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Food for Thought: How Nutrition Impacts Your Skin · Skinquiries

• 0:01
  Speaker 1: I love that inside and out approach because your skin
• 0:03
  Speaker 1: is made of three layers, and most skincare products are
• 0:07
  Speaker 1: going to work on the top player, and it's your
• 0:09
  Speaker 1: diet that's really going to look after the deep layers
• 0:11
  Speaker 1: of your skin. So you need to do a bit
• 0:12
  Speaker 1: of both. If you're doing just skincare, you might not
• 0:15
  Speaker 1: get the results you want.
• 0:16
  Speaker 2: Nutrition is basically the fuel that keeps us going, but
• 0:20
  Speaker 2: it's a lot more than that. Even though there's a
• 0:22
  Speaker 2: lot more research that needs to be done, the state
• 0:25
  Speaker 2: of our gut health might be connected to our skin
• 0:28
  Speaker 2: more than we imagined.
• 0:32
  Speaker 3: Hi guys, and welcome. I'm so glad you're here.
• 0:35
  Speaker 2: I'm Nicole Berry and this is skin Queries, a show
• 0:38
  Speaker 2: all about our skin and its health as we grow
• 0:41
  Speaker 2: in age. Our skin is really a record of a
• 0:43
  Speaker 2: life well lived, because there isn't one body part that
• 0:46
  Speaker 2: I can think of that reflects our well being.
• 0:48
  Speaker 3: As clearly as our skin.
• 0:50
  Speaker 2: So let's go on this journey together to really understand
• 0:52
  Speaker 2: what's going on with our skin.
• 0:54
  Speaker 3: Let's unravel the mysteries happening inside and out.
• 0:58
  Speaker 2: Today we're talking about you get nutrition and how that
• 1:02
  Speaker 2: shows up on our skin.
• 1:09
  Speaker 3: Food is everything to me.
• 1:11
  Speaker 2: I love coming up with healthy, nourishing recipes that heal
• 1:14
  Speaker 2: me from the inside out. And even though it wasn't
• 1:17
  Speaker 2: my priority to improve my skin, I noticed that when
• 1:21
  Speaker 2: I started to change my diet, my complexion got better
• 1:24
  Speaker 2: and more radiant.
• 1:25
  Speaker 3: But it makes sense, right.
• 1:27
  Speaker 2: Our skin often likes to warn us when things aren't
• 1:30
  Speaker 2: quite right. Certain foods might make you break out. Your
• 1:33
  Speaker 2: skin can become pale when you're low on things like iron,
• 1:37
  Speaker 2: and you can also get things like hyperpigmentation when you're
• 1:41
  Speaker 2: not getting enough vitamins such as B twelve or folic acid.
• 1:45
  Speaker 2: But like many of us, I had some sense of
• 1:47
  Speaker 2: nutrition being important. I just didn't do anything about it
• 1:51
  Speaker 2: until later.
• 1:52
  Speaker 3: In my life.
• 1:52
  Speaker 2: I think, like many people, I was living a fast
• 1:56
  Speaker 2: life and a fast track into a career I thought
• 1:58
  Speaker 2: I wanted. I was working in magazines, really burning the
• 2:02
  Speaker 2: candle at both ends, and living in that kind of
• 2:05
  Speaker 2: weekend warrior lifestyle where I was working very hard during
• 2:09
  Speaker 2: the week and partying on the weekend and just starting
• 2:12
  Speaker 2: that vicious cycle over and over, and it was starting
• 2:15
  Speaker 2: to affect not only my body, my skin, my mental health.
• 2:20
  Speaker 2: And I really didn't understand because that was truly the
• 2:24
  Speaker 2: blueprint of a successful New York City life, and yet
• 2:28
  Speaker 2: it was not in line with how good I was feeling.
• 2:32
  Speaker 2: So I hit a wall in my twenties where I
• 2:34
  Speaker 2: realized something has got to give. I have to address
• 2:38
  Speaker 2: my whole self in a holistic way. And holistic doesn't
• 2:43
  Speaker 2: necessarily mean alternative or crunchy. It just means looking at
• 2:47
  Speaker 2: the full picture, looking at what I'm eating, looking at
• 2:51
  Speaker 2: what I am watching, what I'm consuming in the media,
• 2:55
  Speaker 2: my relationships, it all had to be addressed together. So
• 2:59
  Speaker 2: as I I was working in the magazine industry, I
• 3:02
  Speaker 2: started to carve out time after work where I would
• 3:07
  Speaker 2: go seek out different things that lit me up. So
• 3:11
  Speaker 2: whether that was a meditation workshop, whether it was hearing
• 3:14
  Speaker 2: my favorite author speak. I started to really listen to
• 3:18
  Speaker 2: what interested me, and that was at the time, yoga, meditation,
• 3:24
  Speaker 2: and also just cooking for myself. That was a big
• 3:27
  Speaker 2: shift for me is instead of outsourcing my meals, which
• 3:31
  Speaker 2: is so easy in New York City you can find
• 3:33
  Speaker 2: anything at the drop of a hat, I started to
• 3:37
  Speaker 2: intentionally start cooking my meals, going to the grocery store,
• 3:42
  Speaker 2: picking out what I wanted for that day and cooking
• 3:46
  Speaker 2: myself a solo meal and it was so nourishing, not
• 3:50
  Speaker 2: only physically but also spiritually. And by shifting my diet alone,
• 3:55
  Speaker 2: so much changed because I could really discern what ingredients
• 3:59
  Speaker 2: made me feel good and even look good, and also
• 4:03
  Speaker 2: knowing what was going into the meals and the process.
• 4:07
  Speaker 2: I think that there is a spiritual aspect in cooking
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  Speaker 2: the meals and who prepares meals for you, the love,
• 4:13
  Speaker 2: so to speak, that you put into meals, it really
• 4:17
  Speaker 2: does make a difference in your overall energy. So as
• 4:20
  Speaker 2: I started to shift my meals, as I started to
• 4:23
  Speaker 2: shift my lifestyle, I started to get a glow about me.
• 4:27
  Speaker 2: And I know that sounds strange to say that. When
• 4:29
  Speaker 2: you know you're getting a glow, but you just feel it,
• 4:32
  Speaker 2: it emanates out of your energy and then people start
• 4:35
  Speaker 2: to notice and my interest started to shift. It didn't
• 4:40
  Speaker 2: happen overnight, but I got so excited about how good
• 4:44
  Speaker 2: I was feeling that I wanted to share it with others,
• 4:48
  Speaker 2: and so I decided to launch a blog an online
• 4:51
  Speaker 2: magazine if you will, to share what I was experiencing.
• 4:55
  Speaker 2: And the more energy I put into that hobby, the
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  Speaker 2: more it started to improve my life In a way
• 5:02
  Speaker 2: that I had a focus, a passion that also served
• 5:06
  Speaker 2: my well being. So when I connected the two my
• 5:09
  Speaker 2: passion for writing for editorial, for sharing stories with feeling good,
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  Speaker 2: I really started to feel unstoppable and it became my
• 5:19
  Speaker 2: life's work.
• 5:21
  Speaker 3: So cut to a few years later.
• 5:23
  Speaker 2: I was able to leave my full time job and
• 5:26
  Speaker 2: work as a freelancer, which opened up a lot of
• 5:29
  Speaker 2: time where I could dive into not only my magazine,
• 5:34
  Speaker 2: my online magazine, but also healing myself and figuring out
• 5:38
  Speaker 2: all different ways that made me feel good. And skin
• 5:42
  Speaker 2: was definitely part of it. But it was interesting because
• 5:46
  Speaker 2: the shifts in my skin actually happened as a symptom
• 5:52
  Speaker 2: of my own healing. I'd never really put attention in
• 5:57
  Speaker 2: healing my skin, and my skin kind of went through
• 6:00
  Speaker 2: all of those phases that we all go through, right
• 6:03
  Speaker 2: in puberty, I broke out in college, I was really stressed,
• 6:09
  Speaker 2: and that manifested on my skin with breakouts or just
• 6:12
  Speaker 2: feeling really dry and not knowing.
• 6:14
  Speaker 3: What to use.
• 6:15
  Speaker 2: So it never really was like my true focus. But
• 6:18
  Speaker 2: what I noticed, just thinking about my well being in general,
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  Speaker 2: my skin started to shift naturally. So I started to
• 6:27
  Speaker 2: notice that my breakouts started to lessen. And when I
• 6:31
  Speaker 2: talk about my breakouts, I used to suffer from really
• 6:34
  Speaker 2: pretty bad cystic breakouts. And when I was suffering from
• 6:38
  Speaker 2: cystic breakouts, things would happen on my face, you know,
• 6:41
  Speaker 2: whether it was my forehead or my chin, places where
• 6:44
  Speaker 2: you can't really hide, and there was definitely a lot
• 6:47
  Speaker 2: of not shame, but kind of embarrassment and not really
• 6:52
  Speaker 2: knowing how to control that.
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  Speaker 3: But what I noticed is those started to lessen.
• 6:57
  Speaker 2: And I can confidently say that my skin quality is
• 7:01
  Speaker 2: actually better than when I was fourteen because it's being
• 7:05
  Speaker 2: nourished from the inside out. And I'm not the only
• 7:07
  Speaker 2: person who's noticed how what you eat shows up on
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  Speaker 2: your skin. So we went out and asked you if
• 7:13
  Speaker 2: you think there's a link between nutrition and skin, And
• 7:17
  Speaker 2: it seems like a lot of you feel the same.
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  Speaker 4: Everything is connected in our bodies, and so like nutrition
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  Speaker 4: helps every other system, and so it's got to be
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  Speaker 4: able to help your skin as well.
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  Speaker 3: With moisture what you're eating all.
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  Speaker 4: That everything starts in the gut and works its way out.
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  Speaker 4: I feel like that's probably a big change that I've
• 7:35
  Speaker 4: made in my own diet is start I started eating
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  Speaker 4: healthier and there's a lot of outward changes. Skin is
• 7:41
  Speaker 4: definitely one of them.
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  Speaker 3: I think when I eat better, my skin looks better.
• 7:45
  Speaker 4: It's not as greasy, tends to just kind of.
• 7:50
  Speaker 3: Glow a little bit better, look a bit healthier.
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  Speaker 2: I feel like when I eat more sugar, my skin
• 7:55
  Speaker 2: gets worse, or if I'm having more like oily fast
• 7:59
  Speaker 2: food my skin for sure.
• 8:01
  Speaker 4: I'm not an expert in that, but I got to
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  Speaker 4: think there's some effect on your skin. Whatever you put
• 8:06
  Speaker 4: in your body is going to come out in one
• 8:07
  Speaker 4: way or another.
• 8:09
  Speaker 3: Exactly one way or another. What goes in must come out.
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  Speaker 2: It sounds like many of us know that what we
• 8:18
  Speaker 2: eat can affect our skin, and then there's a science.
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  Speaker 2: One example is a study from the Netherlands published in
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  Speaker 2: twenty nineteen. It found that women who tended to eat
• 8:28
  Speaker 2: more fruits and vegetables, fish and fiber rich foods had
• 8:32
  Speaker 2: fewer wrinkles than those who were drawn more towards meat
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  Speaker 2: and processed foods.
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  Speaker 3: I've seen it myself.
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  Speaker 2: My lifestyle changes have definitely improved my skin and my
• 8:41
  Speaker 2: body in general. And our next guest can really break
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  Speaker 2: down the science behind it. Coming up right after this break,
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  Speaker 2: Welcome back to Skin Queries. Earlier, I shared my own
• 9:02
  Speaker 2: journey with nutrition and how changing my diet reflected on
• 9:06
  Speaker 2: my skin, an experience that some of you have shared
• 9:08
  Speaker 2: as well. But if you've ever tried looking for a
• 9:11
  Speaker 2: better diet for your skin online, then you've probably gotten
• 9:14
  Speaker 2: lost in a sea of articles about which foods to
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  Speaker 2: avoid and what diets to go on, and it can
• 9:20
  Speaker 2: be overwhelming and downright contradictive. So let's sift through all
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  Speaker 2: this information and separate fact from fiction with doctor Thiv Marathapu,
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  Speaker 2: a dermatologist and nutritionist.
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  Speaker 3: Thank you so.
• 9:33
  Speaker 2: Much for joining us on this episode of Skin Queries.
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  Speaker 2: I'm really excited to dive in. Can you please introduce
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  Speaker 2: yourself to our listeners.
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  Speaker 1: I'm PIV. I'm a bod setified dermatologist, but I'm dual
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  Speaker 1: qualified as a nutritionist and that really forms a holistic practice.
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  Speaker 1: So when i see patients in clinic, I'm looking at
• 9:52
  Speaker 1: the whole picture. I'm really trying to think about all
• 9:55
  Speaker 1: the different things that can influence the skin, and that's
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  Speaker 1: something I'm super passionate about.
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  Speaker 3: I love that.
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  Speaker 2: And you are the author of skin Food and what
• 10:02
  Speaker 2: inspired you to write this book?
• 10:05
  Speaker 1: So I guess I found that I was getting asked
• 10:07
  Speaker 1: the same questions. So, whether it was by patients, my
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  Speaker 1: nutritionist colleagues, my dermatology colleagues, people were always asking me, well,
• 10:14
  Speaker 1: what should I do if I have ex miusoriasis, if
• 10:17
  Speaker 1: I have acne? What advice should I be giving to
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  Speaker 1: my patient? So I thought, you know what, everyone has
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  Speaker 1: the same queries, the same issues. Let's just put it
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  Speaker 1: all in one place so that even if people can't
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  Speaker 1: access a dermatologist, or they're a nutritionist and they haven't
• 10:30
  Speaker 1: learned about skin, or they're a dermatologist in practice and
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  Speaker 1: they don't know that much about nutrition, everyone will be
• 10:35
  Speaker 1: able to take something away from it.
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  Speaker 2: And can you explain why nutrition is so important for
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  Speaker 2: our skin and our gut?
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  Speaker 1: So the gut is incredible. Obviously, we know this amazing
• 10:46
  Speaker 1: powerhouse of our immune system. So we have, you know,
• 10:49
  Speaker 1: a couple of kilos about four pounds worth of bacteria
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  Speaker 1: sitting in our gut, and they're busy. They are really
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  Speaker 1: looking after the function of our immune system. And you
• 10:59
  Speaker 1: know from birth that our immune system is trained by
• 11:02
  Speaker 1: the gut and the exposure of the gut microbiome to
• 11:05
  Speaker 1: our immune cells. So Imbalances in the gut microbiome can
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  Speaker 1: contribute to inflammation, and many skin conditions are driven by inflammation.
• 11:14
  Speaker 1: If we think about XMUF, we think about psoriasis, even animosation.
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  Speaker 1: Inflammation is a key factor in all of those common
• 11:21
  Speaker 1: skin conditions, and we don't have good enough evidence to say, look,
• 11:25
  Speaker 1: if we fix your gut will definitely fix your skin,
• 11:27
  Speaker 1: but it is an important part of my practice talking
• 11:30
  Speaker 1: about gut health and really working towards a gut friendly
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  Speaker 1: diet and being really careful about our gut microbiomes.
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  Speaker 2: According to the National Institute of Environmental Health Sciences, a
• 11:41
  Speaker 2: microbiome is a collection of microbes like bacteria, fungi, viruses,
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  Speaker 2: and their genes that naturally live inside and on our bodies.
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  Speaker 3: They're very important to our health.
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  Speaker 1: So your gut has a microbiome and your skin has
• 11:56
  Speaker 1: its own microbiome as well, and when the good bacteria
• 12:00
  Speaker 1: in the gut are out of balance, then that's when
• 12:02
  Speaker 1: we tend to see more inflammation. And more recent research
• 12:06
  Speaker 1: has shown that if you have imbalances in your skin
• 12:09
  Speaker 1: microbiome that can contribute to skin inflammation as well.
• 12:13
  Speaker 2: Now that we've covered how nutrition can affect our skin.
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  Speaker 2: Let's see which foods can help us achieve a healthy
• 12:19
  Speaker 2: and radiant complexion. Doctor Thevy came up with a four
• 12:22
  Speaker 2: step solution that she calls glow. It's an acronym and
• 12:26
  Speaker 2: it's easy to remember, so let's break it down. The
• 12:29
  Speaker 2: G in glow stands for greens.
• 12:33
  Speaker 1: So eat your fruit and vegetables. You need a variety
• 12:36
  Speaker 1: of fruit and vegetables in your diet. They are full
• 12:38
  Speaker 1: of super important antioxidants that we need generally for skin
• 12:42
  Speaker 1: healths because what those antioxidants are doing is they are
• 12:45
  Speaker 1: digested and they reach the skin where they quench all
• 12:48
  Speaker 1: of those free radicals that are contributing to skin inflammation
• 12:51
  Speaker 1: and aging. And many of us are using antioxidants on
• 12:54
  Speaker 1: our skin right, So vitamin C, for example, really popular
• 12:58
  Speaker 1: skin antioxidant, but we're not consuming enough antioxidants in our diet.
• 13:03
  Speaker 2: I do notice that when I'm eating a more vitamin
• 13:05
  Speaker 2: C rich diet, it actually really complements. You know, this
• 13:10
  Speaker 2: vitamin C topic goals.
• 13:11
  Speaker 1: Yes, inside and out exactly. And I love that inside
• 13:16
  Speaker 1: and out approach because your skin is made of three layers,
• 13:19
  Speaker 1: and most skin care products are going to work on
• 13:21
  Speaker 1: the top player and it's your diet that's really going
• 13:23
  Speaker 1: to look after the deeper layers of your skin, So
• 13:25
  Speaker 1: you need to do a bit of both. If you're
• 13:27
  Speaker 1: doing just skin care, you might not get the results
• 13:29
  Speaker 1: you want in the longer term.
• 13:31
  Speaker 2: And then L is for your lean proteins, which makes
• 13:34
  Speaker 2: sense because your skin is actually made up of proteins.
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  Speaker 2: And a protein that we're all obsessed with is collagen
• 13:41
  Speaker 2: because it's responsible for your skin's elasticity.
• 13:44
  Speaker 1: If you have a protein poor diet, your skin may
• 13:48
  Speaker 1: sag and it will not heal as well. So if
• 13:51
  Speaker 1: you've had a breakout, you may end up with a
• 13:53
  Speaker 1: mark or a scar that takes a little bit longer
• 13:55
  Speaker 1: to settle down. So lean protein sources with thinking oily fish,
• 14:00
  Speaker 1: you could do chickpeas, you could do tofu. Whatever that
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  Speaker 1: lean protein is that you enjoy, but you need to
• 14:05
  Speaker 1: spread it throughout your day and make sure that you're
• 14:07
  Speaker 1: getting enough. And O is oils and healthy fats, and
• 14:11
  Speaker 1: I think people are always a little bit afraid to
• 14:13
  Speaker 1: have the healthy fats in the diet.
• 14:15
  Speaker 5: I think this is so underrated. Actually, it's your internal moisturizer. Yes,
• 14:19
  Speaker 5: you've got to moisturize from the inside as well. It's
• 14:22
  Speaker 5: so important for your skin barrier and how well that's working.
• 14:26
  Speaker 5: And the oils that I suggest. You know, we're talking
• 14:28
  Speaker 5: about all those healthy fats we want, almonds, cashews, all
• 14:32
  Speaker 5: those good nuts, olive oil, flax seed oil. These are
• 14:35
  Speaker 5: great oils for healthy skin barrier. And of course when
• 14:38
  Speaker 5: you're eating oil fish you're getting your Amiga threes from
• 14:41
  Speaker 5: that as well. If you're following a plant based diet,
• 14:44
  Speaker 5: you can go to chear seeds or again certain nuts
• 14:48
  Speaker 5: and seeds as well, but you may want to add
• 14:50
  Speaker 5: an algae based supplement avocados. Avocado is a fantastic one
• 14:54
  Speaker 5: full of those skin loving good fats as well. And
• 14:57
  Speaker 5: if you are having a diet with inadequate dietary, you
• 15:00
  Speaker 5: will see dryness in your skin, dryness in your hair
• 15:03
  Speaker 5: as well. Those are the two manifestations. Sometimes if you're
• 15:06
  Speaker 5: already a little bit prone to say eggs and mel dormatitis,
• 15:10
  Speaker 5: it can flare up because you need those good fats
• 15:12
  Speaker 5: to make the barrier that supports the outer layer of
• 15:15
  Speaker 5: the skin, and when you don't have enough good fats
• 15:18
  Speaker 5: in your diet, you can see things like that flare up.
• 15:20
  Speaker 5: So super important and you can supplement if you don't
• 15:23
  Speaker 5: like the foods that contain good sources of amiga three,
• 15:26
  Speaker 5: then you know there are very good quality amiga three
• 15:29
  Speaker 5: supplements out there.
• 15:30
  Speaker 2: And then last, but definitely not least, is W which
• 15:34
  Speaker 2: stands for whole grains.
• 15:36
  Speaker 1: And you know the really good grains we're talking about quinoa,
• 15:39
  Speaker 1: whole grain, brown rice. Unprocessed. Whole grains do feed and
• 15:43
  Speaker 1: support the gut bacteria. So they're really nice for supporting
• 15:46
  Speaker 1: good gut bacteria. You don't need to have a lot,
• 15:49
  Speaker 1: You just need to have a little bit just to
• 15:50
  Speaker 1: give you the fiber that you may lack otherwise.
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  Speaker 3: So that's glow. I love that.
• 15:55
  Speaker 2: And on the flip side, are there certain foods that
• 15:57
  Speaker 2: you recommend we avoid?
• 15:59
  Speaker 1: Yeah, so the two foods, And it's never popular if
• 16:02
  Speaker 1: I'm ever giving a talk and I say, these people
• 16:03
  Speaker 1: are oh, it's so the two food groups that I say, look,
• 16:07
  Speaker 1: you just need to be mindful of these. Enjoy them,
• 16:09
  Speaker 1: but be careful. So alcohol is a big one. So
• 16:13
  Speaker 1: alcohol consumption can flare existing skin concerns. So it's a
• 16:17
  Speaker 1: definite trigger for many different skin conditions. Psoriasis, it's well
• 16:22
  Speaker 1: established to flare soriasis XMA. Because a lot of alcohol
• 16:26
  Speaker 1: contains histamine, it can make your skin more itchy. If
• 16:30
  Speaker 1: you have EXMA, it can trigger rosatia flushing. So it's
• 16:34
  Speaker 1: definitely a trigger for skin conditions. But the studies also
• 16:37
  Speaker 1: show that it increases fine lines and wrinkles in the
• 16:40
  Speaker 1: upper part of the face.
• 16:41
  Speaker 3: And why is that?
• 16:42
  Speaker 2: How is it triggering fine lines and kind of exacerbating inflammation?
• 16:48
  Speaker 3: What's happening?
• 16:49
  Speaker 1: So alcohol is pro inflammatory as in itself and the
• 16:53
  Speaker 1: metabolism of it, but in addition to that, it's sugar,
• 16:56
  Speaker 1: so it's broken down to sugar. And so the other
• 16:59
  Speaker 1: group of things to be mindful of is a high
• 17:01
  Speaker 1: refined sugar diet. And we're talking you know, candy and
• 17:06
  Speaker 1: those sweet and fizzy drinks and all of those things
• 17:08
  Speaker 1: that we know we should be avoiding. But when we've
• 17:11
  Speaker 1: got that sugar, it causes glycation, and glycation causes your
• 17:17
  Speaker 1: collagen fibers, which are really what's keeping your skin young
• 17:19
  Speaker 1: and useful looking. It causes them to become stiff. And
• 17:23
  Speaker 1: when they become stiff, they're not balancy, they're not radiant,
• 17:26
  Speaker 1: and you end up with these wrinkles and signs of
• 17:28
  Speaker 1: premature aging, so they called advanced glycation end products or
• 17:33
  Speaker 1: age products. That's what's really aging your skin.
• 17:36
  Speaker 3: So refined sugar, alcohol.
• 17:38
  Speaker 1: What about dairy, So dairy is a mixed bag, So
• 17:41
  Speaker 1: some people are fine with dairy. It's not a trigger
• 17:43
  Speaker 1: for everyone. And the skin conditions that dairy can be
• 17:47
  Speaker 1: a problem for obviously porisis and exma, but also acne.
• 17:50
  Speaker 1: And for some people with acne, they can cut out
• 17:53
  Speaker 1: every little bit of dairy in their life, they can
• 17:56
  Speaker 1: cut out all the sugar, they will still have acne.
• 17:58
  Speaker 1: And that's because hormone are super important for breakouts. So,
• 18:02
  Speaker 1: especially for women, our hormones can reak have on our skin.
• 18:06
  Speaker 1: And I have patients who are dieticians nutritionists, their diets
• 18:09
  Speaker 1: are on point, but they still have really stubborn acne.
• 18:12
  Speaker 1: So there is a role that diet plays, but hormones
• 18:15
  Speaker 1: are really important for breakouts as well. So if you
• 18:18
  Speaker 1: do have acne, and if you've got breakouts jawline acne
• 18:21
  Speaker 1: in particular, you can try removing dairy. The data really
• 18:25
  Speaker 1: supports skim milk, but to be honest, in my practice,
• 18:28
  Speaker 1: I don't see many people are still drinking cow's milk anymore.
• 18:32
  Speaker 1: So you know, most patients are already on alternative milks
• 18:35
  Speaker 1: by the time they come to see me, but you
• 18:38
  Speaker 1: can emit milk products from your diet.
• 18:42
  Speaker 2: I love how easy and simple your glow principles are,
• 18:45
  Speaker 2: which is great because there are so many radical lifestyle
• 18:48
  Speaker 2: changes that focus on cutting out and villainizing.
• 18:52
  Speaker 3: Whole food groups. So how do extreme diets.
• 18:55
  Speaker 2: Like the Kido diet, for example, where you cut out
• 18:58
  Speaker 2: carbs and increase your intake, how would something like that
• 19:02
  Speaker 2: show up on your skin.
• 19:03
  Speaker 1: It's really interesting, Nicole, because for me, a kita diet
• 19:07
  Speaker 1: is like not a skin friendly diet because you can
• 19:09
  Speaker 1: get keito rash.
• 19:10
  Speaker 3: I've never heard of akita rash before.
• 19:13
  Speaker 1: So it's a very specific rash.
• 19:15
  Speaker 3: Where does something like that manifest.
• 19:17
  Speaker 1: So chest and back usually, and it's a very classical rash.
• 19:21
  Speaker 1: It's red, lumpy, little bit scaly, and we don't really
• 19:26
  Speaker 1: understand why it happens, but it's a skin response to
• 19:28
  Speaker 1: high ketones and it's very classically seen in people who
• 19:32
  Speaker 1: are on a keitogenic diet. So that might be bodybuilders,
• 19:35
  Speaker 1: or it might just be somebody trying to lose a
• 19:36
  Speaker 1: bit of weight, or as the patient's I typically see
• 19:40
  Speaker 1: somebody trying to prepare for an event. So the other
• 19:42
  Speaker 1: thing about akito diet, there are so many benefits to
• 19:46
  Speaker 1: fruit as well as vegetables. You know, fruits and vegetables
• 19:50
  Speaker 1: is such an important source of antioxidant. When you're in
• 19:52
  Speaker 1: a kita diet, those really important foods are minimized, and
• 19:57
  Speaker 1: I just think you will not be meeting your skin's
• 19:59
  Speaker 1: knee if you are very restrictive. Sometimes you can also
• 20:03
  Speaker 1: lose excess facial subcutaneous fat, which is aging.
• 20:07
  Speaker 3: And I see people who've been on a.
• 20:09
  Speaker 1: Kito for a while and they have this sort of
• 20:11
  Speaker 1: gaunt complexion, and you know, you, of course you could
• 20:15
  Speaker 1: have fillers to replace it, but it's never the same
• 20:17
  Speaker 1: as your own body composition.
• 20:19
  Speaker 2: So you mentioned some foods can trigger plaoriasis, but are
• 20:23
  Speaker 2: there other foods that can exacerbate it?
• 20:26
  Speaker 1: So plaquorisis is a huge area of interest. Is really
• 20:30
  Speaker 1: what we're looking at in our research project at the moment,
• 20:33
  Speaker 1: because the dietary role in plecoriasis is something of an
• 20:37
  Speaker 1: unanswered question and it's been something that patients have been
• 20:41
  Speaker 1: asking us for years. How does diet influence my plasoriasis?
• 20:44
  Speaker 1: And there's a few things that we now understand. So
• 20:47
  Speaker 1: number one, weight is really important in placoriasis, So if
• 20:51
  Speaker 1: you are overweight or obese, losing weight can be hugely
• 20:55
  Speaker 1: helpful in improving your skin and it can also reduce
• 20:59
  Speaker 1: the risk of developing other complications that we see in
• 21:02
  Speaker 1: people who live with plexoriicis, such as high blood pressure
• 21:06
  Speaker 1: or heart disease as well. So body weight maintenance is
• 21:11
  Speaker 1: an important aspect of managing plexorisis. For some people with plexoricis,
• 21:16
  Speaker 1: gluten is a trigger and if you have your blood
• 21:19
  Speaker 1: test for gluten sensitivity done, you will have a better
• 21:21
  Speaker 1: idea of whether you need to remove gluten from your diet.
• 21:24
  Speaker 1: You can emit gluten and see if you notice an
• 21:27
  Speaker 1: improvement in your skin. And from our research, we believe
• 21:31
  Speaker 1: that dairy products and red meat could also impact plexoricis
• 21:36
  Speaker 1: severity as well. So this is just research we're starting
• 21:39
  Speaker 1: to look at, but from looking at the early data,
• 21:42
  Speaker 1: red meat and dairy products may be an issue as well.
• 21:46
  Speaker 1: So these are just foods to think about as part
• 21:49
  Speaker 1: of your diet.
• 21:49
  Speaker 2: So it's not a bad idea to try different foods,
• 21:53
  Speaker 2: but when is it time to see a doctor.
• 21:56
  Speaker 1: That's a really good question Nicole, because often I see
• 21:59
  Speaker 1: people who struggling on their own for too long. So
• 22:02
  Speaker 1: they have tried cutting various foods out of their diet,
• 22:05
  Speaker 1: they have done various cleanses, and their skin still isn't better,
• 22:09
  Speaker 1: and they come and see me and we you know,
• 22:10
  Speaker 1: we go through it and we can really make big
• 22:12
  Speaker 1: improvements quite quickly. And I think if your skin condition
• 22:15
  Speaker 1: is impacting your mental health and well being, your sense
• 22:18
  Speaker 1: of confidence, if it's stopping you from doing things like
• 22:21
  Speaker 1: swimming or engaging in activities like sports with your friends,
• 22:26
  Speaker 1: or if it's affecting interpersonal relationship, it's really important that
• 22:30
  Speaker 1: you see someone and go to your dermatologist a good
• 22:33
  Speaker 1: nutritionist as well. I think working with both practitioners is
• 22:36
  Speaker 1: super important when you're managing a variety of different skin concerns,
• 22:40
  Speaker 1: but particularly placorrisis.
• 22:42
  Speaker 2: I'm so in line with your approach, combining the holistic
• 22:46
  Speaker 2: nutritional aspect with the traditional medical It's not something a
• 22:50
  Speaker 2: lot of doctors that I know do.
• 22:52
  Speaker 1: Yeah, when we have a holistic approach, that leaves room
• 22:55
  Speaker 1: for everything. So for example, if you have placorises, we
• 22:58
  Speaker 1: would talk about diet, nutrition, and we will talk about
• 23:01
  Speaker 1: stress and how that impacts your skin. We'll talk about
• 23:03
  Speaker 1: medical treatments, whether that's screams or tablets, so we'll do
• 23:07
  Speaker 1: the whole picture. And the same is for cosmetic treatments.
• 23:10
  Speaker 1: So you've got to start with that foundation of a
• 23:13
  Speaker 1: really good diet. You need to supplement where you need
• 23:16
  Speaker 1: to excellent sunscreen, and if you're doing all of that
• 23:19
  Speaker 1: good stuff, go for the cosmetic treatments that make you
• 23:22
  Speaker 1: feel good. That might be a bit of botox, maybe
• 23:24
  Speaker 1: some polynucleotides, maybe a little bit of filler, but you've
• 23:27
  Speaker 1: got to do the groundwork first. There's no point coming
• 23:31
  Speaker 1: in with a big sugary coffee drink and having your
• 23:35
  Speaker 1: botox and then going outside and have a cigarette and
• 23:37
  Speaker 1: not wearing sunscreen. I mean that to me is just pointless.
• 23:41
  Speaker 1: You have to do it all.
• 23:42
  Speaker 3: Yeah. I love that you say.
• 23:43
  Speaker 2: You know, it leaves room for everything else because you're
• 23:45
  Speaker 2: really working with a foundation and then you can have
• 23:48
  Speaker 2: fun with you know, whatever thing that you're interested in.
• 23:52
  Speaker 1: Yeah.
• 23:53
  Speaker 3: Well, thank you, doctor Tebe.
• 23:55
  Speaker 2: I so appreciate you taking their time and I can't
• 23:57
  Speaker 2: wait to check out your book and make all of
• 24:00
  Speaker 2: your delicious recipes.
• 24:01
  Speaker 3: Thank you so much.
• 24:02
  Speaker 1: Nicole it's so lovely speaking with it.
• 24:07
  Speaker 2: It's so comforting to know that dermatologists like doctor Thivi
• 24:11
  Speaker 2: are starting to honor the connection between the skin and gut.
• 24:15
  Speaker 2: I loved when she said that having a holistic dermatologist
• 24:18
  Speaker 2: is not exclusive.
• 24:19
  Speaker 3: It's actually very inclusive.
• 24:22
  Speaker 2: It's really about just starting with a healthy foundation, incorporating
• 24:26
  Speaker 2: really nutrient dense ingredients, vegetables, fruits, proteins, and grains, and
• 24:32
  Speaker 2: then you can integrate other things like skincare, cosmetic procedures
• 24:36
  Speaker 2: and supplements. But it's really about having that strong base
• 24:40
  Speaker 2: and having fun from there. I don't believe you have
• 24:42
  Speaker 2: to overhaul your entire diet overnight.
• 24:45
  Speaker 3: It's about starting slow.
• 24:47
  Speaker 2: Begin by incorporating healthy snacks, whole foods, preparing your own meals,
• 24:52
  Speaker 2: stalking your fridge with fruits and vegetables. That way, you're
• 24:55
  Speaker 2: making it easier for your future self to choose healthier options.
• 25:00
  Speaker 3: From there, you can then build gradually on these habits.
• 25:03
  Speaker 2: For me, it's about small, consistent daily changes that can
• 25:07
  Speaker 2: turn into a big lifestyle change and also healthy and
• 25:11
  Speaker 2: happy skin. Skin Queries is hosted by myself Nicoleberry, an
• 25:17
  Speaker 2: executive produced by evonn Sheehan.
• 25:19
  Speaker 3: Our senior producer is Tory Weldon.
• 25:22
  Speaker 2: Our junior producer is reem Al mcgrabi, with help from
• 25:25
  Speaker 2: Austin Johnson. The show is mixed and features original music
• 25:29
  Speaker 2: by Sam Sagan. If you enjoy the show, share it
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