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VITAMIN B12 Supplements leading to ACNE BREAKOUTS??

by January 20, 2023

Vitamins and minerals are essential for good health, and it is vital to ensure that you get enough of them through a well-balanced diet & use supplements if required. 

However, the trend of supplement use is growing rapidly; is it for good? This is an interesting topic I will discuss in another blog.

However, nowadays, a vast majority of people (especially in developed countries) take supplements to help improve their overall health and well-being. 

Supplements come in many forms, such as vitamins, minerals, herbs, amino acids, injections, and more, and they can be used to support a wide range of health concerns. 

For example, some people take vitamin C to boost their immunity, while others may take fish oil to support heart health.

However, it’s also important to be mindful of the fact that taking too much of any vitamin or mineral can have adverse effects on the body.

Do you know that a supplement recommended by a physician or that an individual chooses to take may not be well-tolerated or cause unwanted side effects?

 

Vitamin B12 is no exception; taking too much vitamin B12 can lead to acne breakouts. In some cases, excessive intake of B12 may cause other side effects such as headaches, fatigue, dermatological issues, and nerve damage.

On the other hand, certain medications used to treat Acne, such as Isotretinoin (commonly known as Accutane), can cause a deficiency of vitamin B12, leading to a type of anemia called pernicious anemia.

 

What is Vitamin B12?

Vitamin B12, also known as cobalamin, is a water-soluble vitamin that plays a critical role in many bodily functions. 

It is essential for the formation of red blood cells, DNA synthesis, and proper nerve function. Vitamin B12 is also critical for maintaining a healthy immune system and producing the mood-regulating chemical serotonin.

Vitamin B12 is found naturally in animal-derived foods such as meats, fish, poultry, eggs, and dairy products. 

However, it is widely believed that Vegetarians and vegans both are at risk of Vitamin B12 deficiency.

But, this is only partially true!

Vegans may need B12 supplements or consume B12-fortified foods. However, Lacto-Ovo vegetarians who consume dairy and eggs typically get enough B12 from these animal-derived foods.

Milk and other dairy products, such as yogurt and cheese, are excellent sources of protein and several vitamins and minerals, including vitamin B12.

For example:

  • One cup (240 ml) of whole milk supplies 46% of the DV for vitamin B12.
  • Full-fat plain yogurt can be a good source of vitamin B12; it contains more B12 than low-fat or non-fat varieties. Studies have shown that consuming full-fat yogurt can improve vitamin B12 status in individuals who are deficient in this vitamin.
  • Cheese is also a rich source of vitamin B12. One large slice (22 grams) of Swiss cheese contains about 28% of the DV.
  • Eggs are a great source of nutrition; they are one of the best dietary sources of complete protein and B vitamins. Eggs are very high in B vitamins such as B2 (riboflavin) and B12 (cobalamin), which are essential for maintaining good health.

Interestingly, studies have shown that your body absorbs the vitamin B12 in milk and dairy products better than the vitamin B12 in beef, fish, or eggs.

The Framingham Offspring Study first observed that vitamin B-12 from milk was better absorbed than meat. The bioavailability of vitamin B-12 from meat is lower than from dairy.

Vitamin B12 deficiency is relatively rare, but it can occur in people with certain medical conditions, such as pernicious anemia, making it difficult to absorb the vitamin from food or supplements. 

Symptoms of deficiency include fatigue, weakness, constipation, nerve damage, loss of appetite, weight loss, and anemia.

It’s important to note that the recommended daily intake of vitamin B12 varies depending on age, gender, and pregnancy status.

 

What can high doses of Vitamin B12 do to you?

Numerous incidences have occurred when a high dose of Vitamin B12 (in the form of supplements or injections) has caused acne breakouts in susceptible or even healthy individuals.

There are reports that Vit B12 & 6, when taken together, caused “Monomorphic Acne,” – many small uniform acne & acne lesions.

Injections of vitamin B12 don’t cause one or two pimples to break out. Instead, vitamin B12 injections can cause multiple identical Acne all over the face. 

Vitamin injections make it easy to identify this kind of Acne because all the pimples will look identical.

The exact mechanism by which high doses of Vitamin B6 and B12 lead to monomorphic Acne is not fully understood. 

However, it is considered that these vitamins may cause an increase in the levels of certain hormones, such as androgens, which can trigger the overproduction of sebum. High doses of Vitamin B6 and B12 may also lead to an imbalance in the gut microbiome, which can cause inflammation in the skin and contribute to the development of Acne.

Another theory is that the anaerobic bacteria responsible for developing Acne called Propionibacterium acnes feeds on Vit B12.

When a person receives a high dose of VitB12, it signals the overproduction of P.acnes in the skin, inducing an inflammatory response in the host and leading to numerous acne breakouts.

The most reasonable way to treat acne breakouts caused by vitamin B12 is to reduce or stop taking the supplement. 

Sometimes it takes a couple of weeks for these acne breakouts to settle, but unfortunately, sometimes, it takes months to settle down!

Rosacea fulminans is another dermatological condition that high doses of VitB12 & B6 can cause.

Rosacea fulminans is a rare and severe form of rosacea, a chronic skin condition that causes redness and inflammation on the face. 

Sudden and severe flare-ups and symptoms such as fever, swollen lymph nodes, and skin tenderness characterize it. 

It is not common, but high-dose vitamins B6 and B12 have been reported as triggers for Rosacea fulminans.

The exact mechanism by which high doses of Vitamin B6 and B12 lead to Rosacea fulminans has yet to be well understood.

However, it is believed that these vitamins may cause an increase in the levels of certain hormones, such as androgens, which can trigger the overproduction of sebum. 

High doses of Vitamin B6 and B12 may also lead to an imbalance in the gut microbiome, which can cause inflammation in the skin and contribute to the development of Rosacea fulminans.

It’s important to note that while these vitamins are essential for maintaining good health, taking excessive amounts of Vitamin B6 and B12 can lead to adverse side effects.

 

HOW DO YOU TREAT ACNE EXACCERBATIONS CAUSED BY VITAMIN B12 SUPPLEMENTS/INJECTIONS?

The first thing to remember is if you are experiencing Acne flareups, Rosacea fulminans, or any other side effects after taking high doses of Vitamin B6 and B12. 

In that case, it’s important to discontinue use and consult with a healthcare professional as soon as possible.

Acne or other skin issues that develop after vitamin overdose can take a few weeks or months to settle down.

 

However, some holistic therapies can be helpful :

 

1: Diet

Diet can indeed play a role in the development of acne. Although there is no one specific food that causes acne, certain dietary habits and patterns may contribute to the development or worsening of acne symptoms. For example, a diet that is high in sugar and processed foods, as well as dairy products, may increase insulin levels and promote inflammation in the body, which can contribute to the development of acne.

On the other hand, a diet that is rich in vitamins, minerals, and antioxidants, such as fruits, vegetables, whole grains, and lean proteins, may help improve skin health and reduce the risk of acne. Additionally, drinking plenty of water can help hydrate the skin and flush out toxins, which can also have a positive effect on skin health.

It’s important to note that everyone’s skin is different and what may work for one person may not work for another. However, maintaining a healthy and balanced diet that is low in processed foods and high in nutrient-dense foods can help improve overall health and may also help with managing acne.

Eating a diet rich in fruits and vegetables and low in processed foods and sugar can help improve your skin’s overall health. 

Reducing stress through exercise, meditation, or therapy can also be beneficial.

 

2: Gentle Skin Care Products

You must maintain a good skincare routine; this includes keeping your skin clean by washing your face twice daily with a mild cleanser and using non-comedogenic moisturizers and sunscreens.

It’s critical to protect it by using gentle and non-irritating products, especially when it comes to your skin. It’s essential to choose skin care products free of harsh chemicals and ingredients that can cause irritation or harm.
You can help ensure that your skin stays healthy, hydrated, and protected from damage by using gentle skin care products.
“If you’re looking for a way to nourish and soothe your skin, consider using the Naturo Essentials Body Wash. This product is designed to be herbal, natural, and gentle, making it the perfect choice for people with sensitive skin or those looking for a more natural alternative to conventional body washes.
The Naturo Essentials Body Wash ingredients are carefully selected to provide nourishment and hydration to your skin while also helping to remove impurities and keep your skin refreshed and revitalized. Whether dry, oily, or combination skin, this body wash will leave your skin feeling soft, smooth, and healthy.

 

3: Probiotics are beneficial bacteria that live in the gut and can help to promote a healthy balance of microorganisms in the gut microbiome. They can help to improve digestion and boost the immune system. Probiotics have been shown to positively impact the gut by reducing inflammation and improving the gut barrier function.

Probiotics can be found in a variety of fermented foods and beverages. Some common probiotic food sources include:

  • Yogurt: Look for unsweetened yogurt with live and active cultures, such as Greek yogurt.
  • Kefir: A fermented milk drink that contains a variety of probiotic strains.
  • Sauerkraut: Fermented cabbage that is a good source of Lactobacillus.
  • Kimchi: A spicy fermented cabbage dish that is a staple in Korean cuisine.
  • Tempeh: A fermented soybean product that is a good source of probiotics.
  • Miso: A fermented soybean paste that is used in Japanese cuisine.
  • Kombucha: A fermented tea drink that is rich in probiotics.
  • Pickles: Vegetables fermented in vinegar, oil, or brine solution.

Not all fermented foods contain probiotics, so it is always best to check the label or ensure the product is traditionally fermented. Probiotic supplements are also available in the form of capsules and powders.

 

5: Homeopathic Meds: Some amazing herbs like Milk thistle, turmeric, ginger, berberry, homeopathic calendula, Nux vomica & Berberis Vulgaris are great for liver & gut detox.

However, these should only be consumed under the guidance of a qualified & experienced homeopathic practitioner.

All the information I shared in this blog provided education about Vit B12 & skin issues; however, it is essential to consult with a healthcare professional if you have any serious health concerns. 

As a healthcare professional, I am well equipped to assess your skin condition and provide a comprehensive treatment plan to help manage your acne. My approach is holistic, taking into account not only any necessary medications or therapies, but also any lifestyle changes that may be necessary to achieve optimal skin health.

Through my extensive experience and expertise, I can develop a personalized program specifically designed to address your individual needs and help you achieve the clear, healthy skin you desire. This may include a combination of medications, therapies, and lifestyle modifications, all tailored to help manage your acne and improve the overall health of your skin.

Please rest assured that I will work closely with you to develop a plan that is safe, effective, and tailored to your unique needs. I am committed to providing you with the highest level of care and support, and I am confident that together we can achieve the best possible results for your skin.

 

 

REFERENCES:

https://fdc.nal.usda.gov/fdc-app.html#/food-details/1097542/nutrients

https://fdc.nal.usda.gov/fdc-app.html#/food-details/171265/nutrients

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049814/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248518/

https://pubmed.ncbi.nlm.nih.gov/11763399/

https://pubmed.ncbi.nlm.nih.gov/10895516/

https://academic.oup.com/ajcn/article/89/4/1078/4596726?login=false

https://pubmed.ncbi.nlm.nih.gov/11160548/

Acne: Is it a disease of Wealthy Western Countries?

by January 13, 2023

Acne (also known as Acne Vulgaris) is an inflammatory skin condition caused by hair follicles plugging with oil and dead skin cells.

Should Acne vulgaris be considered a disease of wealthy countries as it has the highest prevalence rates in rich developed countries compared with developing countries?

Acne vulgaris is the most common skin disease in western populations, involving about 80-90% of adolescents. 

Adult Acne is also becoming more common, as about 20% of all adult women and 6% of adult men experience Acne in their lifetime.

SOME INTERESTING STUDIES 

In 1990, Schaefer, a general practitioner who spent almost 3 decades treating Inuit (Eskimo) people as they transitioned to modern life, reported that Acne was absent in the Inuit population when they lived and ate in their traditional manner. 

However, after they transitioned to the western lifestyle, acne prevalence became similar to Western civilizations.

Dr.Staffan also traveled to a small island name Kitava in Papua New Guinea in 1990.

Thousands of indigenous people inhabited Kitava, living in a village free of cars, telephones, and electricity.

Dr.Staffan conducted a health checkup during his stay there. He was amazed to observe that no skin disease existed in Kitavans; no pimple, no pustule, or no open comedones.

These findings are listed in JAMA 2022 Dermatology papers.

He concluded that Acne is most definitely a disease of wealthy western nations.

Investigators extracted data from the Global Burden of Disease 2019 Study suggest that the prevalence of Acne was most significant in countries with a high sociodemographic index (SDI)/ wealthy countries, primarily Western Europe, East Asia, and high-income areas of the Asia Pacific.

So, WHY IS ACNE SO PREVALENT IN WEALTHY WESTERN NATIONS?

1: DIET

One possibility is that people in rural areas have a more diverse diet than those in urban areas, and diet can be a factor in the development of Acne. 

In developed countries, processed & high-glycemic foods like white potatoes, white bread, white rice, and processed foods like crackers, sugary snacks, and sugared drinks are typical in the Western world.

All these processed foods may contribute to the development of Acne. 

2: STRESS LEVELS

Stress levels may also be lower in rural areas, and stress is a significant factor in the development of Acne. Stress can stimulate the production of hormones such as cortisol, increasing oil production and acne breakouts.

3: ENVIRONMENTAL POLLUTANTS

Another possibility is that people in rural areas may be exposed to fewer environmental toxins, which can also contribute to the development of Acne. Urban areas tend to have higher pollution levels, which can clog pores and lead to acne breakouts.

4: Natural Remedies: 

There is greater access & inclination to natural remedies in rural nations, such as herbs and essential oils, which can be used to treat Acne.

These remedies are often based on traditional knowledge passed down through generations and are used in conjunction with other natural treatments, such as dietary changes and lifestyle adjustments.

Herbs such as turmeric and neem have been used for centuries in traditional medicine to treat various skin conditions, including Acne.

So, Acne can indeed be considered a disease of affluent western nations.

However, it’s not just Acne that is affecting West.

Atopic dermatitis (eczema) and other inflammatory skin diseases are on a sharp rise in the affluent West than in other parts of the world.

But this vast issue can be sorted out if we start working on lifestyle, diet, control of environmental pollution and stress.

Also, we need to restrict the excessive use of conventional meds and introduce natural & holistic meds to control this peak in chronic skin diseases like Acne.

If you are experiencing persistent or severe acne & you would like a holistic treatment, Dr.Pallavi can help you; find the details here!

7 ACNE Myths Busted!

by January 9, 2023

 

Myth 1

Acne is caused by poor hygiene

Fact: This is a common myth, but it is not true. Acne is caused by various factors, including genetics, hormone fluctuations, and certain medications. While good hygiene practices, such as washing your face regularly, can help prevent acne breakouts, they are not the sole cause of acne.

Myth 2

Using oil on acne-prone skin can make acne worse

Fact: There is a common belief that using oil on acne-prone skin can worsen acne, but this is not necessarily true. 

Using the right oil on your skin can be beneficial for acne-prone skin.

Oil is an essential part of the skin’s natural moisturizing barrier and helps to keep the skin hydrated and healthy. When the skin is dry and lacks sufficient oil, it can become irritated and prone to breakouts. 

Using a facial oil formulated for acne-prone skin can help balance the skin’s natural oil production and keep the pores clear.

It is crucial to choose an oil that is non-comedogenic, meaning that it does not clog pores. 

Oils such as tea tree oil, jojoba oil, and squalane oil are all non-comedogenic and may be helpful for acne-prone skin.

It is also important to remember that everyone’s skin is different and what works for one person may not work for another. 

Myth 3

Antibacterial soap is the best choice for preventing acne.

Fact: Antibacterial soap may not be the most effective choice for preventing acne. Acne is caused by a combination of factors, including excess oil production, clogged pores, and bacteria. While antibacterial soap may help kill skin bacteria, it is not the most effective way to treat acne. A better choice is to use a gentle, oil-free cleanser specifically formulated for acne-prone skin.

Myth 4

Scrubbing the skin vigorously will help to prevent acne.

Fact: Scrubbing the skin too hard or too often can worsen acne. Overly aggressive cleansing can irritate the skin and strip it of its natural oils, leading to increased oil production and more acne breakouts. Using a gentle, oil-free cleanser is essential and avoids over-scrubbing the skin.

Myth 5

Oily skin is more prone to Acne

Fact: While it is true that excess oil production can contribute to acne, people with dry or sensitive skin may also be prone to acne. Acne is caused by a combination of factors, including excess oil production, clogged pores, and bacteria. It is important to choose skincare products that are appropriate for your skin type and to follow a consistent skincare routine to help prevent acne.

Myth 6

Acne is a normal part of adolescence and will go away on its own.

Fact: While acne is common during adolescence, it is not a normal or inevitable part of growing up. Acne is a medical condition that can be treated and managed with the right skincare routine and, if necessary, medication. 

Myth 7

Sun exposure helps clear up acne

Fact: While it is true that the sun’s rays can help dry out the skin and reduce oil production, relying on the sun upon to treat acne is not a good idea. Prolonged sun exposure can damage the skin and increase the risk of skin cancer. It is essential to use a broad-spectrum sunscreen to protect your skin from the sun’s harmful rays.

If you are experiencing persistent or severe acne & you would like a holistic treatment, Dr.Pallavi can help you; find the details here!

Why is Holistic medicine your best option for healing Acne?

by January 9, 2023

Acne (also known as Acne Vulgaris) is an inflammatory skin condition caused by hair follicles plugging with oil and dead skin cells.

Acne affects 70-90% of the adolescent population in urban industrialized nations.

In rural areas, this percentage is relatively low; i.e., metropolitan populations are more affected than rural populations. (Read this blog to know the reasons in detail)

While Acne is often thought of as a problem that affects only teenagers, it is also quite common in adults. About half of all adults experience Acne at some point in their lives. 

Acne is more common in males than females, and more than 20% of the affected individuals develop severe Acne, which results in scarring. 

People with darker skin can have hyperpigmentation post-Acne.

Psychosocial effects of Acne

Several studies emphasize that people with Acne have low self-esteem and difficulty socializing, making friends, going to school & even finding employment.

Thus, Acne patients are more likely to have mental disorders like Anxiety, depression & suicide.

The prevalence of Acne creates a burden on not only the healthcare cost but also the psychological ailments associated with Acne, deteriorate the quality of life.

Some individuals believed that Acne had affected their personalities permanently and adversely.

Categorization of Acne

There is no universally accepted categorization of Acne; however, based on the severity, Acne can be classified into :

Mild- Comedones (Clogged hair follicles) mainly on the face with occasional inflammatory lesions.

Moderate – More inflammatory papules or pustules on the face (& on the body) than Milder Acne.

Severe – Larger pustules (painful bumps under the skin) extensively on the face, back & other body parts.

Papules are raised lesions on the skin that are smaller than 1 cm in diameter, while pustules are similar to papules but inflamed and filled with pus.

During puberty, the androgen hormones peak, making more sebum, thus resulting in more Acne breakouts.

Acne’s onset is typically associated with puberty, when sebum production increases due to the higher androgen hormone during the teenage years.

It mainly affects areas with more sebaceous glands, like the face, upper part of the chest, and back. 

Signs & Symptoms of Acne 

Increased sebum production on the skin 

Comedones (clogged hair follicles)

Nodules

Pustules 

Scarring 

Pigmentation

Statistics

The Global Burden of Disease Study 2010 found that acne vulgaris (henceforth Acne) is the eighth most common skin disease, with an estimated global prevalence (for all ages) of 9.38%

The prevalence of Acne is increasing year by year.

In the US, the median expenditure per person per 7 months for acne treatments approved by the US Food and Drug Administration was $350–3,806.

An estimated 650 million people globally are affected by Acne, and the cost of acne treatments in the US exceeds $1 billion annually.

Conventional Treatments are available, but are they the right choice for you?

I have written a detailed blog about this topic; check it out.

Many conventional (western/allopathic) treatments exist for treating acne vulgaris, including 

  • Benzoyl peroxide, 
  • Retinoids
  • Isotretinoin
  • Alpha hydroxy acids 
  • Azelaic acid
  • Salicylic acid
  • Hormonal
  • Antiandrogen 
  • Antiseborrheic treatments

However, none of these methods is free of side effects, and their exact role in therapy still needs to be determined.

For example:

Common side effects of combined oral contraceptives are weight gain, breast tenderness, and nausea. These drugs are also associated with an increased risk of cardiovascular problems, breast cancer, and cervical cancer.

Potential side effects of oral isotretinoin include inflammatory bowel disease, depression, and severe congenital disabilities. 

Oral antibiotics should be used for the shortest time possible to prevent antibiotic resistance. And they should be combined with other drugs, such as benzoyl peroxide, to reduce the risk of developing antibiotic resistance.

What is Holistic medicine?

Holistic medicine focuses on treating a person as a whole (whole – istic), understanding the symptoms, and then treating the root cause holistically rather than suppressing them.

The human body has an immense capability to treat itself, and we need to support it with the help of holistic medicines.

The concept is not to treat the disease but to understand the symptoms and treat the individual as a whole.

For example, if a person has Acne, then Acne is the symptom of some internal issue in the body.

So, we don’t need to suppress or hide Acne; instead, we understand why Acne is happening in the first place because of diet, lifestyle, or something else — treating the maintaining cause & then providing the natural remedies to cleanse the body from within so the symptoms of Acne will heal eventually.

The tendency of the illness, like the tendency of a person to develop Acne, will also reduce with time with the help of holistic medicine.

What is the holistic cure for Acne?

Like any chronic health issue, Treating Acne effectively often requires a combination of approaches. 

Here are some common components of a holistic acne treatment plan which I consider for treating my patients dealing with Acne:

1: Homeopathic & Herbal Remedies

Some incredible medicinal plants help combat inflammation because of their antibacterial & fungal properties.

Therefore such herbs can help treat Acne and other infective diseases. Some examples include:

Calendula

Calendula, or Calendula officinalis, is a plant traditionally used for medicinal purposes, including treating Acne. 

Calendula has anti-inflammatory and wound-healing properties, which may make it effective in reducing the redness and inflammation associated with Acne. Some people use calendula oil or extract made from the plant to treat Acne, which is also sometimes used with other natural remedies, such as tea tree oil.

Ledum palustre is a plant used in traditional medicine for various purposes, including Acne treatment.

In homeopathy, a system of medicine that uses diluted potentized substances to stimulate the body’s healing processes, Ledum palustre is used to treat various skin conditions, including Acne. 

Ledum Palustre works by helping to reduce inflammation and promote the healing of the skin.

Kali Bromatum – Also known as potassium bromide, is a chemical compound used in homeopathy to treat various skin conditions, including Acne.

Kali bromatum works by helping to reduce inflammation and promote the healing of the skin.

Homeopathic 30c & 200c work well for treating Acne Symptoms.

Antim Crudum – aka Antimonium crudum in homeopathic form can help with Acne Symptoms where the predominance of Acne is on the cheeks.

It works well for pustular Acne, where gut health is compromised.

Homeopathic 30C or 200C are often indicated.

It’s generally not recommended to self-prescribe homeopathic medications for Acne or any other health condition, as this can be risky. Homeopathic remedies are derived from natural substances stimulating the body’s natural healing processes. Working with a trained homeopath is essential to determine the suitable homeopathic treatment. 

2: Skincare Try using gentle, non-irritating cleansers, avoiding harsh or fragranced skin care products, and using non-comedogenic moisturizers.

3: Diet & Hydration Evidence suggests that diet and hydration can affect Acne. Some studies have found that certain dietary factors, such as a high intake of refined carbohydrates, dairy products, and foods with a high glycemic index, may be associated with an increased risk of Acne. 

In addition, a diet low in fruits, vegetables, and other sources of antioxidants may contribute to the development of Acne.

Hydration is also vital for healthy skin. Adequate hydration can help keep the skin moist and supple, which can help prevent Acne’s development. Dehydration can lead to dry, flaky skin, which can contribute to the development of Acne. Drinking plenty of water and other fluids to maintain proper hydration and support healthy skin is essential.

4: Digestive Health can affect the development of Acne. 

Poor digestion can lead to the accumulation of toxins in the body, which can contribute to the development of Acne. In addition, certain digestive disorders, such as inflammatory bowel disease (IBD), and poor liver health, have been linked to an increased risk of Acne. 

Some research has also suggested that a high intake of dairy products may be associated with an increased risk of Acne, although the evidence is mixed. Maintaining good digestive health through a healthy diet and lifestyle helps support healthy skin and reduce the risk of Acne.

5: Stress – Stress and Anxiety can affect the skin and contribute to the development of Acne. Stress can stimulate the production of sebum, an oily substance produced by the sebaceous glands in the skin. 

An excess of sebum can block pores and lead to the development of Acne. Stress and Anxiety can also cause an increase in the production of the hormone cortisol, which can stimulate sebum production and contribute to the development of Acne. 

Additionally, stress can weaken the immune system, making it more difficult for the body to fight off acne-causing bacteria. It is essential to manage stress and Anxiety to maintain healthy skin and help prevent the development of Acne.

It is important to understand that Genetics can play a role in the development of Acne. Research has shown that Acne tends to run in families, suggesting a genetic component. 

If one or both of your parents had Acne, you might be more likely to develop Acne yourself. However, it is essential to note that genetics is just one factor that can contribute to the development of Acne. Other factors, such as hormone imbalances, certain medications, and specific cosmetic products, can also contribute to the development of Acne.

Acne is also more common in people with oily skin and those who live in humid environments. However, it is essential to note that anyone can develop Acne, regardless of age, gender, or other demographic factors.

Holistic treatment vs. conventional t/t for Acne

Different treatments can be appropriate for different stages of a health condition or different types of conditions. 

Conventional medications, such as prescription drugs, can effectively manage acute symptoms or provide rapid relief of certain conditions. However, there may be better options for long-term use or addressing the underlying causes of disease. 

Holistic or alternative treatments, such as herbs, supplements, and lifestyle changes, may be more suitable for long-term use and for addressing the root causes of a health issue.

It is true that conventional treatments, such as prescription drugs, can be effective in managing acute symptoms or providing rapid relief of certain conditions. However, it is essential to know that all medications, including prescription drugs, can have potential side effects.

On the other hand, holistic medicine therapies are natural and can be used for extended periods with no side effects.

It is always important to speak with a healthcare provider before starting any new treatment, whether a conventional medication or a holistic or alternative therapy, to ensure that it is safe and appropriate for your individual needs.

I have written this blog as on my knowledge, clinical experience, and the research data available; please do your due diligence & seek professional help if you doubt the treatment path you should follow for your Acne.

If you are keen to start your Holistic Acne treatment with me, you can do this directly via my website.

References:

https://pubmed.ncbi.nlm.nih.gov/21335995/

https://pubmed.ncbi.nlm.nih.gov/12873885/

https://www.aad.org/media/stats-numbers

https://www.yalemedicine.org/conditions/acne

https://www.medicaljournals.se/acta/content/abstract/10.2340/00015555-0231

https://jamanetwork.com/journals/jamadermatology/fullarticle/479409

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7527424/

Is Dirty Skin – The Healthy Skin?

by January 3, 2023

For decades, especially last decade, skin hygiene, especially hand cleaning, has been promoted as a primary mechanism to prevent infectious diseases.

Although keeping our hands clean is good for preventing the spread of germs, are we going more bad than good for our immune systems?

While maintaining basic hygiene is good, however over cleaning is majorly an issue of the urban lifestyle, plus the recent pandemic situation.

All microbes are considered harmful and purely evil, thus making us believe that we must create a completely sanitized environment to live longer!

But is this true?

No,

Our bodies are not designed to be microbe-free; on the contrary, exposure to germs & bacteria is how our immune system learns to deal with different kinds of pathogens & becomes more powerful.

The “hygiene hypothesis,” proposed by Dr. David Strachan in 1989, explains that reduced exposure to microbes through modern health practices can lead to increased inflammatory diseases in urbanized society.

The earlier the germ exposure, the better; the most critical time for germ exposure begins in utero and ends at school age.

So, what happens if we have low germ exposure because of an overly clean environment?

There will be reduced microbial diversity in our Skin & Gut, resulting in a weaker & less intelligent immune system … hence more chances of developing skin diseases, such as atopic dermatitis, Psoriasis, acne vulgaris, dandruff, and even skin cancer.

This could be a significant reason why people living in developed urban nations have much higher Skin & respiratory issues than developing countries.

Do you know that children who are delivered vaginally have much lower allergy rates than those delivered via cesarean? 

Perhaps because of this early exposure to the mother’s normal vaginal flora!’

So,

What can we do?

Keeping ourselves clean is essential, but so is germ exposure.

While we should take measures to maintain basic hygiene, not being too paranoid about germs is essential too.

It is also crucial that we let our kids & ourselves be exposed to dirt, as this is the most natural way of having good Skin & overall health.

 

Healthier skin & overall health can be facilitated by exposure to farm animals and harmless but crucial microorganisms in the dirt, food, and water.

WHY ARE CHRONIC SKIN DISEASES ON A SHARP RISE?

by January 2, 2023

Learn the real truth behind a massive increase in long-term skin issues in the last decade!

 

Skin diseases are the fourth most common human disease worldwide, affecting almost one-third of the world’s population, affecting more than 900 million people worldwide!

 

Common chronic or long-term skin diseases (non-transmittable) include Acne, Atopic dermatitis (also called eczema), Psoriasis, Rosacea, Melasma, and Vitiligo.

 

Skin diseases pose a significant threat to patients’ well-being, mental health, ability to function, and social participation, a criterion of disability defined broadly by the WHO.

Several skin diseases are associated with long-term disfigurement, disability, and stigma. 

More than 30% of patients dealing with skin issues have accompanied anxiety & depression.

A person dealing with a chronic skin issue has a significant threat to his well-being, mental health & social involvement.

 

 

According to CDC, A disability means a physical or mental impairment that “substantially limits your daily activities of living & social interaction .” 

 

How does that apply to skin issues like eczema or Psoriasis?

 

A chronic skin condition that results in raw, painful plaques all over your body? 

 

Severe pruritis (itch), uncomfortable plaques, edema, anxiety, and depression can be responsible for sleep issues, sexual dysfunction, and limitation on daily life, work, and sports activities.

 

Patients dealing with chronic skin issues are often embarrassed to enjoy a good social life and often have their work or school performance hampered too!

If your skin issue is severe enough to prevent you from living your life as you would otherwise, it is disabling!

 

However, the point to understand is that It’s not only chronic skin issues that are on a sharp rise; in fact, all chronic health issues have risen sharply in the last decade.

 

According to the World Economic Forum, chronic diseases represent more than half the global disease burden!

 

One in three adults lives with more than one chronic condition or multiple chronic conditions (MCC).

 

It has been calculated that, in 2001, chronic diseases contributed approximately 60% of the 56.5 million reported deaths worldwide and about 46% of the global disease burden. 

 

Today, approximately 133 million Americans – nearly half the population – suffer from at least one chronic illness; this is 15 million higher than just a decade ago; by 2030, this number is expected to reach 170 million!

 

Look at some FACTS about CHRONIC SKIN ISSUES 

  • There were more skin disease claims across the US population in 2013 than cardiovascular disease, diabetes, or end-stage renal disease.
  • Skin disease impacts the entire healthcare system.
  • Of the $75 billion spent on skin disease in 2013 in the US, more than $10 billion was on over-the-counter skin treatment products.
  • Patients with skin disease and their caregivers experienced $11 billion in lost productivity.
  • Nearly 25% of the population aged 0 to 17 years had a diagnosed skin disease, burdening families.

 

Skin issues by numbers

 

Acne

  • Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually.
  • In 2013, the costs associated with the treatment and lost productivity among those who sought medical care for acne exceeded $1.2 billion.

 

Atopic Dermatitis

  • One in 10 people will develop atopic dermatitis during their lifetime.
  • It affects 25 percent of children and 2 to 3 percent of adults.

 

Psoriasis

  • Approximately 7.5 million people in the United States have Psoriasis.

 

Rosacea

  • Rosacea is a common skin disease that affects 16 million Americans.
  • In 2013, the costs associated with the treatment and lost productivity among those who sought medical care for rosacea was $243 million.

 

As discussed, there is a massive increase in chronic or long-term skin diseases, but

what are the possible reasons behind this when we have access to the best medical care?

 

Let’s look at the top 7 explanations

1: Low microbe exposure

We live in an era where we are continuously advised to protect ourselves & our children from dust, mud, dirt, or any kind of unclean surroundings, as we can get sick!

While maintaining basic hygiene is not bad, but this is majorly an issue of the urban lifestyle plus the recent pandemic situation.

All these measures of taking extra precautions to keep ourselves clean and carrying a bottle of sanitizer in your bag are creating a terrible impact on microbe exposure. 

It’s important to understand that exposure to germs and bacteria is not naturally bad for us; this is how our immune system learns to deal with different kinds of pathogens & hence becomes stronger.

Ironically, while parents try to protect infants and young children from bacteria for long-term immunity, microbial exposure is the most important during the earliest periods of life.

Our Skin is home to millions of bacteria, fungi, and viruses that compose the skin microbiota. 

The “hygiene hypothesis,” proposed by Strachan in 1989, implies that a reduced exposure to microbes through modern health practices can lead to increased inflammatory diseases in the urbanized society.

The most critical time for germ exposure begins in utero and ends at school age.

The reduction in microbial diversity is associated with an altered immune response, facilitating the development of skin diseases, such as atopic dermatitis, Psoriasis, acne vulgaris, dandruff, and even skin cancer.

 

2: Diet 

Nutrition and diet affect not only your Skin but your overall health.

Even the founder of modern medicine, Hippocrates, stated:

 “Let medicine be thy food, and let food by thy medicine. “

The association between low nutrient, high-fat western diet can lead to inflammation in the body has already been observed.

A new mouse study published in the Journal of Investigative Dermatology has demonstrated that a Western diet (high saturated fats and sugars) can exacerbate IL-23‒mediated autoimmune disease, leading to long-term skin diseases of inflammatory nature like Psoriasis, eczema, acne, etc.

As inflammation plays a crucial role in developing autoimmune skin conditions such as Psoriasis, reducing inflammation in the body is critical.

Foods with anti-inflammatory properties comprise colorful fruits and vegetables and healthy fats in oily fish, green vegetables, nuts, flaxseed, avocado, and extra virgin olive oil.

Vitamin deficiency impacts skin health, Deficiencies in vitamin D, A, and zinc may also contribute to skin disorders, so if you are on a restricted diet, seek out foods that include these nutrients; you can find more information in this blog I wrote earlier.

Preserve & feed good to your resident microbe population – Eat probiotic foods & have pre + probiotic supplements if needed.

 

3: Antibiotics Usage

Antibiotics can be a lifesaver when needed; however, because of their consistent use, utility, and availability, they can be overused in medical practice. 

The continuously increasing risk of antibiotic resistance remains an essential concern for skin health, as antibiotics can deplete the Skin & gut’s healthy microbial flora.

A study in the UK reported that any course of an antibiotic before the age of 2 years was associated with a doubling of the risk of hay fever and eczema, mainly if the antibiotics contained cephalosporins and macrolides.

Bengt Björkstén (Award winner Swedish Immunology researcher) has proposed that the antibiotic effect could be linked to the influence on gut bacterial colonization in the early years of development.

So, it is essential to restrict the usage of antibiotics – oral or topical to avoid the long-term skin issues & resistance they may generate.

 

4: Over sanitization & PPE USE

For almost three years now, the world has been swarmed by COVID-19. 

During this pandemic, PPE, gloves & google use, and hygiene measures (hand sanitizer gels, hand washing) have been mandatory.

A former study demonstrated that more than one-third of healthcare workers complained of acne, facial itching, and even dermatitis from wearing an N95 mask.

The prolonged contact with masks and goggles may cause various cutaneous diseases, ranging from contact and pressure urticaria or contact dermatitis to aggravation of pre-existing dermatitis.

WHO suggests proper and frequent hand washing to prevent the spread of pandemic diseases and to be protected from infections. 

Although hand washing with soap is ideal, products containing ethanol are used when water is not readily available. Those who use alcohol-based hand-washing products have increased skin problems.

Although gloves are important, wearing them for a long time can disrupt the epidermal barrier, and when the Skin becomes irritated, it is more sensitive to allergens and other irritants. 

Because of these protective types of equipment, Skin cannot breathe for long periods, and moisture is retained, leading to skin barrier defects.

Moreover, Excessive hand-washing also causes dermatitis, and Folliculitis is most likely a result of occlusion caused by PPE use.

Multiple studies have noted that pre-existing skin diseases such as increased acne flares, seborrheic dermatitis, and rosacea have also been worsened with PPE use.

Multiple factors can be behind these exacerbations, including increased psychological stress and obstruction of the Skin by PPE use.

 

So, what to do?

People who work or live in healthcare settings who absolutely need to wear protective wear could:

  • Avoid prolonged PPE use & Give yourself & your Skin breathing time in between by taking the PEE gears off during break times.
  • Avoid using hot water, as this makes Skin even more, drier & depletes the natural skin oils.
  • Frequently moisturize with natural products like coconut oil.
  • Reduce the alcohol hand sanitizer use; wash hands with soft natural soap as much as possible.

 

 

5: Harsh skin products

Cleansing is an essential aspect of any skincare since it removes unwanted dirt, soil, and bacteria from the Skin and removes dead surface cells, preparing the Skin to better absorb topically applied drugs/medication. 

However, it is crucial to understand that a mild soap functions by binding to dirt and organic material; antiseptic soaps contain specific bactericidal active ingredients that eliminate microorganisms, both pathogenic and beneficial.

An ideal cleanser should do all these without damaging or irritating the Skin; on the contrary, it should try to keep the skin surface moist.

Harsh Soaps and detergents may aggravate pre-existing tendencies to skin barrier dysfunction and promote skin inflammation in susceptible individuals.

Thus, a mild cleansing agent is essential to maintain skin health & management of various skin conditions.

According to a study published in Skin Pharmacology and Physiology, Cleansing agents such as harsh soap with a higher pH may damage the Skin’s natural antimicrobial defenses and lead to skin issues.

Frequent hand-washing should also be avoided as this leads to progressive depletion of surface lipids resulting in deeper action of detergents into the superficial skin layers. 

 

6: Psychology 

Psychodermatology (Psycho + Dermatology) is the study of the relationship between mental health and skin health.

Psychodermatology has gained recognition amongst the western community only in the past few years; however, Psychodermatology is not something new; in fact, it has been used by holistic medicine practitioners since ever.

The origin of Psychodermatology in India can be traced to Buddha’s period (circa 563-483 BC). There is mention of Buddha’s chief attendant’s sister suffering from a debilitating and socially embarrassing skin disease. Buddha treated her by teaching her how to control her emotions, especially anger (to which he linked the condition), through controlling her mind. This is the first reported practice of Psychodermatology in South Asia.

Traditional medical systems, such as Ayurveda, Homeopathy, Yoga, and Unani, promote skin disease management through herbal medications, meditation, exercise, and mindfulness practices.

The Skin is a susceptible organ. It presents the most extensive interface with our environment, it’s exposed to a broader range of stressors than any organ, and that is happening 24 * 7 throughout our entire life. The Skin is very well-innervated, and we have many nerve endings there. It sends a high volume of signals to the sensory cortex in the brain.

People with chronic skin problems like Psoriasis, atopic dermatitis or eczema, alopecia, urticaria, herpes simplex, vitiligo, lichen planus, and acne suffer from higher levels of depression, anxiety, and negative emotions associated with their skin condition.

 

So what do you do?

  • Practice deep breathing, Yoga, and mindfulness – join some classes if you need to.
  • Talk to your counselor/doctor/friend, or anyone you trust about what you are feeling… let your emotions vent out, as this is critical for your healing.
  • Exercise & Workout – Start with practicing a hobby like cycling/ running/ boxing, etc., which you like; set up a fixed time every day and practice it. This will help you detoxify & engage in a positive habit.
  • Maintain a routine sleep plan to give enough rest to your body & mind; this is vital for recovery.
  • Take some me time – Read a book/ make some artwork/ listen to music, or do something for yourself.

 

7: Lifestyle, Genetic & Environmental Factors

Numerous other factors like Diet, Hygiene, Addictions, Genetic Susceptibility, BMI, associated co-morbidities, where you live, etc., have a significant impact on your immune system & commensal microbiota hence your skin health.

Alcohol & Smoking have a severe bad impact on your skin health & can aggravate your pre-existing skin condition.

Stay hydrated  Drinking plenty of water helps flush toxins from the body and keeps you hydrated.

As discussed, chronic Skin issues, which have been there for over a few weeks, need to be handled holistically.

 

Our body works as a whole, so the treatment must also be planned to cover all aspects, not just one.

If you are dealing with a chronic skin disease and are looking for a natural & holistic treatment, I can help you- check out the information here.

 

 

REFERENCES

https://onlinelibrary.wiley.com/doi/10.1111/jocd.14266

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5718374/

https://www.aad.org/media/stats-numbers

https://onlinelibrary.wiley.com/doi/full/10.1111/bjd.19704

https://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.2012.10830.x

https://www.jaad.org/article/S0190-9622(17)30017-8/fulltext

https://www.commonwealthfund.org/publications/newsletter-article/study-chronic-disease-increased-25-percent-over-last-decade

https://www.healthcentral.com/article/eczema-and-disability-understand-your-rights

https://www.cdc.gov/ncbddd/disabilityandhealth/disability.html

https://pubmed.ncbi.nlm.nih.gov/10193389/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4918254/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7916842/

https://pubmed.ncbi.nlm.nih.gov/15248843/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3088928/#ref4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3088928/

https://research.com/u/bengt-bjorksten

https://www.sciencedirect.com/science/article/abs/pii/S0738081X18301846?via%3Dihub

https://pubmed.ncbi.nlm.nih.gov/30446197/

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