Episode Details

The Case: 

• Amy is 31 and has been dealing with tons of skin issues for a decade. 
• She experiences acne, dry/oily patches, cysts, and generally red, bumpy skin.
• She tried the birth control pill, oral antibiotics, antibacterial soap, and tons of prescription creams.

The Investigation

Many people don’t connect their nutrition to their skin condition but when I met Amy, she told me about digestive issues she was having and I knew this was where we needed to start the investigation into her skin issues. 

When it comes to skin and natural health, it felt obvious to turn to Dr. Trevor Cates. She was the first woman licensed as a naturopathic doctor in the state of California. She wrote the Amazon bestselling book Clean Skin From Within. She is known as The Spa Doctor and developed a skin care line under the same name. 

Skin Warning Signs

Dr. Cates says that all too often, when we have something out of balance with our skin, the traditional method of treating it is to suppress it with, for example, a steroid cream. They don’t tend to look for the cause. And so, the issue continues to manifest with different (and worsening) symptoms over time that experts may not track back to the initial skin issue. The skin is sending a message that something else is wrong. Erasing the message doesn’t change the fact that something is wrong internally. 

Hormonal Issues Presenting with Skin Conditions

There are a number of hormonal concerns that may show up first as skin conditions. Hormonal issues with estrogen, progesterone, thyroid, adrenal hormones and more have symptoms related to the skin. For example, sex hormone changes can cause acne, dull skin and premature aging in skin. Thyroid issues can cause dry skin or oily skin depending on the issue.

Dr. Cates calls inflammation affecting the skin ‘skinflammation’. This is when you have internal inflammation and it shows up on the skin. This might be caused by hormonal imbalances. 

Nutritional Deficiencies and Skin Issues

Various nutritional deficiencies show up as skin conditions. In fact, doctors will also look to the skin first to determine if there might be a deficiency or poor nutritional absorption at play. Zinc, essential fatty acids, iron and B vitamin deficiencies all present as skin issues. 

Skin Microbiome

Our gut microbiome can also affect the condition of our skin. In addition, the skin itself has its own microbiome. The skin has an organization of microorganisms that live on the skin and keep it healthy and disease free. When it is in balance, we have glowing skin that ages gracefully. 

Testing the Skin Microbiome

Unlike testing the gut microbiome balance, there aren’t any true tests for determining the balance of your skin microbiome or microbiota levels. One of the reasons for this is that the state of your skin is affected day to day by your environment. If you have pets in your home, if your space is clean or dirty, if you use antimicrobial agents or cleaning products with certain chemicals - your skin is immediately affected. Researchers focus on testing the pores around the nose, but one of the best ways to determine the health of your skin microbiome is to look at the condition it’s in. If you’ve got dryness, dullness, breakouts, redness or irritation, then the microbiome is likely out of balance. 

Protecting the Skin Microbiome

There are things that can definitely interfere with the balance of the skin microbiome. Dr. Cates points to our overly germophobic society as part of the problem. Overuse (or unnecessary use) of hand sanitizers, antimicrobial soaps, antibiotics (internally and externally), antibacterial cleaning products, and other toxic chemicals in our clea