Gut-Skin Axis

By now, most of us have heard the quote, "All disease begins in the gut." Dermatological afflictions are no exception.  After an initial consultation, your dietitian will invite you to participate in this six-week program designed as an exploration and restauration of the links between the health of your microbiome and your skin.  

It is unrealistic to expect that a single dietary intervention is right for everyone. Nonetheless, we can all benefit from increasing the amount of nutrient density in the foods we consume, tuning into the foods our bodies may be sensitive to, and participating in a lifestyle that is supportive of our mind and body wellness.  

Current scientific literature clearly establishes the link between intestinal dysbiosis and dermatological disturbances. 

If you are deemed to be a good candidate for this program, here is what you can expect:  

A nutrition approach to balancing the microbiome for healthy skin focuses on improving gut health to reduce inflammation, balance the immune system, and support a thriving skin microbiome. Since many skin conditions—such as acne, eczema, psoriasis, and rosacea—can be linked to gut dysbiosis (an imbalance of gut bacteria), our nutrition protocol aims to restore gut integrity and microbial balance.  

Key Components of a Microbiome Protocol for Skin Health  

Remove Triggers (Elimination Phase)  

• Identify and eliminate foods that disrupt gut health and cause inflammation. We can rely on food/symptom journals or laboratory indicators for this step, according to patient preference.  

Common triggers:  

• Processed foods (refined sugars, artificial additives, trans fats)  
• Dairy (can trigger acne and inflammation in some individuals)  
• Gluten (may contribute to leaky gut and autoimmune skin reactions in some individuals)  
• Excess alcohol and caffeine (can impair gut lining and hydration)  
• Food intolerances (keep a journal to track possible reactions)  

Repair the Gut Lining  

• Support gut barrier function to prevent intestinal permeability also known as "leaky gut," which can contribute to systemic inflammation and skin issues.  

Key nutrients:  

• Bone broth & collagen – Strengthen gut lining and support skin elasticity.  
• L-glutamine – An amino acid that helps heal intestinal permeability.  
• Omega-3 fatty acids (found in salmon, flaxseeds, walnuts) – Reduce inflammation. 
• Zinc – Essential for wound healing and immune function.  

Restore the Gut Microbiome  

• Balance gut bacteria by increasing and diversifying beneficial microbes.  
• Probiotic-rich foods: fermented foods (kimchi, sauerkraut, kefir, yogurt, miso)  
• Prebiotic foods: (to feed beneficial bacteria) Garlic, onions, leeks, asparagus, bananas, Jerusalem artichokes.  
• Synbiotic Supplements (include both pre- and probiotics) As deemed appropriate on a case-by-case basis.  

Of note: some individuals may be sensitive to high fiber foods in which case we will guide you on a slow incremental titration of fiber intake. 

Reduce Inflammation & Support Detoxification  

• Reduce systemic inflammation, which contributes to redness, irritation, and breakouts.  
• Anti-inflammatory foods: some of which include leafy greens, turmeric, ginger, berries, and green tea.  
• Liver support for detoxification: Cruciferous vegetables (broccoli, cauliflower, Brussels sprouts)  
• Adequate hydration (with purified water, lemon water or herbal teas)  
• Additional supplements may be recommended on a case-by-case basis.  

Support the Skin Microbiome Externally  

• Avoid harsh skincare products that strip natural oils and disrupt beneficial skin bacteria.  
• Use mild, microbiome-friendly cleansers and avoid over-exfoliating.  
• Consider topical probiotics (found in some skincare products) to promote a balanced skin microbiome.  

Expected Benefits  

• Reduction in acne, eczema, rosacea, and psoriasis flare-ups.  
• Improved hydration, elasticity, and skin barrier function. 
• Less redness, irritation, and breakouts.
   

Please note, a microbiome-focused approach to skin health is not a quick fix but can lead to long-term improvements by addressing the root causes.