Advanced Functional Medicine
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Acne. Eczema. Psoriasis. Rosacea.
They're not skin problems. They're gut problems showing on the surface.
The gut-skin axis is real and well-researched. When the gut barrier breaks down, inflammatory molecules and immune signals reach the skin. The skin then expresses the chaos.
Acne: often driven by insulin spikes, dairy sensitivity, and gut dysbiosis. Eczema: gut barrier dysfunction, food sensitivities, immune imbalance. Psoriasis: autoimmune, almost always with a gut driver underneath. Rosacea: linked to SIBO in over 50% of cases.
Topical treatments calm the surface. They don't address what's driving the immune signal underneath. This is why so many people end up rotating creams, antibiotics and steroids forever.
Real recovery starts with the gut: Stool testing to map what's there Identify and remove triggers (gluten, dairy, sugar are common) Repair the gut barrier Stabilise blood sugar Restore the microbiome
The skin clears as the gut clears. The order matters.
02/06/2026
Most people with gut issues end up on increasingly restrictive elimination diets. Gluten out. Then dairy. Then FODMAPs. Then nightshades. Then eggs.
Six months later, they can only eat about 15 foods. And they still don't feel well.
Elimination diets work in the short term because they reduce immune load. But they don't fix what made you reactive in the first place. The underlying gut barrier dysfunction, the overgrowth, the inflammation. Those are still there.
Real recovery is about widening the diet back out, not narrowing it further. That only happens when you fix the gut, not just avoid the foods.
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