Acne is such a common issue that people ask a naturopath to help with. It can really affect your self esteem, and in some instances can be painful and uncomfortable.

There’s no magic, quick fix for acne whether you see a naturopath or try the conventional medicine route, and sometimes you have to try a few different approaches before finding what works best for you. Typical timelines are often small improvements within two weeks, and more visible results around 3 months. When treating the underlying causes of acne naturopathically, this can sometimes take even longer, however the benefits of treating these underlying causes are often wide reaching.

As with most naturopathic approaches to health issues, it’s about finding out what the underlying cause of the issue is.

In the case of acne, it’s important to consider that skin is connected to other body systems – in particular the nervous system, the endocrine system (that’s hormones) and the digestive system. Imbalances in one or more of these systems will very commonly cause skin problems.

I’ll talk in more detail about these systems later, how to tell whether they’re the issue for you, and what you can do to help them.

Listen to the audio of this article here

It’s been a hot minute since my last episode of Guts and Girl Bits, I have been occupied with my busy home clinic and I have also been writing some e-courses, which I will talk a bit about later. Of course, I have also been spending time with family, would you believe my youngest Lara is now in Kindergarten? How time flies!

It was almost a year ago I started planning this podcast episode but I got rather distracted by everything else. However I’ve had some spare time to sit down and record, and I am hoping to stay on this momentum and release some more podcasts in the next few months. Please get in touch if you enjoy these podcasts, and if you have any questions or requests for future episodes I’d love to hear from you.

Sorting out your skin issues can be sooo frustrating when you’re doing it by yourself – do I need to go on medication? Does my diet make a difference? Are my hormones out of balance? Maybe this skin product will help? No, maybe this one, no, this one, no this one. Maybe I need a skin peel? Maybe I need laser? Maybe I need to go vegan? Maybe paleo? Do I need to detox? AUUUGH!

Rest assured you’re not alone, soo many women (and I do treat men occasionally to) come to me at their wits end with their acne.

Naturopathic approaches to any type of health condition always stem from one of the core naturopathic philosophies: treat the cause.

What the cause of acne is may vary from person to person, and that’s where a naturopaths consultation questions come in handy – delving into the different body systems like gut health, nervous system health and hormones, and sometimes using functional testing to get to the bottom of it. I’m going to try and give you some clues about it later so you can get a bit of an idea for yourself, and I will also discuss some of my favourite treatment options.

Emunctories

When it comes to root cause medicine, the way that the body is able to eliminate waste is an important consideration for any skin concern.

Naturopathic medicine is built around a set of philosophies, and one of these is the theory of emunctories.

The term emunctories is a bit of a funny word, but it refers to an organ or duct that removes or carries waste from the body.

Traditional naturopaths often consider the theory of emunctories when establishing a treatment plan, they may not use the term emunctories (I do, I think it’s a fun word to say, can you tell, I’m saying it a lot) but we always want the body to be eliminating waste efficiently, and to minimise the burden on our elimination systems. If our eliminatory system is unable to handle the load that is placed onto it, this will cause symptoms to express.

The emunctory system exists in tiers. These tiers will prioritise the primary emunctories, and if that system is overloaded it will progress downwards.

Primary emunctories are the main channels of elimination of the body that we want to be carrying the majority of our waste burden.

The primary emunctories are:

• Sweat
• Through the liver and intestines, passing bowel motions
• Through the kidneys and bladder, urination
• Through our breath

We can support our primary emunctories by drinking adequate water, eating lots of fibre and supporting our gut microbiome, breathing exercises, sweating through exercise or saunas.

The secondary emunctories include the skin and the mucous membranes of the urogenital tract, the respiratory tract, the digestive system. If our primary emunctories are overloaded or not working effectively, then toxins can be excreted through the secondary emunctories. This often shows itself as skin conditions, phlegm, diarrhoea (usually this may be a bit more mucousy).

What can commonly occur is that symptoms that express on this level are treated with suppressants, for example cortisone based creams, decongestants or cough suppressants.

If the secondary emunctories are suppressed or unable to cope, symptoms may start to appear in other areas such as in menstruation, emotions, swollen lymphatic glands, fevers and other irritations of mucous membranes.

So if we were to look at treating acne in keeping with this philosophy of emunctories it would look like this:

1. Making sure you’re eliminating properly through your bowels, by working on your diet and using herbal medicines that support this
2. Using herbs that are classed as ‘depuratives’ – these are herbs such as burdock and clivers, and they help to improve the elimination of the primary emunctories
3. Drinking plenty of water to support kidney function
4. Encouraging good lymphatic flow with lymphatic drainage techniques and exercise
5. Making sure you’re getting your sweat on – exercise or saunas

The importance of the gut

So let’s talk a bit about the digestive system how does that affect acne. It’s no secret that the health of your gut will impact on almost every system of the body, so of course it affects skin. There’s a few ways in which it can do this.

Think back to what we talked about with the concept of emunctories and how important that is. An overburdened digestive system will overburden the emunctories, leading to skin congestion and inflammation. Your skin is like a looking glass to your gut health.

Gut health impacts on hormonal health. Oestrogen has to be metabolised through the liver and bowels, and if that’s not eliminating effectively than oestrogen doesn’t get fully eliminated, instead it gets recycled in a more active form, and too much oestrogen will have a proliferative effect on your acne.

Intestinal permeability, or leaky gut, can cause inflammation, often via histamine excess. Histamine and inflammation will often show up as redness and acne. Histamine will also be driven up by oestrogen, which is why acne may be worse at certain times in your cycle.

One of the subtypes of acne which is caused by a fungal overgrowth often goes hand in hand with an altered gut microbiome.

Gut issues are linked to other types of skin condition as well such as eczema psoriasis and rosacea.

Clues that your gut may a problem for your skin health:

• You experience gut symptoms like bloating, altered bowel motions, IBS, gas.
• You experience fungal infections such as thrush or tinea.
• Your acne flares up after eating certain foods
• Your acne is mostly around forehead, mouth and cheeks.

Improving gut health

The main things that we want to be focusing on when improving your gut function is

• making sure that you’re digesting food appropriately with good levels of digestive acids and enzymes
• ensuring that you have the right balance of gut bacteria, and that you are absorbing your nutrients effectively as well
• supporting the lining of the gut health with herbs and nutrients
• avoiding highly inflammatory foods and any foods that you might be intolerant to as these will aggravate inflammation worsening any type of skin condition.

The nervous system

Does stress cause health issues? I’ve heard this concept dismissed a lot, but I am a firm believer that yes, stress can cause physical symptoms, especially things to do with the skin.

When we’re going through high periods of stress we will experience impacts on our inflammation levels due to an increase in our cortisol and histamine levels, and our reproductive hormones can be affected which increases sebum and keratin production, and increased hormone sensitivity in your skin.

Stress will also impact on our gut health, which will contribute towards skin inflammation and increased chance of skin infections.

Signs your nervous system could be a player with your skin health:

• Feeling like you’re constantly on edge
• Oversensitivity to sensory stimulation e.g. noise
• Brain fog, difficulty thinking clearly
• Poor quality sleep
• You’ve been living off coffee and stimulants
• Feeling out of balance emotionally, anxious or depressed
• Fatigue
• Low libido

How to support your nervous system

1. Make sure you’re doing fun things and laughing, as these are great ways to burn off your stress hormones
2. Try to reduce sources of stress, if that’s at all possible – maybe that might be asking for help with something that is putting a burden on your shoulders.
3. Make sure you’re eating enough – low calorie, and nutrient poor diets can be a source of stress to the body. Similarly for those who are in need of nervous system nourishment, focus more on weight training and low intensity exercise rather than high intensity exercise.
4. Get plenty of sleep
5. Practice screen boundaries
6. Practice mindfulness exercises each day
7. Get someone to talk to, perhaps a psychologist or a counsellor.

Stress can have such a big role on our health that I consider it to be one of the most important things to address. I have created an online group Naturopathic program that provides individualised care in a group setting, focusing on the pivotal factors for a healthy nervous system and adrenal gland health. If you are feeling like your nervous system needs some nourishment, I’d love for you to join me in my program Beat Burnout.

Hormone Balance

One of the most well known hormones that cause acne is testosterone. Testosterone and it’s family of hormones, androgens, cause acne by binding to receptors in the skin, increasing oil and keratin production, resulting in oilier skin with a potential for blocked pores. The bacteria (and sometimes fungi) which causes inflammation in our skin loves to feed on this, so extra fuel for the bacteria means the bugs grow, triggering an immune response in the area, resulting in more acne.

If you have a irregular periods, hirsutism (excess hair growth, such as chin hair) or have been diagnosed with PCOS there’s a good chance that high testosterone levels are a driver for your acne.

If your acne tends to get worse around the time that you are ovulating as well as when you are about to get your periods but then gets better when you start your period that’s a sign that the fluctuating levels of oestrogen are playing a role.

We need oestrogen, it can be our best friend but if we’re not metabolising or excreting it properly then it can elevate histamine, causing inflammation. Oestrogen needs to get metabolised and excreted through the gut to be in a good balance, otherwise it can be too proliferative.

Oestrogen and histamine work closely together when oestrogen is at its highest histamine will follow suit and if you have issues with high histamine that can also cause oestrogen to be high as well.

If you are not ovulating regularly or well, you may not have enough progesterone to counter oestrogen, and lack of progesterone doesn’t help skin health either.

Signs you may have hormonal acne

• Your acne worsens around ovulation or premenstrually
• Acne is located on the chin, jawline, back and chest
• Your period is irregular or painful
• You may also experience PMS symptoms
• You have oilier skin than normal
• You have thicker, coarser or more hair than normal for your genetics

How to assess your hormones

There are several ways to get an insight into your hormones

I am a big fan of using the DUTCH test, which is performed using urine sample to measure hormone metabolites. It can give you insight into not just the overall level of your hormones, but also the quality of metabolism of your hormones, whether they are being metabolised down the friendly or the angry pathways.

Blood tests don’t look at metabolites but they are very useful to get insight into your overall hormone balance. It’s vital to test on specific times in your cycle to be able to make use of these results.

Testing at day 2 or 3 of your cycle (the 2^nd or 3^rd day of your bleed) will give a baseline of low levels. Test FSH, LH and Oestradiol at this time.

After you ovulate, your hormones will start to raise, and usually peaks 7 days after ovulation, so at this time you want to do another test, measuring progesterone and oestradiol.

At either of these tests you will want to also measure testosterone profile (SHBG, androstenedione, testosterone, DHEA, free testosterone), prolactin, thyroid profile and fasting insulin.

If you are on the OCP, the female reproductive tests will not be reliable by thyroid function and insulin can be measured.

Does your diet make a difference to acne?

Yes, it does.

Your diet can affect your skin in different ways but one of the big drivers of acne we know is inflammation and then another big driver for acne as well is your hormone balance.

It makes sense that if we’re eating foods that are inflammatory then that’s going to make your gut health and acne worse. Inflammatory foods may be foods that you are intolerant to, or it may be foods which are generally considered to be inflammatory.

Some of the big ones for that is wheat and dairy. I often recommend cutting out dairy as a first step when you try to address acne because it reduces inflammation and so you could swap that for almond milk or oat milk or rice milk whatever your preference is. Lactose free milk isn’t really going to make that much of a difference because a lot of the inflammation comes from the protein. Some people find that A2 milk can be helpful for them but initially I recommend cutting it out altogether to get an insight.

After inflammatory foods, bad guy #2 is sugar. Sugar, in particular refined sugar and highly processed foods are an issue because it can increase the production of a substance called insulin like growth factor 1 (IGF-1). This acts to increase the hormones known as androgens in our body such as testosterone and what these can do is make our skin produce more oil and keratin. Rewind back to the section on hormones if you need a refresher on this.

Insulin is an important hormone but when we’re eating a high GI diet it’s often going to be making acne worse so aiming for a low GI diet is going to make a big difference there. Imbalances in blood sugar levels can also trigger cortisol and histamine imbalance so you really want to be keeping your blood sugar levels nice and stable.

If you have a blood test that shows up high levels of insulin then this can actually be a marker that you do have a bit of insulin resistance which is a sign that you really need to get your blood sugar levels back under control. Insulin resistance is a leading cause of high testosterone and PCOS.

Now don’t get me wrong sugar is not all bad I am a big fan of fruit and potato but what we want to avoid is foods that have a lot of sugar and have a lot of refined carbohydrates and not much else and so that might look like ice creams, jams, juices, packaged foods, excessive amounts of white breads and pasta, sauces with added sugar, soft drinks, lollies, cakes and other sweets.

The other important dietary consideration is your fibre and water intake. Because one of the goals when supporting skin health is improving elimination through the gut and supporting our emunctories, you want to ensure that you’re getting plenty of water and fibre.

Fungal acne

Let’s talk about fungal acne.

For some people, the cause of their acne is actually fungul.

Some people experience a little bit of a different type of acne that can be more stubborn and doesn’t respond to the typical types of treatments. One of the reasons that this is so stubborn is that because a lot of skin products that are recommended for conventional acne will feed this fungus.

Fungal acne is also known by the term pityrosporum folliculitis – an infection with a type of yeast called Malassezia which lives in the hair follicles and eats our natural oils and any oil that you happen to apply onto it. This type of acne tends to express itself more on your forehead, and may also show up on your back, chest, shoulders and along the hairline and in the T zone.

When tackling this type of acne the treatment goals are to support your immune system, gut microbiome and balance hormonal health.

If you suspect that you have fungal acne, you may like to try an anti-fungal shampoo or cream which, if beneficial will provide insight into your acne cause.

Q&A Transcript

I did a shout out for some questions when planning this podcast:

One of the submitted questions was how to prevent acne coming off the pill and this is such a fantastic question because it’s a really common thing that people consult with me about. If you had acne before you went on the pill there’s a pretty good chance that you’re going to experience some acne when you come off the pill again. Unfortunately taking the oral contraceptive pill doesn’t always fix any underlying issues that might have caused the acne to be there in the first place but what it does a fantastic job of is reducing the oil production in the skin which means that you’re going to have very little acne if any. When you come off the pill this oil production is going to increase and it gets a little bit confused because you haven’t really been making any oil for however long so it’s like hang on how do I do this how much oil do I have to make again and so it goes a bit crazy and usually it’s going to be crazy for around six months or so then it starts to settle down but there are things that we can do to help reduce the intensiveness intensity of the crazy.

So what can you do if you’re about to come off the pill? I recommend starting with cutting down inflammatory foods and for most people I recommend supplementing with zinc. I typically don’t prescribe hormonal regulating herbs for three months after coming off the pill because I want the body to try and set up that communication through that HPO axis itself but what I do like to do is encourage emunctory support with herbs, support liver function to improve the clearance of the contraceptive and to make sure your lymphatic system and your immune system is happy.

Question 2 – How long does it take to fix acne?

How long remedies may take to fix acne will depend on what the underlying cause is.

In my experience the redness and inflammation will settle down within a few weeks, and then the frequency and severity of breakouts reduces, and healing time improves.
It’s different with everyone, and as much as I wish everyone had great results there are some people who take a bit longer to see changes, and some people who get occasional relapses.

On the whole I find 6-12 months a typical length of time until someone is able to ease off the herbs and supplements, they’re feeling good about their skin at this point. If there’s a lot of scarring this then needs to get sorted with a beautician, especially one who does laser treatments for scarring.

Question 3 – Are probiotics helpful for acne?

Yes, I usually do have a focus on gut health when treating acne, especially if it’s on the cheeks. But probiotics can be helpful.

A general reminder with probiotics is that you want to be strain specific. The code at the end of the probiotic name tells you which species it is, and therefore you understand which role it plays.

Some of the strains I look at using are Lactobacillus salivaris ls-03, lactobacillus rhamonsus LL, lactobacillus casei lc03, and some Bifidobacterium such as the breve br03, or the animalis ssp.

Question 4 – My teenager has acne, I don’t want her to go on harsh medications, is there anything that can be done?

Yes of course! Treating teen acne is not too dissimilar to treating adult acne. We want to be balancing blood sugar levels to reduce it’s impact on hormones, and reducing inflammation by cutting down on inflammatory foods such as dairy, and potentially high histamine foods. Supplements can be handy, for instance zinc, vitamin B5, inositol and or berberine rich herbs.

A summary of my favourite treatments for acne:

• A probiotic specific for acne health
• Balancing mineral health – typically this may be zinc, but in some cases copper may be needed. You can use a HTMA to assess mineral levels
• Support gut function with gut healing nutrients and diet
• Lower inflammation by eating a low dairy, or low histamine diet
• If hormones are out of balance you can address this. Here is where it gets a bit more individual. Ensuring good ovulation is an important first step. Some common nutrients I provide for this is inositol which supports blood sugar level balance and ovulation. Zinc has an anti-androgen effect and can be helpful.
• Balancing omega- fatty acids through diet, and potentially supplements.
• Herbal medicine to support emunctories, stress levels and hormone balance, as well as reduce infection and support immune health. Some common herbs I opt for are Coptis, which is rich in berberine, Chaste tree, if indicated for ovulation, Withania for stress support, burdock as an emunctory support.

Thank you for listening, if you have enjoyed this episode please leave a review, subscribe if you haven’t already and as always feel free to get in touch.

The post A Naturopath’s Deep Dive Into Acne appeared first on Alison Mitchell Naturopath.

PCOS, also known as Polycystic Ovarian Syndrome is a complex condition that can significantly affect a woman’s quality of life. One of the biggest ways it does this is by impacting on a women’s ability to conceive and maintain a pregnancy, but it can also impact a woman’s self-esteem by making it difficult to lose weight, it causes acne and hair issues, such as too much hair where a woman doesn’t want it to be, and potentially thinning of scalp hair.

Of course, there is more to it than that, but those are the major things that women report as the issues they’re most upset by.

In this article and podcast I will discuss the lack of awareness and poor understanding surrounding PCOS, how it is often misunderstood and why its name has a role in this. I discuss the common, and not so common signs and symptoms of PCOS and talk about the driving factors that can cause PCOS to develop. I talk about how PCOS is often diagnosed and discuss some of the key ways PCOS can be addressed naturally.

You can listen to this article on the podcast links below, or in the embedded player.

iPhone   Stitcher   Youtube   Soundcloud  Spotify 

Understanding PCOS

Lack of awareness

Sadly, but not unexpectedly there is a lack of awareness and understanding of PCOS, with many people who have not been diagnosed not aware of the condition at all, but also women who have been diagnosed, and some health practitioners as well, not properly understanding the condition. A big part of this lack of awareness is the lack of research into the condition, but also I believe it is part of the bigger picture of gender bias in medicine, and many conditions that are specific to women do not have the attention they deserve, perhaps the exception being breast cancer. One of the other things that doesn’t help this lack of awareness and understanding is the name of the condition itself – polycystic ovarian syndrome.

The name makes a few false implications which cause overall confusion – so here are a few points I want you to know:

1. The condition doesn’t originate in ovaries and the condition is not all about ovaries either, after menopause, the condition can persist. It is more of a metabolic condition, with systemic high androgens and insulin resistance being the core drivers.
2. A PCOS ovary doesn’t actually have ‘cysts’, rather what you can see on ultrasound is immature follicles. Follicles are the little sacks that your oocyte, or eggs sit in waiting for the hormones from the brain to tell it to mature and then ovulate. The issue is these follicles in PCOS is they aren’t developing properly, so if we got them to develop fully these so-called cysts would be a baby (if met with a sperm).

A new name?

Many physicians and researchers have proposed a name change for PCOS, however, that was being proposed in 2013 and it’s 2020, so who knows when that will happen. I agree the condition does need a name change, as I feel PCOS is not a good representation. One of the names suggested which I like is ‘metabolic reproductive syndrome’, however other names suggested were Poly-follicular ovarian syndrome with metabolic dysfunction and/or hyperandrogenic manifestations (PFOS-MD and/or -HM).

The list of potential signs and symptoms is long for PCOS, which explains why there are so many women out there that don’t know why they have the symptoms they do.

PCOS Symptoms

Most common symptoms of PCOS include:

• Irregular periods or absent periods
• Acne
• Weight gain
• Excessive hair growth, also known as hirsutism. This can vary in locations and intensity and it will also be different dependant on your nationality.

Less well known, but still common symptoms:

• Anxiety and/or depression
• Fatigue
• Brain fog
• Skin tags
• dark patches on the skin
• low libido
• Sleep disturbances and snoring (Sleep apnoea can also be more common due to the higher level of androgens. Poor sleep can worsen PCOS by worsening insulin resistance.)

And more than that, there are other complications, especially regarding fertility and baby’s health. The higher levels of androgens can increase the risk of miscarriage and are also linked with some increased risk for baby such as higher birth weight. Women with PCOS also tend to have difficulty with breastfeeding and a higher risk of diabetes after birth.

Thankfully, many of these risks are modifiable by correcting the underlying causes of PCOS, which I will discuss later.

Causes of PCOS – How does the switch get turned on

There are different ways PCOS can express, and for these different subtypes, there are different causes.

The main cause is insulin resistance, which causes the male hormones androgens to become high. Insulin, when it is too high, can trigger more production of testosterone, but it can also lower the amount of SHBG (sex hormone-binding globulin) which means our bodies can’t bind up the excessive testosterone as well, and so more is circulating our body, causing the symptoms of PCOS such as acne and hair issues. Insulin excess also affects our FSH : LH ratio which is important for ovulation, and high testosterone stops our follicles from maturing completely, so this means woman’s ability to ovulate is affected, and if that is affected their chances of conceiving is reduced, and oestrogen and progesterone balance is also affected.

There are different types of androgens, such as testosterone, DHEA and androstenedione, and depending on which one is elevated we can get an idea of what is driving your PCOS. For instance, if DHEA is high, we know that stress is a big driver.

It is also possible to have PCOS without insulin resistance and this is typically due to inflammation. this is a much rarer subtype, but certainly something to consider.

Something else to consider is your gut health can play a role in both hormone balance and metabolism. Your gut bacteria are responsible for so many things in the body, and if you’ve listened to my previous podcasts or read some of my other blog posts you’ll know that your microbiome is of vital importance in improving health. How does it affect PCOS? Well, if your microbiome is out of balance it can affect your metabolism, which can worsen insulin resistance. And an out of balance microbiome can also cause hormone problems, by allowing more of your ‘bad’ hormone metabolites to cycle back through the body.

Why do you have a PCOS ‘switch’ in the first place?

We know there is a genetic component to it, and there is some possibility that your genetic likelihood can be influenced by exposure to endocrine-disrupting chemicals in past generations, substances that are passed through generations. So effectively, what chemicals and diet your Grandmother was exposed to will impact your risk for PCOS.

This transgenerational effect has been demonstrated in animal studies when mice were fed an obesogenic diet and were given substances that mimic a high androgen state to bring about a metabolic state of PCOS, and it was found that their subsequent generations also expressed this condition.

It was also found that women with PCOS had levels of chemicals in their system that were not in use anymore and was found to have been passed through in utero from their mothers and grandmothers.

These chemicals are increasing the activity of the androgens and also acting as obesogens, contributing to the weight gain and insulin resistance.

Diagnosis issues

So how common is PCOS? The prevalence is about 8-13%, effectively 1 in 10 women. But it is a condition that is it is both over-diagnosed in young girls, and under-diagnosed in older women.

One of the issues in getting diagnosed is that there isn’t one specific diagnostic criteria, so you can get mixed messages.

Three main diagnostic criteria exist- the National Institutes of Health, the Rotterdam criteria and the Androgen Excess Society criteria.

All of the criteria require all other possible endocrine disorders to be excluded.

My criteria of choice is the Rotterdam diagnostic criteria. It requires a female to have two of these three criteria:

1. Irregular periods
2. Clinical and/or biochemical hyperandrogenism
3. “Polycystic ovaries”

Many young girls are being prematurely diagnosed with PCOS. But it is normal for young girls to present with some symptoms of PCOS and this often resolves in a few years without intervention. It can take 3-6 years for a menstrual cycle to regulate itself, however if there is early intervention this can prolong this process, and it is thought that the most common recommendation given at this time – the oral contraceptive pill (OCP) can worsen insulin resistance, which perpetuates the condition.

What are the other causes that need to be excluded?

This could be conditions such as Cushing’s, Adrenal tumours or congenital adrenal hyperplasia. Screening would include blood tests for TSH, prolactin, FSH and anything else your practitioner feels warranted based on your signs and symptoms.

PCOS and Teens

Getting back to teenage girls and their periods, it’s not uncommon for girls to have irregular periods when they’re young, and this will usually regulate itself within 6 years. My personal preference in clinic is to not interfere with hormones in young girls but to allow their bodies to regulate themselves. If hormones are interfered with too early, then it will typically delay the regulation until later. This is relevant to not just herbs, but especially to things such as hormonal contraceptives.

A common understanding is that women with PCOS literally have cysts on their ovaries. But this isn’t the case, as the name implies. the polycystic ovarian appearance that some (but important to note, not all) women have on ultrasound is actually a higher count of immature eggs within their follicles. These eggs aren’t getting the signal from the brain to mature further, triggering ovulation and release.

If you can remember the diagnostic criteria, the presence of 2 of the 3 criteria is what it takes to get diagnosed, so if a woman has irregular periods and signs of high androgens, she can have PCOS without the presences of any ‘cysts’ on her ovaries at all.

A more positive perspective.

One of the perspectives I have heard before about PCOS which I love is that this is an evolutionary trait which in years gone by was protective. if you consider that being pregnant and giving birth was a life-threatening thing at worst, and a depleting event at best, it can make sense why a condition like PCOS which can reduce one’s fertility may be protective in tough times. Insulin resistance is beneficial in times of scarcity as it allows you to store more of the energy from foods, which in famine times if beneficial. In times of plenty such as now, this, unfortunately, works against us. In a time without contraception, women may have gone from one baby to the next without a break, which can be quite a high level of stress and depletion. So, for women with PCOS who have longer times between ovulation, and so fewer opportunities to conceive, this could be considered a positive thing. Nowadays this might not be much comfort especially if you’re wanting to conceive, but I believe anytime you can view your health from more a positive light it is beneficial, so ladies with PCOS you might like to shift your frame of thinking to more of an ‘I’m a survivor’ mindset.  

Other considerations for PCOS

Sleep

Sleep disturbances are reported to be twice as likely for women with PCOS. Studies show found that women with PCOS are more likely to report difficulty falling asleep, to have restless sleep occasionally and often feel severely tired. Sleep problems also occurred in women with PCOS who were in the normal weight range.

It’s still unclear how PCOS affects sleep but we know that the metabolic impacts of the condition play a big role. The hormones melatonin and cortisol are responsible for our sleep cycles to a large degree and these are strongly influenced by insulin resistance and elevated testosterone, as well as the stress placed on the body if obese.

Sleep apnoea is also often reported in women with PCOS, more often in those who are overweight. In those people who are considered to be ‘severely obese’, (BMI >40kg/m2) the prevalence of sleep apnoea in both men and women can be as high as 92%.

The mental health impacts of PCOS which is an increase of anxiety and depression have a bidirectional association with poor sleep quality and insomnia.

Weight loss and exercise is one of the best ways to improve sleep quality in women with PCOS, and if needed there are herbal medicines which can be of support.

Nutrients such as magnesium and calcium and the amino acid l-theanine can also be supportive to calm the nervous system and promote relaxation and sleep.

PCOS and Mental Health

Women with PCOS have higher rates of anxiety and depression. PCOS can be a very distressing condition for many women and this varies from person to person, with some of the highest reported contributors to the anxiety and depression is the impact to fertility, the impact on physical appearance and self-esteem such as weight issues, hirsutism and acne, and also the frustration about the lack of a clear cut solution, and a lack of awareness and understanding of the condition. There was a study that found that women with PCOS were physically active reported less depression and anxiety than those who were inactive. So, while I love to use herbal medicines to support mood and the nervous system, I do frequently recommend exercise to support mood in women with PCOS.

Potential pregnancy risks

There are a few things to consider when trying to conceive, as women with PCOS have an increased risk of some complications during pregnancy. The good news is that if PCOS has been treated, these risks return to almost the same levels as women who do not have PCOS. The risks include an increased likelihood of developing gestational diabetes, pregnancy-induced hypertension and preterm birth, and an increased risk of neonatal complications.

The increase in birth weight of babies born to women with PCOS also suggests an increased likelihood of c-section deliveries.

The treatment used in the study I mentioned before was anti-androgenic therapy, which means correcting hormonal balance before conceiving will improve pregnancy outcomes.

one small study looked at the incidence of gestational diabetes in women with PCOS and found the prevalence was 30.2%, and that these women had impaired blood sugar levels after having their babies. What we can take from this is that PCOS can have a long term impact on glucose metabolism, and again it highlights how important it is to try and take steps to improve your hormones and blood sugar level balance before conceiving.

I recommend that all couples do a preconception care program before conceiving, which at a minimum entails taking a high quality preconception care nutrient complex for 3-4 months before conceiving but if there are hormonal imbalances its important to work on this with a practitioner before trying to conceive.

Complications with breastfeeding

A lesser-known complication with PCOS is that it can cause some difficulties with breastfeeding and milk supply – however, this can also be supported by working on hormones before pregnancy, and with the support of a lactation consultant after birth. Thankfully not all women with PCOS experience difficulties breastfeeding and the information that says it is potentially problematic is only based on small studies. In the research that we do have available, the breastfeeding difficulties were only experienced in the first 3 months and seemed to regulate after that time.

Breastfeeding requires the hormones prolactin and oxytocin to work properly, but we also need adequate progesterone during pregnancy for the breast tissue to develop properly. Insulin resistance and high androgens can affect hormones in all these aspects.

How to manage PCOS

There are so many options for treating PCOS, and as it usually the case with naturopathic remedies, you get the best results when you are treated holistically. This means considering various things like what exactly is happening with your PCOS subtype.

The information I am giving you is a starting point to take to your practitioner to discuss whether it is right for you and to give you hope that there are so many possibilities to help.

while there have not been studies finding some remedies that tend to be universally helpful for most PCOS sub-types, and one of that does seem to be of great benefit is the amino acid Inositol. Taking 2g twice a day is my recommended dose for this.

Diet and lifestyle changes are great for treating insulin resistance, and while it’s tricky to find research specifically for this in PCOS we know it helps address the cause.

I recommend 150 minutes of exercise a week, which can be split into small blocks of exercise such as 30 minutes 5 times a week, or larger chunks such as 50 minutes three times a week. Eating a low GI/GL diet is also very important to address insulin resistance, and having a diet rich in antioxidants and low in inflammatory foods is also very helpful.

If you are overweight and have PCOS, then aiming to lose 5-10% of your body weight is a fantastic goal, and this amount seems to be the magic number that improves fertility rates and reduces risks for diabetes. Losing weight ideally would be done through a combination of diet and exercise.

Nutrients such as magnesium, b vitamins, particularly activated B vitamins, vitamin D and chromium can also be helpful.

Omega-3 fatty acids such as fish oil or algae oil can also help with some of the components of PCOS such as high cholesterol and inflammation.

Other herbs that I would consider is Berberine containing herbs such as Phelledendron which helps with improving insulin resistance and regulates blood lipid levels. There is also evidence showing that Black Cohosh can be helpful alongside other PCOS treatment.

The combination of Peony and Licorice has been looked at in Chinese medicine studies, and this is still a good inclusion in treatment, depending on the individual. Bulgarian Tribulus can also be helpful to regulate ovulation.

Spearmint can be helpful to reduce excessive androgens. I like this when used in a tea and is why I included it in one of my tea blends that supports skin health, to address this aspect.

Supporting gut health is also very important, as a poor microbiome can impair metabolism and worsen inflammation. So eating a diet rich in vegetables with lots of diversity is fantastic for improving the flora diversity in the gut, but it can also be helpful to take probiotics or prebiotics, so discuss this with your practitioner to make sure you’ve got the right type for you.

References

Bahri Khomami, M., Boyle, J. A., Tay, C. T., Vanky, E., Teede, H. J., Joham, A. E., & Moran, L. J. (2018). Polycystic ovary syndrome and adverse pregnancy outcomes: Current state of knowledge, challenges and potential implications for practice. Clinical Endocrinology, 88(6), 761-769. https://doi.org/10.1111/cen.13579

Bahri Khomami, M, Joham, AE, Boyle, JA, et al. Increased maternal pregnancy complications in polycystic ovary syndrome appear to be independent of obesity—A systematic review, meta‐analysis, and meta‐regression. Obesity Reviews. 2019; 20: 659– 674. https://doi.org/10.1111/obr.12829

Fernandez, R. C., Moore, V. M., Van Ryswyk, E. M., Varcoe, T. J., Rodgers, R. J., March, W. A., Moran, L. J., Avery, J. C., McEvoy, R. D., & Davies, M. J. (2018). Sleep disturbances in women with polycystic ovary syndrome: prevalence, pathophysiology, impact and management strategies. Nature and science of sleep, 10, 45–64. https://doi.org/10.2147/NSS.S127475

Guerrero-Bosagna C, Weeks S, Skinner MK (2014) Identification of Genomic Features in Environmentally Induced Epigenetic Transgenerational Inherited Sperm Epimutations. PLOS ONE 9(6): e100194. https://doi.org/10.1371/journal.pone.0100194

Guo Z, Qiu H, Wang L, et al. Association of serum organochlorine pesticides concentrations with reproductive hormone levels and polycystic ovary syndrome in a Chinese population. Chemosphere. 2017 Mar;171:595-600. DOI: 10.1016/j.chemosphere.2016.12.127.

Holton, S., Papanikolaou, V., Hammarberg, K., Rowe, H., Kirkman, M., Jordan, L., McNamee, K., Bayly, C., McBain, J., Sinnott, V., & Fisher, J. (2018). Fertility management experiences of women with polycystic ovary syndrome in Australia. European Journal of Contraception and Reproductive Health Care, 23(4), 282-287. https://doi.org/10.1080/13625187.2018.1483020

Mo L, Mansfield DR, Joham A, et al. Sleep disturbances in women with and without polycystic ovary syndrome in an Australian national cohort [published online December 26, 2018]. Clin Endocrinol (Oxf). doi:10.1111/cen.13922

Rosenwaks, Z. (2017). Polycystic ovary syndrome, an enigmatic syndrome begging for a name change. Fertility and Sterility, 108(5), 748–749. https://doi.org/10.1016/j.fertnstert.2017.09.030

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The next installment to my Surviving the Teenage Years trilogy for Western Sydney Mum’s Hub is about dealing with acne.

The teenage years can be a trying time for parents, but often it is just as hard for the teenagers themselves. A common issue that many teenagers face is their skin health, with acne being such a problem for some that it significantly affects their self-esteem.

Acne affects:

• 36% of 4-7 year olds
• 28-61% of 10-12 year olds
• 79-95% of 16-18 year olds!
• 12% of middle aged women and 3% of middle aged men

Why do teenagers get acne?

The hormonal fluctuations can get a bit out of control during the teen years, and the levels of the hormones testosterone (present in both males and females) and insulin (related to diet, genetics and activity levels), nutritional status, immunity and genetic tendencies can make acne more prevalent.

As the hormone testosterone rises it causes an increase in oil production in the skin, and this oil feeds the bacteria that live in the pores. When the bacteria in the pores grow rampant they irritate the skin and pimples can become very red and sore.

You can help keep the testosterone more in control by eating foods rich in zinc, which is an essential mineral in testosterone metabolism. This mineral is also essential for skin healing, mood, immunity and general reproductive health. Zinc is high in oysters, pumpkin seeds and sunflower seeds wheatgerm, shellfish and fish, red meat, sesame seeds, pepitas, and almonds. Also important is keeping blood sugar levels stable by eating a low GI diet and exercising regularly.

If you are eating a lot of sugar, carbohydrates or refined foods then the hormone insulin becomes very high. This can then cause the testosterone to climb. It’s happening very frequently that teenagers are eating a lot more junk food, and this is making the problem worse.

Insulin resistance occurs when the body has been making a lot of insulin for a long time, and the cells begin to ignore it. As a result, you have a lot of insulin circulating around the body not doing what it’s meant to do, and it can cause other problems. High insulin causes high testosterone, which worsens acne in both boys and girls. In girls it can also contribute towards PCOS (polycystic ovarian syndrome), a condition that affects ovulation. Acne is a common problem with PCOS, alongside hirsuitism (excess hair growth in unwanted areas).

In addition to that, there’s less exercise and activity happening, and that worsens the problem as well. Exercise is one of the best ways to manage insulin resistance. 150 minutes of exercise a week can be very helpful for this.

• See Part 1 of navigating the teenage years for tips of a low GI diet which can help insulin resistance.

Minimising Acne

Diet

Healthy diet is the foundation for good skin.

DO:

• Eat a variety of fresh vegetables including green leafy foliage. Green, yellow, red and blue fruits and vegetables are high in antioxidant compounds.
• Fresh fruit – aim to consume at least three pieces every day. Raspberries, blueberries and strawberries are rich in antioxidants and protect your skin from free-radicals.
• High fibre foods such as whole grains and legumes are important and assist with eliminating any toxins as well as improving your digestion.
• Include good quality protein rich foods such as lean meat, fish, chicken, dairy and eggs, or if vegetarian beans, lentils, chickpeas and wholegrains. Protein is important as it contributes to your skin’s elasticity and firmness.
• Good fats are known as ‘moisturising foods’. Sources include avocado, nuts and seeds, fish, olive oil and flaxseed oil.
• Eat regularly – three meals per day with healthy snacks in between. Your food is your fuel, choose foods wisely and eat them in sensible amounts, your body and skin will look great.

DON’T

• Eat too much dairy. Many people find that eliminating dairy from their diet can reduce the severity of their acne. For some, choosing to include cheese and yoghurt may be tolerated, however it’s advisable to trial avoiding dairy completely first.
• Eat foods that you are intolerant to. Many people find that eliminating foods they are intolerant to can help with acne, likely because food intolerances worsen digestive health and subsequently inflammation and immune system can be affected.
• Eat processed food, which often contains hidden sugars and inflammatory oils.
• Eat too much sugar and sugar containing foods. Too much sugar can affect blood sugar level balance, and can also disrupt the balance of bacteria in the digestive system.

Topical Options

• Tea tree oil has antiseptic and antifungal properties and is a great skin disinfectant therefore limiting bacterial growth on the skin. To use, mix the oil (5-15% solution) in warm water and wash the affected areas. Make sure to thoroughly clean and dry the face washer between each use so that bacteria do not build up between washes. Alternatively, the face can be ‘splashed’ with the tea tree infused water straight from the bathroom sink. For best results, wash the affected areas 2-3 times daily.
• Witch Hazel water can be used as a toner daily, and this help tighten pores and reduce bacteria build up. This can be a bit smelly so is best applied before going to bed.
• Lavender essential oil can be dabbed directly onto spots. You can also try this with tea tree oil, but it can be a bit strong for some people, so you may need to dilute it.
• Some people find betonite clay masks effective. This needs to be applied daily for two weeks, then once or twice a week for 3 months afterwards.  Due to the drawing nature of this, you may find that your skin will be red after washing off the mask, and acne may temporarily worsen in the first week before it improves.

Herbs and Supplements

• If the above suggestions don’t work, then you could see a practitioner who can guide you with herbal medicine and nutritional supplements.
• The most commonly prescribed herbs I use are Burdock, a cleansing herb which helps to clear the cystic type of acne, Echinacea for the immune system and to stimulate the lymphatics, and Phelledendron for it’s antimicrobial effect.
• I often will recommend Vitamin A, Omega 3 fatty acids and Zinc as nutritional supplements for their benefit to the skin healing and immune system.

Consult your health practitioner if you would like further advice on managing acne.

The post Surviving the Teenage Years, Acne – Part 2 appeared first on Alison Mitchell Naturopath.

Health & Wellbeing Podcast #19 with guest Hayley Stockbridge

Acne can be very troubling, affecting your self confidence and at times rather painful. It’s synonymous with the teenage years and often with PMS as well, but it doesn’t have to be. There is so much that can be done to help your skin if you are experiencing acne, including nutritional medicine, diet support and herbal medicine.

A lot of people believe that the only solutions for acne are medications such as the oral contraceptive pill, roaccutane or antibiotics, but all of these have their potential side effects and certainly aren’t for everyone. If you’re looking for a different solution to your skin complaints, naturopathy may be your answer.

In this episode Hayley and I chat about a naturopathic approach to acne, the underlying causes of acne, how to improve your skin with your diet, and more.

Hayley practices at Manly on Sydney’s Northern Beaches and in Stanmore in Sydney’s Inner West. Her major focus is always educating her patients to live healthier and happier lives. She treats women, men and children of all ages and a wide variety of health issues such as weight loss, digestive problems, anxiety/stress, fertility, hormone imbalances, food intolerances and headaches.

You can also connect with Hayley on Facebook and Instagram.

Want to subscribe to get podcasts automatically? You can do that here: https://itunes.apple.com/au/podcast/health-wellbeing-podcast/id1006574743

Podcast Breakdown:

0:00 Intro and disclaimer
0:40 Meet Hayley
1:24 What’s going on in someone who has acne?
2:40 Why do some people get acne and some don’t?
3:52 Hormonal acne
6:43 Adult onset acne
7:34 The meaning behind the location of acne
8:55 Keratosis pilaris
9:20 Foods that can cause acne
13:20 Conventional treatments for acne and some issues with them
16:40 Naturopathic treatment for acne when coming off the pill
18:25 Topical treatment that Hayley recommends for acne.
MooGoo Acne Cleansing Cream – https://moogoo.com.au/acne-cleansing-…
19:35 Essential oils for acne
20:30 Clay masks
21:00 Moisturisers and oils
22:40 Scar treatment
22:55 Nutrients for acne
25:26 Herbs for acne
28:45 The benefit of a wholefood, plant heavy diet for acne
29:30 Anti-inflammatory foods for acne
30:33 How to get in contact with Hayley and Alison

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The good folks at Casa de Karma have featured some more of my articles in their Spring Into Wellbeing collection.
I talk about how to improve your skin from the inside and share some DIY skin care recipes, include masks and scrubs.

Here’s a sneak preview

5 Tips To Get Healthy Skin From The Inside Out

We all want that clear, dewy complexion that some seem to be bestowed with; the glow that seems to radiant from within. Luckily, beautiful skin is obtainable for us all, here are 5 tips to get great skin from the inside out…

1. Hydrate

The top layer of your skin is about 80% water and if you’re not drinking enough fluids, this can be quickly reflected in the health of your skin. Sweating is one of our bodies natural detoxification systems, and we need to be properly hydrated for this to work properly. Find water a tad boring? Try freezing some berries, herbs or lemon wedges in ice cube trays and adding to your water for a bit of pizzazz. Alternatively, make your own flavoured water by steeping some fruit slices and herbs in water overnight.

Try these delicious naturally flavoured water combos:

• Mint, cucumber and lime
• Raspberry and mint
• Lemon and blueberries
• Blackberry and sage…

Read the rest here: http://casadekarma.com.au/heathy-skin-from-the-inside-out/

5 Naturopath-Approved DIY Skin Care Recipes

http://casadekarma.com.au/5-diy-skin-care-recipes/

Suitable for all skin types and perfect if your skin is itchy or inflamed.

Ingredients

• 1 tablespoon of dried oats, ground
• 2 teaspoons of water, witch hazel, or chamomile tea

Method

1. Grind oats (if not already ground) and mix with desired liquid until a paste forms.
2. Apply to the face in gentle circular motions, avoiding the eyes. (For the rest of the body, make a larger quantity and apply in the same manner.)
3. Rinse off with warm water.

Read the rest here: http://casadekarma.com.au/5-diy-skin-care-recipes/

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EDIT 11/3/15 Due to some unavoidable circumstances the talk has been postponed for a fortnight, apologies for any inconvenience this has caused. The new date is 26th March.

Do you have children aged 11-19? This can be a challenging time for most parents, and understanding what is happening in this time for the teenager, as learning some ways you can smooth the process can make yours and your kid’s life a bit easier.

In this talk you will learn some that you can positively influence your teenagers health through food, as well as gaining an understanding of the changes that they are going through.

Some of the topics that will be covered include:

• The Teenage Brain
• Minimising acne
• Keep mood and energy stable (as much as possible)
• Supporting hormonal changes and puberty
• Eating for study and exam cramming

This will be a casual talk with the content targeted to you, with time for Q & A.

Yummy food will be served (lovingly prepared by Glenda from SOLB) and you will receive recipes and handouts on the night.

Details:

Thursday 26th March 2015

5:30pm – 6:30pm

Short Order Long Black Cafe, Windsor. Shop 7, 266 George St, Windsor, NSW 2756 (02) 4587 9222

Tickets are $25 (plus booking fee) and can be purchased via the form below.

Note: Ticket cost is to cover the food and therefore are non-refundable

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Guest Post by Milan Zirojevic

Have you ever found yourself unsatisfied by your physical appearance, yet you didn’t do something in particular to change your condition? If you are seeking for a way to feel and look better then you are right now, then, the modern age can provide a salvation for you. Not only modern medicine has access cutting-edge technology; aesthetics have found new ways to apply the fruits of ever-growing modern science. Your perhaps troubled skin can be treated in a very safe and effective way, thus providing higher level of self-confidence and self-esteem.

Facial care

Our face is the most striking feature that we possess; it is our most transparent and distinctive mark. Due to that fact, we must be extra cautious not to jeopardize our beauty, and more importantly, our health. A bad case of acne, as one of the main reasons, will make us a bit dissatisfied with our looks, but it can have long-term damage to our health. If we are careless, the outcome can be far from satisfying. Out of great desire to get rid of this modern menace, sometimes we turn to somewhat unsafe, or unprofessional care and treatment, which is understandable, but, does it need to be that way?

Modern assistance

Each and every day, new and safe ways to treat skin imperfection are found. Laser technology, for example, is one of the latest. Part of a wider area known as “photorejuvenation”, it can treat wrinkles, sunspots, imperfections, or even scars left behind acne condition. Contrary to older, chemical-based techniques, this one relies only to a beam of light. Simple as that. Once, acne was treated with benzoyl peroxide, which was effective, but some recent tests had shown connection between this substance and development of cancer. In 1980’s, however, Accutane was introduced in the United States.

This medicament was soon dropped out; due to the fact it was proven to be teratogen, causing severe damage to foetus, if taken during and before pregnancy, and ultimately could lead to miscarriage or abortion. Others medicaments such as lotions, drugs and soaps can lead to allergic reactions, dry eyes, drying of the skin, inflammation, rashes, swelling, or could leave permanent markings and traces. On the other hand, using a laser treatment has far more benefits and advantages than chemical treatments will ever have. First of all, laser doesn’t make any contact with your skin.

Using a beam of light, it penetrates the skin, and rearranges molecular bonds, and practically heals your skin. In that way, scars can be treated, stretch marks, sun marks, etc. Secondly, and also important, you can’t find medical laser in every drug store, and your child cannot accidentally swallow it. The only access to a medical laser leads via highly educated, trained professionals, called dermatologists, which will use their experience to deliver the very best result for you. Lasers are also allergy-free, painless, have no taste or smell, almost imperceptible, they can be used during pregnancy, without fear that it will harm your unborn baby. Third, progress in this kind of therapy is highly apparent; it is not needed for you to take drugs for a prolonged period of time.

When everything is taken into consideration, the future of beauty healthcare has already begun. It is safe, productive, efficient, and painless. More and more dermatologists worldwide consider completely to abandon chemical treatments, and to turn to this ever growing and ever progressing branch of medicine. Soon, laser treatment will be standard in helping people to regain self-confidence and self-assurance. In every city, for example, Sydney, you can find highly professional acne treatment.

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Guest Post by Hayley Stockbridge

Acne vulgaris is a disease that affects the skin’s oil glands. The small holes in your skin (pores) connect to oil glands under the skin. These glands make an oily substance called sebum. The pores connect to the glands by a canal called a follicle. Inside the follicles, oil carries dead skin cells to the surface of the skin. A thin hair also grows through the follicle and out to the skin. When the follicle of a skin gland clogs up, a pimple grows.

Pimple prone skin and breakouts can be hard to control and often limited relief is seen with topical treatments alone. Unfortunately medical treatments are also limited and not ideal long term strategies. The oral contraceptive pill is often prescribed to women with hormonal acne which can have many long term side effects such as increased risk of some cancers, clotting disorders and hormonal problems once the pill is stopped. Daily antibiotics are another common medical treatment which can have huge ramifications on long term microbial balance and gut health. The last resort is roaccutane, a drug that has been linked to depression and causes a huge drying effect on the skin to the point of having flaky and dry lips, eyes and hands.

The key to successfully controlling acne is to determine what is causing it in the first. For some this can be obvious (such as a poor diet or hormonal acne) while for others there may be a combination of contributing factors. The following list documents some of the most common causes of acne from a Naturopathic perspective:

1.  Acne on the chin and jaw line is often hormonally driven; particularly in females however can be present in these areas in males as well. Acne that gets worse premenstrually or at ovulation will also have a hormonal influence.

2.  Acne on the chest and back is thought to be due to generalized toxicity. This is often seen with a poor diet. This may include a diet high in sugars, processed foods or junk foods. This type of acne can be addressed by undertaking a simple detoxification program to clean out the body and lymphatic system.

3.  If present on the cheeks, this is often due to a sluggish digestive system or colon toxicity. These patients often have a history of digestive issues and may suffer from constipation, gas or bloating. This acne can be reduced by improving digestive function, regulating the bowels and following a high fibre diet.

4.  High sugar diet or high glycaemic index diet can cause acne by increasing circulation levels of insulin. This then causes an imbalance in androgen levels, which triggers an increase in sebum production under the skin. The best way of dealing with acne is balancing blood sugar levels and reducing circulating insulin. This is particularly prevalent in women with PCOS. A low sugar diet has been well researched to improve acne and is one of the best ways to control breakouts in the long term.

5.  A high dairy diet has also been linked to acne. Dairy products are acidic and inflammatory and many of my patients have been able to control their breakouts by reducing dairy intake.

6.  An infection with the bacteria Propionibacterium on the skin will also make any current acne or breakouts worse. This can be controlled by improving the immune response using either nutritional or herbal medicines. Topical application of tea tree oil diluted with some warm water also helps to keep this bacteria at bay. Start by applying each night before bed and after washing your face.

7.  A Zinc deficiency can lead to poor skin health and acne. Zinc is essential for skin healing as well as immune regulation. Supplementing with zinc helps to ensure scarring does not take place as the skin improves.

8.  A Vitamin A deficiency can also contribute to acne. Vitamin A supplementation helps to reduce sebum production under the skin and therefore goes a long way to improve skin health.

9.  Poor liver function can contribute as our liver is our major detoxification organ responsible for flushing toxins out of the body. If your liver is sluggish, toxins and waste products are not effectively cleared from the body and need to escape somewhere- this is often through the skin. A healthy liver makes a huge difference for health skin.

Hayley Stockbridge, Naturopath

B. App. Sc (Nat Stud) Post Grad Dip Nat

Hayley is a Naturopath at Better Health Practice in Stanmore, and Sydney Health and Fertility, Manly NSW. A passion for a healthy lifestyle lead her to become a Naturopath. With over 6 years of experience in the industry, a passion for a healthy lifestyle lead her to become a Naturopath.  Her major focus is always educating her patients to live healthier and happier lives. She treats women, men and children of all ages and a wide variety of health issues such as weight loss, digestive problems, anxiety/stress, food intolerances and headaches.

Check out her website for more information www.hayleystockbridge.com.au

Related Posts:

A Naturopathic Approach to Acne – Podcast
Surviving the Teenage Years, Acne
Busting the PCOS Myths

The post What’s causing your acne? appeared first on Alison Mitchell Naturopath.

When we consider the adage “more than skin deep” we think of the truism that beauty is more than what we can see on the outside.  As a naturopath, I apply this philosophy to the treatment of skin conditions as naturopaths consider the skin to be a representation of not just the body’s external, but also internal milieu.

The skin is the largest organ of the human body, with a total surface area approximately 2m² and a total weight of 4.5-5kg.  The skin isn’t just a simple plastic bag that keeps out insides in and the outsides out – it is a sophisticated, semi-permeable barrier that is involved in many functions critical for good health, such as fluid regulation, detoxification and Vitamin D synthesis.

Dysfunction of the skin can occur in conditions such as acne vulgaris, eczema/dermatitis, psoriasis and acne rosacea.

There are many factors which influence the health of the skin.  I am going to discuss two of the most important ones:

Immune health – Allergies, Auto-Immunity and Infections

• Eczema/dermatitis is an allergic condition where the body reacts to an allergen (this can be a contact allergen or an internal allergen) and creates an inflammatory response in the skin.
• Psoriasis is considered to be an auto-immune conditions, where the body attacks the keratinocytes causing inflammation, as well as an unmediated over proliferation of keratinocytes.
• Infections are a common factor in most skin conditions.  Eczema is often associated with a Staphylococcus aureas infection, and we know that this bug creates inflammation and immune activation in the skin.
• Acne vulgaris is caused when the bacteria Propionibacterium acnes feeds from the excess sebum that is produced, thrives, and then causes inflammation in the pore.
• Acne rosacea is associated with an infestation of the mite Demodex folliculorum.  This causes inflammation of the follicles when it gets out of check.  Although a little disturbing to note, this mite is on everyone.  It is when our immune system is low and does not control them that problems arise.
• Conditions such as the cold sore virus and fungal infections have a direct connection with our immune system.  These conditions are obvious infections, and therefore our immune system needs to be strong and fit to keep these at bay.

Digestive Health – Bowel regularity, Microflora and “Leaky Gut”

• There is a strong connection between digestive conditions and skin conditions.  In a 2004 study analysing the correlation between skin and digestive health it was found that 14% of patients with ulcerative colitis, 24% of patients with crohns disease and 25% of patients with coeliac disease had a skin condition.
• The balance of bacteria in the digestive system, if disturbed can cause a large array of problems.  The good bacteria control our immune system, certain vitamin and enzyme synthesis and are important for regulating inflammation.  The gut microflora are disturbed by medications such as the pill, anti-biotics, by poor diet, alcohol or in conditions such as constipation.  An imbalance in the microflora can worsen or cause many skin conditions such as eczema and acne rosacea.
• Acne rosacea has a strong connection to infections of the small intestine.  A common cause of this is an overgrowth of Helicobactor pylori which stimulates inflammation and dilation of the blood vessels in the face.  This bug is famous for causing reflux, but it can also cause acne rosacea.  A 2002 study showed that eliminating H. pylori infections improved 51 out of 53 patients with rosacea.  The good news is that there are fantastic herbs and essential oils that kill this bug.
• According the Bernard Jensen, a famous iridologist and nutritionist: “When the bowel is underative, toxic wastes are more likely to be absorbed through the bowel wall and into the blood stream.  The blood then circulates these toxins to every part of the body and deposits some of them in tissues, with the greatest amount retained in the constitutionall weakest tissues.”  This is known as a condition called “leaky gut” and can be understood to mean that a slow, sluggish bowel can cause issues in other parts of the body because chemicals that were meant to be excreted have been re-assimilated into the body.  This phenomenen is also known as auto-intoxication.  Leaky gut occurs when the membranes in the bowel become inflammed and porous, usually due to long term constipation, food allergies or microbial imbalances.  You can be tested for leaky gut with a urine test, however this can often by picked up with iridology.

The post A Healthy Glow – More than Skin Deep appeared first on Alison Mitchell Naturopath.