentils, and beef.

6. Probiotics

  • Benefits: Improves gut health, which can positively affect skin conditions like acne, eczema, and rosacea.
  • Sources: Probiotic supplements, yogurt, kefir, and fermented foods.

7. Vitamin D

  • Benefits: Helps in skin cell growth, repair, and metabolism. It also has anti-inflammatory properties.
  • Sources: Vitamin D supplements, sunlight exposure, and fortified foods.

8. Vitamin A

  • Benefits: Promotes cell turnover, reduces acne, and enhances skin texture.
  • Sources: Retinol or beta-carotene supplements, sweet potatoes, carrots, and leafy greens.

9. N-Acetylcysteine (NAC)

  • Benefits: Acts as an antioxidant, detoxifies the skin, and reduces acne and other skin conditions.
  • Sources: NAC supplements.

10. Astaxanthin

  • Benefits: Potent antioxidant that protects against UV damage and reduces wrinkles.
  • Sources: Astaxanthin supplements, salmon, trout, and krill.

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