Natural Solutions to Address Eczema | Podcast #361

If you live with eczema, you know what it’s like to search for relief from red, itchy skin. You’ve probably already tried a variety of products. Unfortunately, some items can leave your skin feeling drier and even more irritated.

Dr. J and Evan emphasize not giving up hope yet! In addition to medications, there are many options you can try at home to help with your symptoms. They talk about drugs and natural remedies that may help replenish moisture and protect your skin’s natural barrier.

Dr. Justin Marchegiani

Dr. Justin Marchegiani

In this episode, we cover:

0:00 – Introduction
4:29 – What is Eczema and Its Signs and Symptoms?
6:51 – The Comparison between Eczema from Rosacea
10:38 – What to eat and not to eat when you have eczema
16:20 – Helpful products that can help avoid and or alleviate Eczema
19:25 – The link of glutathione in skin conditions

Dr. Justin Marchegiani: In the house with Evan. Today, we’re gonna be talking about natural solutions to address eczema at the root cause level. Really excited to chat about this topic here today. Evan, how we doing my friend?

Evan Brand: Hey, doing better. I was super stiff over the weekend so I thought, my God maybe we’ll do a whole, like stiff neck podcast but for now I’m mobile and I’m on my feet so that’s good and excellent. We’re recording this in December and winter is usually a time when people start coming of the woodwork with more skin issues and I think a lot of it is because they’re indoors more than in spring, summer, fall and so if they’re indoors and they don’t have good indoor air quality, they’re gonna be exposed to more dust, mites, molds and other toxins which may aggravate or irritate the skin. Also, in general, when you start to kick on the heater, you’re gonna be drying out your home and so generally your humidity level in your home may be like in our house it’s give or take 10% lower than it is in the summer so with the whole house dehumidifiers, I keep our house at 40% in the summer but in the winter with the heater on, man, we’re down into the mid20s, 25, 28% humidity. That’s pretty dang dry so sometimes it could just simply be an environmental change like that but I think some of it is also related to the toxins that people are getting exposed to. And now instead of playing outside with their kids, now they’re inside all day with their kids and their skin is reacting to those toxins so you’re really got to get your air quality dialed in and the winter to me just exposes the poor air quality that people have. 

Dr. Justin Marchegiani: Yeah, 100%. I mean especially this time of the year, we have our humidifiers on, it has a tiny bit of moisture into, um, the ventilation system because it’s like, you know, in the upper teens, low 20s so just adds a little bit in there just to take the edge off, I mean that can be helpful to add a little more moisture to the air obviously, you can do more moisturizer on the skin. Remember that is gonna be your internal moisturizer. So high quality coconut oil, grass-fed butter if we can tolerate those things. That’s gonna be the best way to do it but obviously we can add more moisture directly onto the skin but we wanna always internally moisturize with good fat and again hydration as well that’s the carrier for that moisture to the skin so that’s a really important thing. I remember in college, just having chronically dry like my legs were really dry all the time and I realized, you know, at that time I was trying to be a little bit lower fat because I thought that was healthier and I started kind of understanding okay more coconut oil, more saturated fats, I’m like all right and then I noticed the dryness really improved and went away so fat consumption is really important thing for natural moisture to skin. 

Evan Brand: You know, what is interesting now that you mentioned that, I mean, years ago, like my wife and I first got together, I mean, we were eating grass-fed beef but I wasn’t really prioritizing the fats, I wasn’t necessarily seeking them out, I was just maybe cooking with a little bit of butter but I wasn’t intentionally going for good fats and I remember in the wintertime having to put lotion on, man, I don’t use lotion at all anymore. I literally don’t need it, my hands are perfectly dry, they’re not itchy, they’re not patchy like it’s a miracle and you kind of forget where you’ve come from. Once things start to improve, you forget that that used to be a problem where I used to have to put a lotion on. Imagine how much of a hit to the lotion industry you could create if you could simply get everyone optimizing the strategies we’re talking about today, I bet we could reduce the need for lotion by 80%.   

Dr. Justin Marchegiani: Oh, totally, 100%. 

Evan Brand: And to mention conventional lotions are actually one of the big triggers of eczema because when you look at conventional lotions and some of these products that are advertised, you’re getting into propylene glycol, you’re getting into artificial fragrances, you’re getting into many, many synthetic toxic chemicals that people are lathering on their skin just to supposedly fix their skin but they’re actually making their skin worse so you mentioned like topical coconut oil. There’s many good, like, organic shea butter type lotions out there, like Dr. Bronner’s, they make a really good lotion, um, the everyone brand, I know they make a good soap, I believe they make a good lotion too. Trader Joe’s, they had a pretty good quality, low priced lotion that was really clean ingredients so that’s the problem is like people are trying to do things to fix their skin but they’re actually making it worse with these topical toxins. 

Dr. Justin Marchegiani: 100%. Now, when it comes to eczema, eczema does have an autoimmune component, right? So, eczema is a type of dermatitis, just to be 100% clear. So, think of, you know, dermatitis, think of, like skin inflammation, essentially dermatitis, the derma, that’s the second layer of the skin, epidermis first. Derma, um, dermis is the second layer and then essentially, um, titis is inflammation and so you have different types of dermatitis. Okay, so you have atopic which is kind of the one that eczema, uh, falls into. Atopic is the major one that you’re going to see there. There’s other kind you’ll see contact dermatitis which is kind of what poison ivy kind of falls into. There’s this dyshidrotic eczema, where you get more blisters. There’s hand eczema, there’s neurodermatitis, which is another one as well. Uh, there’s nummular eczema as well and then there’s one last one called stasis dermatitis. Those are the big ones. So, atopic is gonna be where eczema falls under and there’s an autoimmune component, there’s all kinds of studies showing that people that has celiac, Crohn’s, irritable bowel disease issues, lots of different autoimmune issues, there’s an increased risk of eczema, so there’s an autoimmune component there and if you look at a lot of the medications that are used to address eczema, you’re gonna typically have like your anti-inflammatory steroids like cortisone which are gonna be topically rubbed on that area. The problem with that is, it tends to not actually fix it. It just calms it down but it can also thin out that skin and make it more prone to have a flare-up later on so it can be helpful in the short run but you’re kind of robbing Peter to pay Paul, right? And then you have other medications like, um, Eucrisa or Elidel that are, like, kind of more on the calcineurin inhibitors. They’re kind of an immunosuppressant so there’s definitely like an autoimmune component there because you’re coming down the immune response to kind of like chill out, um, the eczema and it can be helpful, those kind of medications could be helpful if you’re working on fixing the underlying root cause, the problem is most people don’t address the root cause and they just rub these medications on and then the problems continue to stay at the root level and so over time it’s gonna come back and get worse and worse and worse because you can’t just suppress the immune system in the long run and expect for a lasting solution. So, these medications may be okay if you’re working with someone to really get to the root cause so that’s pretty much what conventional medicine has for options. It’s gonna have those things. Now, just kind of highlight, um, you have eczema, you have Rosacea and psoriasis, they kind of have an overlap, all right, there’s like an overlap with these three conditions and I want to just kind of show a comparison guide for this because it’s really important. I want to just highlight this really quickly. Um, okay, here’s what I want you guys to see. All right, perfect. So, out of the gates, right, all of these skin issues are gonna have redness with all of them right, eczema, rosacea, psoriasis, they’re both gonna itch so there’s gonna be similar out of the gates the big thing with psoriasis, you’re gonna see a lot of the silver and white scales. That’s gonna be psoriasis and the difference with rosacea, you’re gonna see a lot more flushing across the skin, all right. Both are gonna have dry skin, both can have raised bumps. Psoriasis sometimes raised here says none. But the big issue is rosacea, more of a flushness with the redness. Psoriasis, more of the silver, um, scaliness. That’s the big difference. Just so, if someone’s like, what do I have, right, um, that’s kind of the big thing out of the gates there. Hope that makes sense. And there’s a couple of things I wanted to highlight with eczema is food components make a huge difference so autoimmunity, autoimmune diet plays a big role, really reducing inflammation makes a big role. Trying to cut out a lot of the scents and fragrances can play a huge role so of course like free and clear types of, um, laundry detergent, you can do all has a free and clear, Seventh Generation has a free and clear. There’s all kind of different brands that have a free and clear, um, all’s recommended by the, um, eczema dermatology association. So, you really wanna cut out all scent’s fragrances, dryer sheets that play a huge role out of the gates. 

Evan Brand: Yeah, it’s a big, big stressor and it’s a big stressor for people like me that have to smell it, people don’t wanna smell that crap anyway but you’re poisoning yourself, you’re poisoning your children too, you’re sending them off with those synthetic fragrances and those are irritating to the skin but also those can affect the hormones too, I mean, synthetic fragrances, in general, can have some xenoestrogen type compounds to them, meaning that you’re gonna be increasing the estrogen. We’re in a highly estrogenized society and that creates a big problem. Hormonal changes, hormonal imbalances, they are a big factor in skin issues and we see that with a lot of women that have irregular menstrual cycles or maybe heavy bleeding or something that happened especially after childbirth. A lot of times, they’ll be skin issues that would pop out and we fix it in a roundabout way and I want to go back to one thing you said earlier which was the fact that people that have eczema, they may be linked or more common in people to have issues like celiac and that of course takes you to the big gatekeeper of these skin issues which is the gut and so you and I found with hundreds and hundreds, now we’re into the thousands of clients between us that the major way to fix the skin is to obviously do some of the easy low hanging fruit like you said get rid of scented detergents and all that but it’s really focusing on the gut because if you have gut infections, I mean, if you even look at like some of my very, very old earliest YouTube videos, when I have H. pylori and other gut infections, my skin was nowhere to where it is now in terms of my skin health. My skin health in the last seven years has gotten way better and honestly, it’s just been by working on the gut, my diet was already dialed in back then so I just wanna address one thing with people which is that if you’ve already gone polio or autoimmune or keto or carnivore, you’re eating good quality food and you’re still struggle with your skin, you’ve got to dig deeper, it’s time to look in and see if you’ve got these gut infections, bacterial overgrowth, candida, all these things inside your gut are gonna be making toxins disrupting your gut barrier. So, I don’t care how much bone broth you drink, you’re not gonna fix your skin if you don’t fix these infections.

Dr. Justin Marchegiani: Absolutely! I mean there’s two categories, right? Infants and kiddos, right, in the first year of life, they’re gonna be a lot more sensitive because of their immune system, so, I mean, of course, the big thing you have to look at is high quality breast milk and really got to look at what the mom’s consuming. The mom’s consuming a lot of potential food allergens. I recommend an autoimmune diet out of the gates. Sometimes, we even have to look at potentially pulling out salicylates. Salicylates can be anti-nutrients in vegetables. Here’s a couple things out of the gates, right. Salicylates are natural chemicals found in many fruits and vegetables, they’re really good things and so out of the gate, I wanna pull these foods out as a means of calming down and chilling out the immune system. Uh, this is really important so you can see, kind of the negligible, the low, the moderate, the high and the very high. I just try to tell patients to, like focus on the 80-20 because there’s so many foods that are, like, really good for you that are high in salicylates and a lot of times it’s not about being perfect, it’s about calming down, you know, kind of the 80-20. So, what are the 20 of things that you eat the most frequently that are the most high and we’ll try to sub that and put that in the negligible to low category that can be really helpful as well. So, you can see the different vegetables, you can see the different nuts and seeds, you can see the different, obviously, meats tend to be on the lower side unless you’re doing a lot of processed stuff, that’s where you get into trouble there. 

Evan Brand: That’s why so many people do so well with carnivore-ish diets. That’s kind of what I say I’m eating carnivore-ish because I still do berries, I still do rice and I feel okay with that, um, I still do on occasion, I’ll do some organic pecans as kind of a treat and those are delicious and those don’t appear to affect my gut or my skin. So, in general, if you’re going for more animal based good-quality fats, you’re knocking out as you mentioned, you’re knocking out salicylates, um, you’re knocking down lectins, you’re knocking down oxalates, you’re knocking down all these things.  

Dr. Justin Marchegiani: Yeah. Here’s my oxalate guy. We may wanna look at oxalates as well. There’s kind of a members area for my patients here. If you’re a patient, you have access to this area, top right-hand corner of my website. And you can see I have a low oxalate handout as well and again I don’t recommend going crazy out of the gates. I just try to look at what’s the 20% of food that you eat the most and let’s try to cut out the high stuff out, right, and then sub that with the lower one out of the gates. That can make a big difference especially if you have a baby who has a lot of eczema issues. If we can really get a good autoimmune diet, kind of get the oxalates and the salicylates down, that could make a big difference. But, like Evan said, we have to look at gut microbiome stuff, we have to look at things you may be getting in contact with in regards to detergents, even essential oils on the skin. Some of these things can be stressful on the body, so we really got to calm all of these things down. Got to look at good bacteria, maybe have to address bacterial imbalances. Again, if you’re not a baby, you’re an adult, we have to look at the hormones because of times if you’re chronically stressed hormonally with the adrenals or you have estrogen dominant issues as a woman that can affect your immune system and that can make you prone to having some immune imbalances and your immune system is kind of hyper responding and overly sensitive and of course we definitely test the gut because we have SIBO, bacterial overgrowth, dysbiosis, H. pylori, fungal overgrowth, right, fungus and candida can actually produce oxalates too so you can have endogenous oxalate production via candida. These things can stress out your body thus stressing out your immune system. So, really looking at the adrenals, looking at cortisol, looking at the female hormones, estrogen and progesterone dominance, really looking at the gut are you able to digest and break things down, are the anti-nutrients in vegetables a problem. Again, I hate cutting out the anti-nutrients in vegetables, if we don’t have to because there’s a lot of good food there. So, cooking these foods down can help but it’ll lower it a notch. It won’t take a high food to make it a low food. It may not make a high food, maybe like a medium food. So, cooking obviously, avoiding a lot of the raw salad steaming sauteing can help a little bit and kind of lessen that load for sure. 

Evan Brand: Yeah. Well said. Detox is important and detox can get screwed up by your gut infections. We’ve talked about this before but there’s a pathway called glucuronidation in the body and this gets impaired due to bacterial overgrowth. So, sometimes we’re coming in and fixing the gut but then we’re also trying to upregulate these detox pathways so that could include specific support for the liver that may include binders that may include liver gallbladder combinations, maybe there’s some acid and enzymes that we throw in. You know, when you look at someone’s face or just their skin in general, to me, it’s really the window into their gut, into their immune system. So, if you see somebody with just major, major issues with their face generally, there’s a gut problem, I had a woman, she was young when she first started with me, I think she was around 20, 21, and we got on facetime together and my God, her face was so terrible, she hardly wanted to be seen on facetime but she said, I think, it’s important for you to see me, to see how bad this is, I’m like, yeah, I appreciate you showing me this, and man by the time we got through working through some of the tests and the gut protocols her skin was flawless and I even had to ask her like do you have make-up on, I just want to clarify and confirm do you have makeup. No, I don’t. so, it’s amazing to see what you can do and timeline wise, I mean, we’re talking maybe a few months but within a couple of years, I would say you could completely reverse many of the skin issues that people are suffering with and that’s actually a really short timeline, I mean, we’ve seen people that have had skin issues for decades and as you mentioned they’ve been on these topical steroids or other medications for a very long time and not once has the dermatologist ever said, hey maybe you need to go animal-based with your diet and see how that goes. I’ve never heard that conversation, if you’re a dermatologist out there practicing like that let us know maybe we can chat with you, but in general, that conversation is not happening at all. 

Dr. Justin Marchegiani: Yeah. I’m in a lot of eczema groups online, on Facebook and it’s amazing how resistant parents are and I just, people are, in general, to change in their diet when it comes to eczema. It’s unbelievable. They’re like oh, I’m gonna go get this food allergy test from there, like, dermatologist and like most of the time that’s just like an IgE kind of skin prick test and then again IgE stuffs, you know, it’s okay, but it’s, that’s kind of more on the anaphylactic side that tends to not be the massive driver of course, you know, if you have any IgE stuff like environmentally like dander and cedar in Austin, obviously we can get a really good high quality HEPA filter with a activated charcoal filter as well to kind of filter a lot of this stuff out to keep the indoor environment good. I’ll put, we’ll put some links down below for the recommended air filters that we use with our patients. Cutting out all of the scents and fragrances in detergents in laundry, everything, no dryer sheets, all that stuff makes a big difference. Keeping the skin moist does help because if the skin’s already dry, you’re more prone to itching, if you itch it, you increase the inflammation, it’s this vicious cycle and the problem is if you’re kind of naturally oriented a lot of the things that may have like an essential oil or something in there that may be more natural that you may think is helpful because the immune system is already hypersensitive that may actually  flare it up and make it worse and so one of the things that we’ll use, it’s just a really clean super hypoallergenic moisturizer. I’ll put a couple in the links down below that I found to be successful, there’s a couple off the back of my head, I could think of, um, uh, Vanicream makes one called Vaniply, that’s a really excellent one. There’s one by a La Roche-Posay, it’s a Lipikar Baume, that’s another really good hypoallergenic one. Aveeno makes one that’s decent with a little bit of oatmeal in there, the colloid and the oatmeal can be helpful but keeping that skin moist can be helpful so you’re not scratching. It won’t fix it though, right, there’s no magic solution but it will at least help to calm it down and then I find like if you’re a mom and you’re breastfeeding your kid, you have to change the foods that you’re eating because that is going to get passed down to your child and can stimulate their immune system and so typically for a good month or so and then we do a very methodical reintroduction, I know with my wife, eggs were a big trigger for a while and now she can do eggs and like my kiddos can do eggs but for a while, they couldn’t and so we had to keep that really under control for a bit and probiotics did help as well and really helping to support good bacteria help but we had to really do everything kind of full cycle and we did use a little bit of that Elidel calcineurin inhibitor, just a little bit to calm it down but it’d be like foa a day or two and then we would do all the other things and salicylates were a little bit problematic as well so we did try to cut some of those things down and it’s like the, imagine the immune system’s all wound up and we’re just trying to calm it down, calm it down and once you have it below a threshold so to speak, you kind of have a little bit more wiggle room but until you calm it down to that level, you don’t quite have that ability to move. 

Evan Brand: Yeah. Yeah. Well said. There was one other paper too we were looking at on glutathione and this was just a, it was a quite old study but still very, very timely in terms of like glutathione. We have it in our conversations all the time and depressed glutathione levels were observed in patients with psoriasis, eczema, dermatitis and other skin issues and so we know that glutathione is gonna be depleted when you’re exposed to toxins whether it’s chemical whether it’s mold toxins or other things, we often see glutathione levels depleted and this is one of your master antioxidants and so you may need to work into the detox protocol, sometimes that can aggravate people so you just gotta work with the practitioner on this because I’ve taken too much glutathione and reacted poorly to it before so you got to go slow  and steady with it, sometimes it’s gonna flare people up if they’ve got a big toxic load and it starts mobilizing things that may overwhelm your system and you may feel worse or have some sort of like a die off or what feels like a Horkheimer reaction. What about zinc too? Do you want hit on like some nutrients for skin too?   

Dr. Justin Marchegiani: Yeah. So, I think, out of the gates, like probiotics are really helpful. Omega-3 plays a really great role in anti-inflammatory. Vitamin D plays a good role in modulating the immune system. If you’re doing glutathione and you’re breastfeeding mom, be careful because you don’t wanna overly mobilize toxins out of the breastmilk, so you may wanna go really gentle on that or maybe a little bit of NAC and just kind of naturally, you know, increase that very slowly as long as you don’t have any die off, you’re probably okay. I would say zinc is also gonna be excellent as well, it’s gonna be a good building block for the skin, really good building block for the immune system so is selenium, so some of these may just get in a really good multivitamin, uh, some you may get from eating high quality grass-fed meat, fish, some green vegetables, seafood. So, a lot of these may come from whole foods sources, as well as, supplement sources as well. And then, you know, we have some really good anti-inflammatory things that we can do whether it’s curcumin, resveratrol, these are kind of plant-based antioxidants that are very powerful, also, there could be a histamine connection as well. And so, histamine from the environment, from allergens, you know, good air filtration is excellent and then we can do things to help modulate the immune system, like quercetin, like stinging Nettle. These can be very helpful and very calming on the immune system in regards to the histamine response. Anything else you wanna highlight there?

Evan Brand: Yeah. Well said. I think it’s a good start olive lead, we use a lot too and some of the gut protocols and that may help some of the skin issues too. So, it really just depends. I don’t want people to just go out and buy everything we just mentioned and assume it’s gonna fix their issues, I think it’s really important to try to get a good work-up and figure out where your issues are coming from, I think it’s great to be able to look into some of the topical stuff, get rid of your conventional shampoos and conditioners, go high quality organic products with your skin care but beyond that you really need to get some investigation done and figure out what the heck is going on because for years I was doing good clean products topically but I still have skin issues and it was all because of my gut. So, I really encourage people to reach out if you need help. Dr. J and I work with people around the world so we can get at home lab testing done to where we can investigate the root cause of your skin issues and often, we’re gonna be using urine and stool. Those are probably the two most common things you’re gonna be looking at and these are far more effective than what you’re gonna get run from a conventional doctor. We’re gonna be able to tell you what the heck is going on. Your dermatologist is not running stool tests but they should because the issues they’re seeing in their clinic would certainly be improved if they could fix the issues that we’re finding on these stool panels so I think it’s really important to test not guess, figure out what the heck we’re dealing with because you could take probiotics for your whole life and never fix these infections.  

Dr. Justin Marchegiani: Totally. Yeah. I agree. And again, if you go to the dermatologist, it’s pretty typical, right? They may recommend like oatmeal bath or a diluted bleach bath or Eucrisa or a corticosteroid or Elidel. They may recommend these things but that’s not gonna be the solution. Again, some kids naturally grow out of it because their immune system evolves, gets better, their gut becomes less leaky naturally, um, maybe they start making healthier food choices as their parents become more aware of what’s going on, right? There’s a lot of different things that can shift and things can just, kids can grow out of it, and if you’re an adult that probably may not be that way. It’s a little bit different there. So, you’re really gonna have to make changes and you really have to look at the root cause and not just get hyper obsessed with just something topically that’s gonna fix it and that’ll be it, probably not the case. And so, you really have to look at the gut, you really have to look at stress, you have to look at how digesting and breaking down your foods, you have to look at the nutrients that modulate your immune system like zinc and selenium and vitamin D and glutathione, you have to look at gut bugs that can have a negative effect on your immune system and also beneficial bacterial balance. These play a massive role and again you may have to get stricter with the diet, like some people, a paleo template may be enough. Some have to go to way more extremes like autoimmune, cutting out salicylates or at least being salicylate and oxalate conscious that may have to happen as well.   

Evan Brand: Yeah, and the good news is this stuff is in general pretty reversible, I mean, like I said, we’ve seen amazing before and after, working with people, and it’s just a wonderful thing because there’s so much of your confidence level that comes from having good skin, I mean, in regards to seeking new jobs getting a raise, finding a date, finding a spouse, I mean, your kids, wanting your kids to not have any, uh, self-confidence issues so I mean, I just tell you just the impact of skin, it could change your income if you don’t feel attractive enough, may be you’re not gonna seek that higher paying job or maybe you’re not gonna seek that raise, If you have self-confidence issues because of your skin or maybe you feel like you can never leave the house without making makeup, I mean skin is one of those things that really is important to address so sometimes it seems like a vanity-based thing but that vanity really does turn into success and so I think it’s really important for people not to feel self-conscious and just you know that you can fix this thing so no matter how down in the dumps you are you gotta keep digging.

Dr. Justin Marchegiani: Yeah. And skin can be a really good sign if you’re healthy or not and it’s  a lot of times, it’s gonna tell you if you have gut issues, gut, uh, food allergy issues, microbial imbalances, also, consuming good fats, good collagen, good proteins, this is the building block of your skin, so you really wanna make sure you have good dietary, nutritional foundations and we chill out a lot of the food that’s gonna throw off our gut bacteria. Now, topically, there’s a couple of things you can do topically, I mentioned some of the moisturizer that can be helpful to provide moisture relief which then helps decrease the itching, which then decreases that perpetual inflammatory cycle, there’s some soap that you can do that are descent, um, I find just a 10% sulfur soap can be excellent. It’s been used in dermatology for decades but just 10% sulfur soap unscented works wonderfully. Usually, the sulfur comes from like volcano ash or some type of, uh, soil that’s very high in sulfur but sulfur has an anti-inflammatory quality to it. It can have some anti-fungal, anti-bacterial quality so that it can be calming. You don’t wanna lather it on too long because it can be very drying to your skin. But sulfur is good and again, it’s just one part of the equation. There’s no magic solution, magic soap, magic potion, that’s gonna fix it but it can be very helpful as long as you’re plugging in all the other things to the big equation.

Evan Brand: I wonder if that’s because it’s helping with detox support on the skin or something, I mean, if you think about glutathione and the sulfur connection there. I’m mentioning topical sulfur that’s pretty interesting. 

Dr. Justin Marchegiani: Yeah. Topical sulfur, I mean it’s a lot of different data on it being very helpful for acne, I mean with that it can be very cleansing for the pores, cleaning out the sebum, there’s also the anti-inflammatory effects to it, very helpful with like seborrheic dermatitis, psoriasis, eczema, so I think it has some anti-inflammatory qualities, um, to it, I mean it’s been used in dermatology for decades so it’s natural so I kind of like it. 

Evan Brand: Very cool. Well, I think we’ve covered everything I wanted to cover. 

Dr. Justin Marchegiani: Yeah. I mean I think a lot of it too, with the sulfur is. There could be a fungal, bacterial imbalance issue, right? And I do think sulfur does have antibacterial, anti-fungal, it also helps break down a lot of the keratin, excess in your skin, so like if you have, um, a keratosis pilaris (KP), where you kind of feel like the bumps in the back of your arm, it can kind of help break down those excess keratins that form in the pore so the back of your arms don’t feel as bumpy, so that’s really good too. I know, a lot of women have that. Of course, you know, getting your omega-3s up can also help that too, omega-3s and zinc. 

Evan Brand: Yeah. I was gonna say, my kids had a little bit of that early on. We just bumped up the omegas and then boom, we knocked out the keratosis pretty easily so that’s, that’s probably one of the easier things to address. Sometimes, this thing gets tricky, like you mentioned, there’s no magic bullet or potion, a lot of times it’s a combination of us getting small gains and different categories of the body. 

Dr. Justin Marchegiani: Yeah, it’s nice. Just get a nice 10% sulfur soap and you know lather that up, put it on your kids for like 30 seconds, rinse them off, it can be a very helpful kind of cleanse out that keratin, keeps the pores really healthy and it’s totally natural. So, I’ll put some links to the ones that I like, uh, down below on the ones that I personally use. 

Evan Brand: Sounds good. Well, if people need help, they can reach out, we work with people online so wherever you are in the world with skin issues, we’re happy to help. You could reach out to Dr. J at or me, Evan Brand at, and we’re happy to work with you, help you run labs, figure out what we need to do to get you feeling better, more importantly get your skin looking better. If you have issues, don’t give up, uh, it’s okay, we’re gonna get you taken care of.  

Dr. Justin Marchegiani: Absolutely. And to be a great functional medicine practitioner to really solve a lot of these things, you have to be a master general practitioner, you really have to understand the gut hormones, diet, skin. You really have to kind of connect everything together. If you’re like a master skin person and but you don’t have the diet or anything else to kind of interweave and connect to it then you’re not gonna be able to help your patients 100% so, it’s really important that you, if you’re working with someone, you find a master generalist that really understands how all the systems connect and you don’t want to just work with the hormone person or the gut person, you wanna work with someone that really understands the connection so that’s really important that people are interviewing their practitioners, really try to make sure they have a full 360 kind of perspective on it and if you wanna reach out, for Evan, they’re be link there for Evan. And for myself, Dr. J. at We are available worldwide to help you all out and we’ll put links down below for some of the recommended products that we talked about today, things that we actually use with our family and patients. Outside of that, Evan, phenomenal chat with you man, you have an awesome week, and everyone listening appreciates your support, comments down below and share with our friends and family. 

Evan Brand: Take good care. See you next week. 

Dr. Justin Marchegiani: Thanks. Bye you all. 

Evan Brand: Bye-bye. 


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Audio Podcast:


5 steps to create super healthy skin – Podcast #74

Dr. Justin Marchegiani and Evan Brand talk about conventional approaches to skin as well as some of the unconventional approaches. Learn why food does matter in this podcast episode. Find out how you can build healthy skin as they discuss what you need to do when it comes to getting protein, fats, and other nutrients into your diet. 

tips-for-healthy-skinStart with the recommended 5 steps for optimal skin health and see the difference it does to your skin. Discover the action steps you can do to calm your nervous system and avoid chronic stress which leads to bad skin. But remember to get that diet and lifestyle dialed in first. Listen to this interview and learn why the conventional approach does not address the root case of unhealthy skin and get to know some organic skincare products which are great for the skin.

In this episode, topics include:

1:13   Food and skin health

3:10   Diet and lifestyle

6:33   Chronic stress

10:57   Conventional approach

13:18   Functional medicine strategy









Podcast: Play in New Window|Download

Dr. Justin Marchegiani:  Evan, it’s Dr. J.  What’s going on today?

Evan Brand:  Hey, I’m feeling great and I’m pumped up to talk about skin.  This is something I’ve struggled with for a long time, so let’s dig in.

Dr. Justin Marchegiani:  Alright, great.  So everyone wants that nice, smooth finish to your skin, not just clean skin free from acnes and blackheads and cysts and all these things.  But just a–a smooth consistency and we’re gonna talk about some of the, you know, conventional approaches to skin, some of the unconventional approaches and also food does matter.  When you go into your dermatologist’s office, it’s like the handout they have.  It’s like the patented handout that I think the–maybe the American Dermatologists Association, the ADA, kinda gives to all the dermatologists, and it says skin, your diet has nothing to do with skin health.  The food you eat has nothing to do with skin and I can’t tell you how much of a lie, or at least misinformation that is.  I mean, I–I don’t think they think they’re lying but there’s a few studies early on in the 60s and 70s showing that food may not have caused it, but there’s a lot more others showing that food and insulin levels and food allergens definitely increase skin issues and we know clinically with our patients, you cut out certain inflammatory foods–wow, magically the skin gets better.

Evan Brand:   Yeah, my–my skin started to improve as soon as I got wheat and dairy out and then the next step for me was the digestive stuff, getting that in order.  So I didn’t know what direction you had intended to start with but for me, digestion was a–a huge turning point.

Dr. Justin Marchegiani:   Let’s jump onboard with that.  So we know the skin–protein and fat are really important building blocks for the skin.  So we always wanna look at protein and fat digestion.  So if your skin is dry and you’re eating good quality fats and proteins, well, I automatically go to the fact that you’re not breaking down protein and fats appropriately.  So any type of tummy symptoms whether it’s constipation, you’re not having a stool more than–you’re not having a stool less than 24 hours, right?  So every day–every other day you’re having a stool that’s definitely constipation.  You have ridging or white spots on your nails.  That’s definitely a sign we’re not breaking down, absorbing protein.  Your stools are floating or there’s a sheen to your stool.  That’s a sign you’re not breaking down fat.  You don’t have a gallbladder and you’re not taking digestive support.  That’s another big one.  Your hair fails thin.  That’s another one.  Hair basically is protein, certain nutrients as well.  So you really want to look at the digestive function.  Now you could even have great digestion or you know, eating the right foods, taking digestive support, but there could be infections that are creating the malabsorption.  So we wanna make sure the first thing we wanna check off our list–we wanna do all possible things to improve our body’s ability to break down protein and fat.  We just wanna make sure we’re getting the building blocks, the raw material, so we can build healthy skin.

Evan Brand:   Yeah, for me, even after taking just some betaine, kind of the blanket digestive support, that wasn’t enough for me.  So adding in like some enzymes, some other protein-digesting enzyme helped.  I added in a little bit more of some apple cider vinegar, things like that.  So those are kind of the generic things that I say we could give a blanket recommendation for.

Dr. Justin Marchegiani:   Yeah, I had really bad skin growing up in college and I was very low fat.  Like I started out kinda going into the low carb area where I’d be kind of Atkins-esque but I messed it up because I was going also pretty low fat, too.  And then I noticed my skin in the winter, over in Amherst, it’s really cold and my skin was getting super, super dry.  And you’d see all kinds of, you know, women are notorious for this.  They just get all these extra moisturizers and they topically moisturize their–their arms or their legs and their skin.  And I’m just standing like, “Whoa!”  You know, I’m doing more research and learning and reading and I’m like, “Let’s work on internal moisturization.”  And I mean, internal moisturization through eating high qualities of fats because fat actually provides hydration to the skin.  I upped my olive oil and coconut oil consumption at that time and magically, my skin dryness was gone.  So I noticed that with myself that fat is a really big important step to having hydrated skin but I still had skin issues because I was still eating some gluten-free bread.  I still had infections.  I still had low stomach acid but that could be one piece to the puzzle here.  If we kinda break it down into steps so people don’t get overwhelmed.  Step one is make sure protein and fat consumption is dialed in according to your needs.  So if you have dry skin off the bad, just work on upping high quality protein and fats and that could be any of your pastured meats that are high quality and also any of your coconut oil and potentially grass-fed butter or ghee if you can tolerate the dairy part.

Evan Brand:   Yup.  Yeah, so in terms of the conventional method, I’ve had many friends that have taken Accutane which is probably one of the worst prescription drugs ever in terms of the side effects that it causes and what it actually does to the pores and the skin and the oil glands and things like that so the topical route may never be necessary.  Now I’ve heard of people adding like some aloe and some other, like hemp oil and things like that topically, but overall the less stuff that I put on my face, the better my face has gotten.  So I’m not saying this is gonna be across the board for you but certainly for me, the more acne wipes and all these little trendy things that you’re advertised to as a high schooler, that stuff only made it worse and made the skin as dry as like a piece of sandpaper.

Dr. Justin Marchegiani:   Absolutely, so you wanna make sure the gut and the digestion’s doing good.  Get rid of the food allergens.  The food allergens like the gluten and the dairy, that’s a big one.  I noticed in my pores, especially around my face, in that T–T area, the T-zone, so your basically–your chin to nose to the forehead along the side to your eyes there, right in between the–the temporal area.  Those are gonna be notorious for clogged pores and we know that the sebaceous glands, those are like the glands in the skin, they actually oversecrete oil, secrete extra sebum or oil in response to insulin.  So if we’re eating foods that are glycemically inappropriate, what that means is too much carbs in relation to what you can handle meaning you’re not able to burn the carbs off, you’re just making a whole bunch of insulin that’s increasing the sebaceous gland’s production of sebum and the bacteria that’s on the skin will actually eat that sebum and it can create inflammation and a lot of the–the whitehead potential effects and then to the extreme, even cyst in the skin as well.

Evan Brand:   Okay, so this may be jumping the gun here, but chronic stress is a huge piece of this puzzle, for me at least, in my eyes because if you’re chronically stressed, you’re gonna be stuck in that sympathetic mode and you’re gonna be downregulating all the processes that happen to optimize your digestion.  So if you’re running from this supposed tiger, it’s gonna be impossible for you to produce adequate levels of hydrochloric acid and other enzymes because your blood is in your–in your arms and your fingers and your legs to run, not digesting.  So if you’re never engaging that parasympathetic mode so maybe I’ll just jumpstart to the action steps. So say you wanna do–

Dr. Justin Marchegiani:  Uh-hmm.

Evan Brand:  So say you wanna do like a sensory deprivation tank, maybe you wanna do some lavender essential oils in the bath tub with some Epsom salt, maybe you wanna do even some transdermal magnesium to calm that nervous system down, maybe some phosphatidylserine.  I know you talk about phosphorylated serine sometimes, so–

Dr. Justin Marchegiani:   Uh-hmm.

Evan Brand:   There’s ways that we have to calm that nervous system down to get to the root of this whole thing.

Dr. Justin Marchegiani:   Absolutely and a lot of people forget that your body will internally make extra carbohydrate and sugar under stress because those muscles really preferentially are glycolytic, meaning they wanna burn sugar when their under stress.  They want instantaneous fuel, so you’ll internally make lots of sugar from breaking down your lean protein.

Evan Brand:   That’s crazy, isn’t it?

Dr. Justin Marchegiani:   Yeah it is.  So if you don’t have protein in your diet, if you’re not digesting and breaking down a lot of your protein, it’s gonna take it from lean tissue.

Evan Brand:   Yeah, and I–I’ve noticed that myself.  I mean, I lost some–some muscle tissue and it was definitely chronic stress-related so–

Dr. Justin Marchegiani:   Yeah, I remember that.  I remember that and people forget that you can oversecrete glucose just from stress.  That’s why we have the thing known as the Dawn Phenomenon where glucose is really high in the morning typically due to a whole cortisol output thing and that’s why sometimes eating a little bit more carbs and a lot of people in the low carb field don’t like this, and we’re not talking high carb, right?  We’re talking some people if they’re, you know, ketogenic and they’re under a lot of stress, they may do a little bit better upping their carbs maybe to 50, 60, 70 grams a day and it will actually decrease their internal production of glucose and actual timing the carbs typically when you’re having less cortisol tends to be better, so having those carbs where cortisol’s lower which will be at nighttime because cortisol’s on a diurnal pattern, so higher in the morning, lower at night.  So upping your carbs a little bit then tends to be the better time to do it and people that are under stress can actually decrease their internal glucose production.

Evan Brand:   Wow, so–so explain that a little bit differently why when the cortisol levels are low in the evening that carbs make people feel so much better and I notice they sleep better, too.

Dr. Justin Marchegiani:   Oh, yeah.  So cortisol is a glucocorticosteroid.  Again, medicine uses big words.  We like to break it down and kinda give you the ability to–to be your master at being able to–to decipher what’s going on, so just focus on the glucose part of cortisol.  So if we’re mobilizing glucose and we have higher amounts of cortisol in the morning, that means hormonally we already have an advantage of mobilizing glucose in the morning.  So it doesn’t make sense to take in extra glucose in the morning if our hormones are already more prime to do it.  The only exception would be morning workouts where you want that post carb meal after a CrossFit workout or after some type of training to increase insulin because insulin has an effect of lowering cortisol.  That’s–that’s more of a–a exercise-nutrition type of podcast.  We’ll save that for the future.  But regarding to the concept here, cortisol is lower at night so we have less hormone capacity to stabilize blood sugar at night so it makes sense if we do a little more carbs.  Do it at night, because a lot of people who are fatigued have a harder time stabilizing blood sugar at night and if we’re disrupting sleep because blood sugar is dropping or adrenalin and cortisol are going low which are causing blood sugar to go low, which is causing us to wake up, we don’t–we wanna do as many things as possible to avoid waking up.  So sometimes the carbohydrates timed at nighttime, between 5 or to 9 o’clock or so can be great to buffer any low blood sugar swings that may happen while we’re sleeping that could disrupt sleep.

Evan Brand:   Yeah, that’s great.  Thanks for giving some more clarity there.

Dr. Justin Marchegiani:   Yeah, and the next piece to the puzzle here–actually, I–I’ll let you add to that–

Evan Brand:   No, no, keep going, man.  I wanna hear what you got.

Dr. Justin Marchegiani:   So the conventional approach is this, right?  We’re gonna be rubbing antibiotic creams on the skin, whether it’s Retin-A, whether it’s Differin or clindamycin, we’re gonna be rubbing all these antibiotic creams on the skin, right?  The whole idea is forget the food allergens, forget the fact that we’re insulin–insulinogenic and we’re feeding the bacteria on the skin.  The goal is let’s just work on the end-product of killing a lot of that bacteria.  So you can see, it doesn’t really fix the root cause of why that bacteria is having a feeding frenzy.  It’s kinda like imagine you’re going out there and chumming for sharks, right?  So the chum is kinda like the food and the high insulin and the food allergens, it’s like us going out there and trying to like shoo away the sharks as they’re coming to eat the chum.  It’s like, “Wait a minute, if we just stop putting the chum out there, well, the sharks stop coming, right?”  That’s kinda like how I look at the natural approach.  So conventionally, we’re just rubbing on antibiotics, the next step is, if that doesn’t work, guess what?  We go tetracycline which is an oral antibiotic, okay?  And the next step if that doesn’t work, if you’re having cystic acne is the–is the vitamin A analog which is the–the name is just–it–it’s defeating me right now.  What’s it called again?  You just mentioned it.

Evan Brand:   Accutane.

Dr. Justin Marchegiani:   Accutane and there’s another name for it as well.  But Accutane is the vitamin A analog.  So basically, it’s teratogenic, meaning it can cause pregnancy issues and malformation while–while pregnant but it’s basically a vitamin A analog.  It does things.  It tightens the pores.  It decreases the skin cell’s ability to produce any oil, so once you fix the issue, now you have chronically dry skin because your skin cells can’t produce the oil it needs for natural hydration so it creates a lot of long-term issues in the end.  So the Accutane is the ultimate end stage.  That’s the vitamin A analog.  Again a lot of people get benefit by just taking natural vitamin A at higher levels and they can do some of the Accutane effects without the–the nasty side effects.  The–the sub, below that, is the tetracycline antibiotic and then below that are all the antibiotic creams.  And that’s pretty much it.  That’s all your conventional dermatologist has for the most part outside of the skin cancer and cutting out a lesion.  That’s it.  So once you’ve exhausted those bullets, we know that all those things are really working our gut bacteria which is gonna play a major role in our immune system and our overall health.  So we really wanna go to the functional medicine strategy that looks at the foods, looks at the gut, looks at infections, look at how we’re digesting and breaking down these foods and get to the root issue so we’re not setting ourselves up for more autoimmune issues because our gut bacteria is being destroyed down the road.

Evan Brand:   So let’s paint the functional medicine picture here.  So this could be in or out of order.  Number one, definitely removing the allergenic foods or the problematic foods.

Dr. Justin Marchegiani:  Yes.

Evan Brand:   Okay, we’ll stack that on top of that and call that number two, optimizing digestive functions whether this is enzymes, pancreatic function, HCl, whatever.  That’s number two.

Dr. Justin Marchegiani:   Yes.

Evan Brand:   Number three for me, I like to focus on the chronic stress or trying to help people out–

Dr. Justin Marchegiani:   Uh-hmm.

Evan Brand:  Their adrenals, reframing stress, whether it’s the adaptogens that we love talking about to help deal with this stress that could be causing these other widespread issues.  That’s number three. Four for me, also another very helpful one is hydration, getting half the body weight in ounces of water per day.  Good–good, clean water source.

Dr. Justin Marchegiani:   Yup.

Evan Brand:   What else is for you?  Is there–is there topical things that–

Dr. Justin Marchegiani:   Yes.

Evan Brand:   You talked–that you wanna talk about?

Dr. Justin Marchegiani:   Yes, so number four, I’d also put in is–and this kinda goes in alignment with the stress because if we’re stressed, our blood sugar would go wonky, but it’s managing the glycemic load.

Evan Brand:   Uh-hmm.

Dr. Justin Marchegiani:   Right?  If you’re eating Paleo but there’s pineapple and a whole bunch of tropical fruits and maybe excessive carbs to your metabolic type to what you can handle, that may be too much as well.  So getting the glycemic load down and a good general rule of thumb for people is 50 to 100 grams of carbohydrate.  You earn your carbs.  You’re more sedentary, you go closer to the 50.  You’re more active, you go upwards of 100.  If you’re doing a lot of CrossFit and such, maybe even up to 150.  So that’s a pretty good gauge for the carbohydrate piece.  And then I would say the next piece after the digestion, step 5, I would say would be making sure you have–you’re infection-free, making sure there’s not something in there that’s creating a low stomach acid environment like a SIBO or an H. pylori or parasitic infection.  Make sure that piece is lined up as well.

Evan Brand:   That’s great.

Dr. Justin Marchegiani:   So that’s five.  Okay, good.  Now let’s talk about some of the things.  Once you have the big five in, we could talk about some of the extra things that you can go–do above and beyond for optimal skin health.  First thing is collagen.  Big fan to high quality collagen, a lot of hyaluronic acid in there which is really good for the skin.  Love that.  That gives you a lot of building block raw material to make healthy skin, decrease wrinkles.  I’m a huge fan of using collagen every day not just for the glycine content which is great for the–or for a gut–for gut function, but also just for the building blocks, because I wanna keep my skin looking healthy and good.  Next piece is getting a high quality cleanser.  I mean, I do find my skin looks better when I do a quick little cleanse in the morning.  Because what it does is it just gets off any oils and such that may have an effect of causing a pore to clog.  So I just notice my skin looks and feels better when I use a gentle organic cleanser.  Now I use something that’s GMO, obviously organic, gluten-free.  You really wanna make sure you’re not putting a–a whole bunch of abrasive alcohols on your skin.  So something that’s gentle.  What I use has hyaluronic acid in it as well.  It also has some coconut oil, a lot of soothing herbs and nutrients, and it’s all genetically modified organic and gluten-free, so there’s a couple of–

Evan Brand:   No, I don’t think you–I don’t think it is genetically modified, you’re saying it is GMO–you’re saying non-GMO.

Dr. Justin Marchegiani:   It’s–it’s a GMO-free.  I’m sorry, yeah.

Evan Brand:   I forgot the free part in there.

Dr. Justin Marchegiani:   Exactly.

Evan Brand:   What–what is the name of that?  That sounds awesome.

Dr. Justin Marchegiani:   I’ll have to look it up here.  There’s a couple that I use.  One of my favorite companies that I use is Marie Veronique.  She runs a skincare line out at Berkeley, California.  Basically, it’s all edible food grade, I mean it’s just phenomenal, really lots of nutrients put in her products.  So I use her anti-aging oil which has emu in it, grass-fed emu and a whole bunch of other nutrients.  I use their cleanser, their exfoliation, and I love–I like a nice toner.  Like when I shower in the morning, after I cleanse my face, I like a nice toner to balance the pH in my skin.  It tightens my pores.  My skin just feels really, really good afterwards.  Now I think a lot of people like if you look at, you know, the online multi-level Proactiv sales. A lot of people go to the skin stuff first.  And a lot of the conventional skin stuff tend to be very abrasive and irritating.  So I tend to take a step back.  That should be the last thing you do and it should be as organic, non-GMO-free for you Evan, as well as gluten-free and all the good stuff, and ideally even close to food grade as possible so you’re really nourishing your skin and not adding extra inflammation to it.

Evan Brand:   So I see this Annmarie Gianni lady.  She has an aloe herb facial cleaner.

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   Cleanser, is that it?  Or is it something different?  This one has a green label–

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   With a black bottle.

Dr. Justin Marchegiani:   Yeah, if you go to marieveronique–V E R O N I Q U E–, she has a great, great skincare line. I love it.  My wife loves it.  It’s one that I carry–

Evan Brand:   Oh, okay, I was at a different lady.  I was looking at some other organic lady that kinda had the same name.

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   I see what you’re talking about here.

Dr. Justin Marchegiani:   Yeah, and then there’s another line that I use called Derma E.  Derma E is really good.  They have a hydrating cleanser and a–and a natural sensitive skin cleanser.  I’m a big fan of–of their stuff, too.  Good, clean ingredients.  You gotta be careful with a lot of the gluten in these things, so I really wanna make sure there’s no–no crap in it so I like a good cleanser.  I like a good clean toner and I like something that can provide a little bit of hydration so I like the grass-fed emu oil as kind of something that hydrate my skin afterwards.  But those are all like at the end.  Now if you really wanna get extra kinda bio-hackery if you will–I think I just made up a word–to help skin health, I use some stem cell cream as well, just to keep my skin extra–give it extra, you know, an advantage to stay young and youthful-looking so I use a stem cell cream from a lab in Arizona that is phenomenal as well and–and that’s something we’ll be carrying on the site.  It’s called J Bio serum and we’ll have it on our site in the–in the nutrient section.  So take a look at that.  If there’s areas and you can’t find it, you can go to my store, and you’ll see a lot of the things there that I’m talking about but that’s a–a really great product that just provides extra stem cell benefits that kinda helps reset the–how should I say it–helps reset the skin’s ability to be healthy again.  I mean, you can see it help tighten up the skin a little bit.  It’s amazing for scarring.  It’s a product that they use in a lot of hospitals in burn units to help get the skin integrity back, kinda turn back the clock so to speak on the skin.  That’s really what it’s doing.

Evan Brand:   That’s amazing to see that treatment cleanser you were talking about the Marie Veronique.

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   That the key ingredients are the–the lactic acid that you talked about and then apple cider vinegar which I’ve been reading a lot about for topical use.  Obviously, it’s probably diluted and once it’s mixed in with this lavender oil and these other–looks like it’s got some honey in it, a little bit of oat flower, marshmallow–it seems like once you have all that stuff together, that’s making the difference.  So you probably wouldn’t get the same benefit by just doing a cotton ball with some apple cider vinegar on it.

Dr. Justin Marchegiani:   Yeah, I mean and I don’t like the oat fiber that’s in there per se, but the fiber more is there for like an astringent, so when you’re like scrubbing and exfoliating if you will, that kinda helps.

Evan Brand:   Right.

Dr. Justin Marchegiani:   To help get scrub out the pores and stuff.  They have one with some sea salt in there, too.  I mean, it’s good.  I just wanna make sure I’m rubbing stuff on my face that’s gonna be, you know, ideally grain-free and anti-inflammatory.

Evan Brand:   Right, right.  But you don’t have trouble with that.

Dr. Justin Marchegiani:   No, no.  I think it–it works really good, and then the next thing is if you’re using sunscreen, right?  Don’t–don’t burn and try to get a sunscreen that has primarily the active chemical deflectants or physical deflectants with the compounds of titanium dioxide and zinc–zinc oxide.  Those are the best ones.

Evan Brand:   Yeah, I use Badger’s brand of sunscreen and it’s just straight zinc oxide with some sunflower oil.  I never get burned.  It works like a charm.

Dr. Justin Marchegiani:   It will make you look like Casper though.  That’s the only–

Evan Brand:   It does.

Dr. Justin Marchegiani:   They’re out at Santa Cruz.  The reason why I like the Marie Veronique one, they use a natural tint in the zinc oxide to take away the whiteness.

Evan Brand:   Ahh.

Dr. Justin Marchegiani:   Because it can just like take you and make you look like a ghost.

Evan Brand:   It does.  Yeah.

Dr. Justin Marchegiani:   I’m already fair-skinned to begin with so that’s the only reason why I don’t like just the pure zinc oxide.  I mean you got the pictures of the 70s lifeguards where they have the white noses, right?

Evan Brand:   Yeah.

Dr. Justin Marchegiani:   That’s kinda like the zinc oxide, right?  So you can get that where they add some natural tint to it and then you can get medium, dark, or light so that actually gives you a little bit of tan when you put it on and it doesn’t just take away your–your skintone.

Evan Brand:   Oh, that’s cool.

Dr. Justin Marchegiani:   Yeah.

Evan Brand:   Let me–let me check it out.

Dr. Justin Marchegiani:   Yeah, yeah.  So what do you think, Evan?  Do you wanna recap some of the things?  So anyone that’s listening that may feel a little overwhelmed can kinda get the–the Reader’s Digest version here?

Evan Brand:   Yeah, man.  I think we’ve definitely, probably recap with the recap but to do it again–

Dr. Justin Marchegiani:   Well, I would just say let’s just recap the–the last piece here.

Evan Brand:   Yeah.

Dr. Justin Marchegiani:   I would say once you got all the diet and lifestyle and gut pieces there, I would say skin cleanser, high quality skin cleanser that’s hypoallergenic and highest quality and non-abrasive.  Number two, a good quality toner.  And then number three, I would say you can add in high quality building blocks for the skin like the collagen and also some of the stem cell creams that really help reset the skin’s ability from–from a stem cell perspective to be healthy.

Evan Brand:   Yeah, that’s awesome.  I appreciate you bringing that stuff to light because that’s a whole category that I didn’t have much to add to, so that’s another thing to add to my bookmarks here, the–this Marie’s website.

Dr. Justin Marchegiani:   Yeah, yeah, and I think if people had access to healthy products and then can support those companies that’s great because God knows the skincare line community, you know, is just full of crap.  There’s just so much crap in these products and people forget anything you put on your face goes into your bloodstream, so if you can’t eat it, you shouldn’t be putting it on your face.  That’s the bottomline.

Evan Brand:   Yup, absolutely.

Dr. Justin Marchegiani:   Great, Evan.  Well, anything else you wanna add?

Evan Brand:   No, that’s it.

Dr. Justin Marchegiani:   To anyone listening, it’s easy to be like, “Oh, I’m just gonna go to all like, you know, the lotions and potions and–and do that stuff first.”  I really urge you to kinda get to the diet and lifestyle piece first.  If you feel like your gut’s struggling, it’s not gonna be advantageous to ignore that.  You really wanna get to the underlying gut issue.  Get any infections ruled out.  Also remember your skin is part of your integumentary system which is your largest organ of detoxification.  So your skin also is used to push out toxins.  So if you’re under a lot of toxicity, whether it’s, you know, environmental or from chemicals in the food, you wanna look at supporting your detox system because your skin again will push stuff out if you’re being overwhelmed in that toxicity area.

Evan Brand:   Yeah, I’m sure we could save that for another podcast so we can talk about like heavy metals and skin.  I’ve seen a lot of people with that–

Dr. Justin Marchegiani:   Absolutely.  Cool.  Yeah, a lot of people that are pushing stuff out when they’re doing heavy metals or chemical detox, I see it all the time in clinic as well.

Evan Brand:   Yup.

Dr. Justin Marchegiani:   Alright, Evan, good talk today.  Hope everyone enjoyed it.  If you guys get a benefit out of it, go over to the iTunes link, click below, and give us a 5-star review.  We’d really appreciate it.

Evan Brand:   Yeah, it really helps.

Dr. Justin Marchegiani:   Alright, thanks a lot.

Evan Brand:   Take care. Bye.

Dr. Justin Marchegiani:   Bye.


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