Dermatologists often overlook the root causes of skin issues like acne, focusing on quick fixes rather than holistic solutions involving diet, lifestyle, and toxins.
💡 Dermatologists typically provide quick prescriptions without exploring root causes.
🍏 Diet plays a crucial role in skin health, impacting inflammation and hormone levels.
🔍 Lifestyle factors, including stress and hydration, significantly affect skin conditions.
🧪 Toxins from food and environment can exacerbate skin issues and hormonal imbalances.
🌱 Holistic approaches, such as functional medicine, address underlying gut and hormonal issues.
🚫 Harmful skincare products can disrupt the skin microbiome, worsening conditions.
💧 Detoxification through clean water and supplements is essential for skin health.
Dr. Justin Marchegiani: Hey guys, it's Dr. Justin Marchegiani. Welcome to the Beyond Wellness Radio podcast. Feel free and head over to justinhealth. com. We have all of our podcast transcriptions there, as well as video series on different health topics ranging from thyroid to hormones, ketogenic diets, and gluten. While you're there, you can also schedule a consult with myself, Dr.
J, and or our colleagues and staff to help dive into any pressing health issues you really want to get to the root cause on. Again, if you enjoy the podcast, feel free and share the information with friends or family. Dr. Justin Marchegiani And we're live. It's Dr. J in the house with Evan Brand. We're going to be talking about skin again.
I get this topic a lot with hormones or detox, and we're going to be talking about why your dermatologist does not address the root cause of your skin issues, and we're going to connect it to everything clinically relevant. Evan, my man, how are we doing today?
Evan Brand: Doing really well. And you know, dermatologists are not cheap either.
I remember a year ago, my wife just had a couple of tiny things done, and this maybe five, six years ago, and it was seven, eight hundred bucks for like a five minute office visit. And there was no clinical outcome in regards to, hey, do this for your skin with your diet, and make sure you get rid of this fragrance, and make sure your laundry's clean, and make sure you don't use dryer sheets, and make sure you're not doing parabens.
Like, there was none of that.
Dr. Justin Marchegiani: Yeah, my wife got like a A 30 minute consult, I think last year, and they ended up charging over a thousand dollars. I was like, Holy smokes. And, uh, my wife's like, yeah, you think you charge a lot? Holy smokes. I was like, yeah, that's crazy. Uh, and Dr. Justin Marchegiani
Evan Brand: Yeah, that's what it was.
It's the insurance game. And then they agree to, oh, we'll do it for 400. Dr. Justin Marchegiani
Dr. Justin Marchegiani: Yeah, exactly. Like, we'll reduce it by 70 to 80 percent, but we're going to just charge you more. It's just the whole game, the whole game. Now, we look at dermatologists, right? Um, first off, you only can help someone to the degree you have a clinical framework that allows you to look at the root cause.
And so, if I have, let's say I got this piece of drywall, That is moldy. But I don't have a saw. I don't have a sledgehammer. I don't have some kind of like, you know, um, razor blade to kind of cut it out. Then like the, the, the ability and how I'm going to treat that, it's going to be different because the tools and the framework to look at it and address the root cause, those tools are not in my tool basket, right?
And when you go to your average dermatologist. I think back to being a kid and having skin issues, there was like a little like brochure on the desk, right? And I kind of had like your FAQs. And the first FAQ that kind of blew my mind was, your diet does not cause acne, does not cause skin issues. And I think everyone intuitively knows that's just BS, like it doesn't quite pass the smell test.
Like, you kind of have that time of like, I went to McDonald's, I ate a bunch of crap, I eat a bunch of processed food, and my skin got worse. And everyone has that intuition, right? But it's kind of a too good to be true thing. And so when you just neutralize and take diet out of the algorithm and how you look at your patient's health, and that's just not factored in, it's not a part of the algorithm, then you know you're just playing, you know, a game of cards with a half empty deck, so to speak.
Evan Brand: Evan Brand Yeah, well said. And so here's the deal. If you have skin cancer, you suspect you have skin cancer, you have something weird, sure, go to the dermatologist and go get checked out. But the type of issues we're talking about today from a functional medicine perspective and how to resolve that using natural remedies and other solutions, we're talking about Evan Brand We're talking psoriasis.
We're talking autoimmune skin issues, tinea versicolor, and many other skin conditions.
Dr. Justin Marchegiani: Bacterial stuff.
Evan Brand: Evan Brand Yeah. We've had amazing success with that stuff that doesn't require steroids. There's no topical antibiotics we're using. We're hardly using any topicals at all. A lot of this stuff we're fixing from the inside out, and so that's what this is about today.
Dr. Justin Marchegiani
Dr. Justin Marchegiani: 100%. And so, when you look at a dermatologist, their clinical framework for any kind of acne issue is pretty simple. Diet is not part of the picture. Lifestyle, stress, hydration, any of those factors, toxins, because we do know our skin is part of the integumentary system. It's the largest organ in our body.
And so, it plays a major role in detoxification. So, if you're consuming like plastics and phthalates, or pesticides, or, or PFAS, right? Polyfluoroalkyl substances from nonstick pans, heavy metals, chemicals, right? Your skin can be used as a means of detoxification. And so you have to look at toxins in your life.
So let's start with the food first. We know anti inflammatory nutrient dense, good fats, good proteins, making sure we can digest that food is the starting point because food and inflammation plays a major role in your skin. Next is carbohydrate, high levels of insulin from processed fluid, inflammatory food increases sebum production.
on the skin. Sebum is fuel to feed the bacteria on your skin. And so if you have high levels of insulin, that's gonna fuel the bacteria on your skin. It's gonna increase the sebum and then that's gonna cause the bacteria in your skin to grow and then create inflammation, to create cystic acne, to create comedones or whiteheads or blackheads.
And so that's kind of those first two avenues we gotta, we gotta look at.
Evan Brand: Yeah. Dairy, I think is a big, a big issue for most people. I mean, I think it's, I think it's interesting. I think it's cool that raw milk is like a trendy food, right? It's like a hip hipster food. You got your, your, your feet in the grass and you're drinking your raw milk.
I'm sure with that. But I think if you've suffered from chronic skin issues, you should consider getting off dairy for at least a month and see what happens. A
Dr. Justin Marchegiani: hundred percent. I mean, most people do okay with at least ghee. and or then grass fed butter if they tolerate ghee. But then after that, I recommend cutting it out everything for at least a month because dairy can definitely cause mucus and or insulin.
Even dairy with like low fat, I mean, I'm sorry, good fat, low carbohydrate, right? It's still gonna have some insulin secretion. Not that much though, but some. And so we wanna try cutting it out for at least the first month. I have no problem with ghee or butter, but I do have problems with Uh, milk, even grass fed, like raw milk.
And I can do a little bit of cheese, like I can do like one serving of cheese, maybe two a week. So if I have a burger, I'll get like a nice organic piece of cheese on my burger, unless maybe a little bit of lettuce on top, right? I had to get it down to zero for a while before I could tolerate a small amount.
And so, I always tell patients a good solid elimination diet, and sometimes nuts and seeds are an issue. Sometimes that's an issue. Sometimes just too much carbs, even safe starches like potato could be an issue. Now, we like to start the decks, get everything really clean in the beginning, and we can always add things back in.
But if you have PCOS, you know your androgens are really high as a female. Insulin drives elevation in androgens, and androgen then cause more sebum production. So if you're a female, and you have high insulin, and the insulin is spilled over to Causing more sebum. And then with the high insulin, it screwed up your prolactin.
So now your cycle's way off, your timing's off, you have lots of PMS issues, mood, irritability, breast tenderness, cramping, back pain, all that. That's gonna, you know, predispose you to a lot of acne as well. And so we gotta look at kind of that hormonal cascade and how hormones function and dysfunction.
Evan Brand: Yeah. And this can affect your babies as well. So if you're a mother who's breastfeeding and you're eating dairy, that is going to transfer over to the baby. And so we've seen a lot of children, 3, 6, 12 month old babies that have major skin issues. And the first thing we have to do is we have to look at the mom's diet.
So I've seen babies going to the dermatologist. They're getting prescribed pharmaceuticals. They're getting drugs and topicals and things for the baby. It's like, this is crazy. Now there could be some microbiome issues present as well. And so we'll test young babies. We've seen it. 11 month old babies off the chart with mold off the chart with bacterial issues.
And so just because they're young, it doesn't mean they can't already have an accumulation of toxins. In fact, research shows the average newborn is born within the ballpark of 200 manmade chemicals. And this could include the pesticides and other chemicals that damage the microbiome. Of the growing baby.
And of course they don't even have a proper gut barrier yet when they're young. So these skin issues can happen at a very young age. I remember my wife and I went to a chiropractor years ago. This was when I guess she was pregnant with baby number two and she was just getting an adjustment. Then the next day we had Jenna, our middle kid, but I remember the lady at the front desk, he had this little baby.
And a little, a little baby, um, carrier and that kid's face was so red. It was bloody. I mean, it was literally falling apart. I'm like, please let me help you. Please. Let's get a stool test done. So this stuff can strike young. I'd say primarily you and our. talking to probably 20 to 50 year olds, maybe 15 to 50 in this age group.
But I, I do see it very young also.
Dr. Justin Marchegiani: Dr. Justin Marchegiani Yeah. So, I always tell people like, let's look at your philosophy to fixing skin issues, right? And then acne is different than like autoimmune eczema or psoriasis or like topical fungal stuff. Cause sometimes if you have a topical bacterial or fungal thing and you do jujitsu or you're on it, you're in an area where you're getting exposed, that could make sense.
topically as a one off treatment, but, but how do we prevent that more day in, day out, right? And that's where I'd pull in like a 10 percent sulfur soap with a tea tree in there and, and try to have more of a routine every day that, that addresses that holistically. But when it comes down to like dermatologists, for most skin issues, you get your topical antibiotics, right?
You get your, you know, either your benzoyl peroxide, you got your either clindamycin, you got your differin, you get your tetracycline or metrogel, like you got your, all your antibiotic stuff. So, then you have like your retinoids, right? So it could be like a Retin A or like a Retinol, or then you go to the, the full on Accutane which is like an internal Retinol product that's very high dose and Triratogenic, right?
Causes birth defects. And then of course like from there, what else I mean you have? You can burn stuff off, you can laser stuff off, um, but for the most part then it's Tetracycline. Internally, doxycycline internally, or it's your Accutane, which Accutane at high doses just just snuffs out the oil. It just decreases all that oil production, but then now you're gonna be left with chronic dry skin, maybe chronic dry eyes.
And so, you we can do natural vitamin A from food, from from liver, from uh, you know, supplementation from cod liver oil to to improve that and decrease the oil, but you have to fix the insulin, you have to fix the androgens if you're a female, you have to fix the estrogens if you're a male, because you can aromatize just like a woman can increase.
testosterone via 17 20 lyase. Female can do it or male can do it via aromatase. So, just same mechanism or should say same, um, actions and behavior drive different enzymatic pathways. It's funny how the, the sex is a little different like that. So, we have to look at that.
Evan Brand: Evan Brand Let's add a stool test into this conversation now on skin.
So, if you'll pull up this for us, this is just a case study here of a guy that had a lot of skin issues. And, This is a very easy to do test. We can run this on babies as well. We've run literally thousands of these. I know according to the lab that you and I are somewhere in the top 10 worldwide of running the most of these labs.
So, I say that to say we've seen a lot of data. Now, this guy here with skin issues, you and by the way,
Dr. Justin Marchegiani: and by the way, just to say one thing, by the way, chat GPT. We cannot replace our lab interpretation. We've seen a lot of patients coming in, try to put their data in a chat GPT, and get a lab interpretation.
And it's like, I'm sorry, the clinical information of seeing thousands and thousands of patients over a decade, over two decades combined here. It's, I don't think AI has been able to distill that information, maybe good at like pulling out studies and this and that, but getting clinical information, that's uh, not quite there.
Evan
Evan Brand: Brand Yeah, well said. Uh, yesterday, my other practitioner, she had a guy who was arguing that the protocol she made did not match what CHAT GPT spit out. And the reality is, the labs have been giving us somewhat of an AI generated response for a decade. We'll see infections come up, certain labs will say things like grapefruit seed extract or oregano oil or garlic, but it says nothing about that.
about the sequencing of care and what dose is going to be right based on your specific sensitivity. The synergy. The
Dr. Justin Marchegiani: synergy of different supplements, too.
Evan Brand: Yeah. How does the liver stuff interact with the adrenals, with the thyroid, with the gut piece? So, sure. I'm sure you can Google what to take for H.
pylori and you may find herbs to take it, but it's the sequencing of care and it's building up that full protocol. So maybe one day, you and I will be obsolete, but for now, I think we provide an amazing opportunity to help people and we've done it thousands of times, so. There's that. Okay, so, so here's his GMAP.
So, so H. pylori, I mean, that's not gonna be a surprise if we see a skin issue because of the mechanism of reduced stomach acid. And that's gonna affect absorption. So, even if your diet's perfect and you go, Evan, Dr. J, I'm eating carnivore, I'm eating animal based, I heard this is the best way to eat. Why is my skin not better?
Well, because you can eat steak all day and not clear these infections. Diet alone is not gonna clear these infections. His beneficial keystone were okay. As you see here, this is a mess. The opportunistic page three. This didn't look good. You see strep. Morganella is nasty. Klebsiella. Whoa, hold on.
Dr. Justin Marchegiani: So, yeah, I want to look at the levels.
So, the strep, that's about 13x. So, the Morganella, that's, that, that's over a hundred. No, that's over a thousand x. That, that's really bad. That's, that's your biggest one. I'm not worried about the bacillus. Enterococcus is barely even issue. Morganella is insane. That's a thousand. That's insane. Streps a little bit.
Dr. Justin Marchegiani No. Evan Brand Oh yeah. Yeah. Dr. Justin Marchegiani Yeah. No, that's a lie. Because I tell anyone, even it's E1 on the Candida, right? Any level of Candida there is significant, that level of Candida is insane. Evan Brand That is insane. Dr. Justin Marchegiani And that's, that's top 1%. Evan
Evan Brand: Brand And here's, here's the crazy thing.
The dude just eats donations. Basically meat and vegetables. I mean, that's the crazy thing. And I want to just say this and repeat it over and over because I tested Paul Saladino. He's got millions of followers now for talking about animal based eating. We were supposed to do a podcast on it. We didn't, but we ran his labs and I will just say that eating in an animal based form does not fix all the issues in the gut.
And you could eat just like this guy, and you can still have a Candida problem. Now, here's the thing that was interesting. I do think his diet probably helped him because the Calprotectin wasn't bad. Like, his gut inflammation, it wasn't terrible. It was creeping up, but it wasn't terrible. You could see this has probably been a long term issue with the IgA low, but this is how a skin issue could really be investigated and fixed.
If we fix all this stuff here, this guy's gonna be doing amazing. Dr. Justin Marchegiani 100%. We had a couple things here. Josie commented, if I eat cow dairy, I get pimples within two days, ovarian pain, pimples. So, yeah. And then, uh, Grace said her exclusively breastfed baby started getting eczema all over her body at three months.
She had candida, figured it out through the GI map, and oh, she was on strict low salicylate AIP. How and why does a baby get candida?
Dr. Justin Marchegiani: So, first off, um, With eczema, it's very common at two to three months. People forget, but a baby's gut is leaky for at least the first year of their life. That's why even the, the APA, American Pediatric Association, doesn't recommend any solid food until six months.
So, there's a gut permeability issue. And then also, I mean, what's the mom eating? The mom may be eating some foods that are healthy, but the baby's immune system may be interacting with it. Maybe eating eggs, maybe eating nuts or seeds. With my kiddos, My youngest son, Hudson, he had a full blown eczema issue, and my wife had to go full autoimmune to help it.
Now, in the beginning, when you have eczema and it flares, sometimes you may need a gentle immunosuppressant just to calm it down. And so, like Eucrisa or like Elodel, which is like a taco or picolimus product, can be helpful as like a one off just to calm it. And then you get to the root underlying issue.
And then also, hydrating the tissue can be helpful because eczema is like gets dry, and then if you don't hydrate it, then the dryness creates more itchy, the itchy creates more inflammation, the inflammation creates bleeding, and so it's this vicious cycle. You have to kind of know, okay, there's a loop there I gotta break, and you can break it with good hydration, you can break it, the root cause is diet, the root cause is actually probiotics too, and getting the inflammation down.
With babies, you're limited in what you can do. You can't do a gut killing protocol, so you have to work on probiotics and diet, maybe even some saccharomyces and and extra infantis, and really get the mom's diet super tight. And that may even include cutting out all salicylates and being full autoimmune.
But we gotta clinically look at their guts, organic acids, their diet, making sure they're good, they're regular too.
Evan Brand: Evan Brand Yeah, I've seen babies that have Candida at three months old. That's not super rare, and it depends on what's happening with mold. So, I would also look at mold toxicity in the mom, I would look at mold in the baby because I could probably find it, but I had an 11 month old.
It was completely off the chart. So we tested the baby and the mom actually had one quarter of the levels that the baby had. So the babies ended up being more of like the, unfortunately, moms appear to dump the toxin load over to the baby. So the babies actually test higher than their mothers. And so we're doing binders and binders in a small child has been.
incredibly successful and totally fine. And in a lot of cases, it does help the skin. It definitely helps the colic. It definitely helps the behavior. It definitely helps the skin complexion. So, I think it's a great strategy. And I think if you were to go low dose on some killers for a young baby, it's okay.
Like a little bit of the microbe formulas we use, they're okay in liquid. Dr. Justin Marchegiani though?
Dr. Justin Marchegiani: At what age? Evan Brand Six
Evan Brand: months. Dr.
Dr. Justin Marchegiani: Justin Marchegiani Yeah. I mean, I think if you did it, you want to do it by weight and do like, you know, a liquid so you can drop it in, right? But early on, I would just really focus on probiotics.
Also, it's like, moms are, you know, getting lots of antibiotic exposure themselves, right? Are they taking antibiotics due to group B strep? Um, did the baby get the erythromycin on the eyes? Uh, does the mother have some vaginal pH imbalances? Maybe there's a little bit of yeast stuff and it was a vaginal birth, right?
And then there's some stuff there. So, you know, is is the mother eating a lot more sweets or carbs and passing, you know, higher sugar breast milk to the baby, right? All these things could be at play, so you got to look at each situation individually.
Evan Brand: Yeah. So for your, your 20 to 40 year old, that's like, why am I eating great?
And my diet is still not perfect. Get the GI map done first. You got to get the organic acid as well because the oats going to find things that the stool can't. So it's not like a one or the other. I'd really do both budget wise. It's less than a really nice TV. You can get both tests done and you're going to have an amazing amount of data on yourself that you're never going to get done at the dermatologist.
They're not going to run an oat test. If you're a dermatology, uh, Provider and you're listening and you're running out test contact us. We'll interview you. That'd be fun, but I haven't seen it happening.
Dr. Justin Marchegiani: Dr. Justin Marchegiani Yeah, no, a hundred percent. And then also too, you know, so many kids, they, they end up getting ear infections, sinus infections, because kids really, I mean, even my five year old can't really blow his nose well, right?
I mean, he, he sucks up his snot versus blows it out. And he's just like, It's just gross. And I'm, I take him over, we do the X layer, we flush out his nose, and it's amazing all the crap you get out. And so, if you don't really get your kid's mucus out, you can easily get nose infections, ear infections, and that thing creates antibiotics.
And that starts, like, this starts some of the acne stuff early on, because now you got this gut imbalance that starts super young, and now the gut's out of whack, that can impact detoxification, nutrients, so that, that just sets you up for more skin issues down the road.
Evan Brand: Yeah, it's unfortunate. I think back, I remember being in my grandma's kitchen and her trying to teach me how to swallow pills and it was some sort of antibiotic when I was a young kid and my acne as a teenager was terrible.
I never once got probiotics as a teenager. Our kids are so lucky now that they get exposure to us and the stuff we're pumping into them like they're so far ahead of where we were at this age. I don't know about you, but man,
Dr. Justin Marchegiani: it was not good. Dr. Justin Marchegiani Yeah, I had all kinds of ear infections as a kid, man.
Never as an adult. Only one swimmer ear as an adult. Um, And that was from my cold plunge. But outside of that, I mean, not in 20, 25 years, all diet induced. And also, too, um, I mean, I can have, I have memories, man. Thinking back to, do you remember because I had so many ear infections as a child? I can remember the taste of the bubblegum penicillin liquid.
Do you remember that? Remember the bubblegum flavor penicillin, dude? Or a penicillin. I can, I can remember it right now. It's crazy. I know. I know. It's a point. It's funny too because I did the, um, the bubble gum flavored, um, Exlear mouthwash, not Exlear, Xyla White mouthwash. It's great. I got it for my kids because my kids don't like minty stuff, but I did it last night.
It's a great mouthwash. Good herbs in there. Good essential oils. But I did it. It brought me right back to the penicillin because of the, uh, the taste brought me right back.
Evan Brand: I don't know if I want to be brought back. Dr. Justin Marchegiani
Dr. Justin Marchegiani: Yeah,
Evan Brand: probably right back there. Evan Brand Yeah, so that's a good point that you make, which is like, how and when and why do these things get derailed?
Because we could be in our 20s or 30s and we're like, oh, but I haven't done antibiotics in 10 years. It's like, yeah, but have you ever actually fully balanced out your gut? Because eight, maybe 10 people we see have some level of dysbiosis in their gut. This is not a rare problem
Dr. Justin Marchegiani: at all. Exactly. And then also water too.
So if we're drinking crummy water with lots of chlorine, lots of maybe microplastics or different homeopathic levels of drugs or, you know, fluoride, who knows, right? These things can irritate the skin. They can throw off the skin microbiome. And that's why at least having a shower filter that's going to filter out chlorine, a good activated charcoal carbon base filter to get the chlorine out at least is going to be very helpful on the water.
Also take a look at your shower head. I had a couple of patients in the last few weeks that opened their shower head up and it was like moldy in it and black. And so they cleaned it out. They soaked it in vinegar, had a big improvement. You could also just go to Home Depot, get a 20 head. I mean, if it's the head's not draining well, that water can accumulate.
There's going to be some carbohydrate in there. And it's going to grow mold. So I've seen moldy water in the head of their shower be a thing.
Evan Brand: That's, that's a good point about shower filtration. We have a whole house water filter. I know you do as well. So that is a good strategy. If you can, if you can't, you can get shower filters.
Now, um, let's just look at this real quick for fun too. So if you could pull this up for us, this is regarding water. So the EWG top water database, I just put in a seven, eight, seven, four, one. That was our, uh, Austin zip code. And so there's a lot of people there now. And. 12 contaminants were detected. I'm sure there's more, but when you scroll down, you could look at these different, different chemicals, anything from chloroform to hexavalent chromium to dibromoacetic acid.
I mean, this is, this is crazy stuff. Haloacetic acid. Now this is not saying skin issues. This is saying Cancer, cancer, cancer, cancer, cancer. Obviously that's terrible. Uh, and then look here, they tested a bunch of contaminants. So anyway, this is why like you really, really have to do at least an activated carbon system.
They'll show you here that even an activated carbon system is going to take care of most and RO of course takes care of everything. So. If you're still drinking tap water, here's the thing that's crazy, man. So I remember years ago, um, my wife and I went to like a friend's Thanksgiving party down in Austin and they knew what I did and they knew I was into health and all that.
And the girl and a couple of her friends that was at this party, they wanted to like bully me and make fun of me that I wouldn't drink tap water. I would travel with my own stainless steel water bottle and she'd go, look, and she'd turn on the sink and just, and just chug straight from the tap. And she's like, look, I'm fine.
And it's like, yeah. You totally are not getting it. This is not an acute death, obviously. Evan Brand Long term toxicity, parts per billion is enough to damage the good microbes. So, yeah, I'll never forget that. Dr.
Dr. Justin Marchegiani: Justin Marchegiani Yeah. I mean, we know alcohol is not good for you, but in general, would a glass of wine hurt you?
No, absolutely not, right? This is a cumulative type of thing that adds into your stress bucket over time, right? But let's just add one more component here. Check this out. Let me know when you can see this.
Evan Brand: Marchegiani
Dr. Justin Marchegiani: Right. So, this is here looking at toxic herbicide in most Texans water over half, right?
Texas is a little over 20 million right here. Over 10 million people have greater than the EPA safe limit of atrazine, which is a toxic herbicide. And this is also a sex hormone mimicker. So it can massively screw up your hormones. So this is in most people's water supplies in the state of Texas, over 30 million.
Across the country, right? And this is really bad. This is
Evan Brand: crazy. Yeah. I mean, Alex Jones has talked about that for a decade and he's right. It does affect frogs. It affects swans. Like there's even
Dr. Justin Marchegiani: been. It's there, man. This is environmental working group. It's a hormone mimicker. Like these drugs are designed to kill.
The reproductive system of the various weeds or microbes in the soil and the fact that they're not going to have an effect on our hormones. Remember, hormones are measured in like parts per billion, right? Parts per trillion, right? Nano and pico, right? I'm pretty sure pico may be trillion, right? That's like e to the 12.
And so, that's a really small number. And so, We're talking about like grains of salt in a swimming pool. Okay, that's the level that we're at. So, when we go into like nano, it's like grains of salt in a swimming pool. So, it doesn't take much to screw up your hormonal system. Evan Brand And we've known
Evan Brand: about this for a while.
Shout out to Rachel. Carson, the author of Silent Spring. This book was published in September of 1962, guys, over 60 years ago, documenting the environmental harm caused by pesticide use and the chemical industry as a whole. So, let's see. She was born. Oh man. So she died young, 56 years old. She died in 64.
So she just kind of warned us and then disappeared. But, uh, silent spring, if you want a good book, I mean, there's newer books, but that one was really one of the biggest, I guess, maybe the wake up call. In the sixties to say, Hey, like these chemicals are a problem. But unfortunately, if you look at the 2019 is the 2019, I think is the latest, maybe there's a 2020 map out there, but the map of pesticide use on the U S is still hundreds of millions of pounds per year.
So we're really not making much progress. You still have a dead zone. I don't know if you know about this. There's a dead zone in the Gulf of Mexico, right where the Mississippi flows into the Gulf. I think it's five to 6, 000 square miles where there's such low oxygen In the water, the fish can't survive.
So it's a tangent from skin issues. But to point out that there's still a lot of environmental toxicity that is affecting us. If you live in these communities, if you live in places where they spray, I just had a client in Europe yesterday. I was looking at her address on Google maps and it looks like a bunch of orchards and they spray by plane.
It's like, so she's definitely getting hit. I don't care if you have air purifiers in your windows or shut. If there's a plane dropping chemicals right next door, you're going to get exposed to this stuff. Dr. Justin Marchegiani
Dr. Justin Marchegiani: Yeah, and I just want to kind of keep it on topic and not, I want to make sure these, these tangents kind of come back to the root.
Okay. If your hormones are off, that's going to impact your skin. If your hormones are off and we add toxins in the impact your hormones that also impacts the toxification, your skin is one of the biggest organs of detoxification. And we talk about water, whether it's mold in the water, different irritants in the water like chlorine that can impact the microbiome of the skin or the skin microbiome, or whether it's hormones that impact our hormones that impact our skin.
how the oil and the sebum production on the skin, all these things can be at play. And especially when most women are estrogen dominant and estrogen dominance throws off, creates PMS and hallmark symptom of PMS is going to be some kind of skin issue. We want to be able to connect the dots. I think we can, you know, drive next would be, um, maybe into gut health.
Let's kind of take it there. Digestion.
Evan Brand: Yeah. So I'm glad you hit that too. And you brought it all back. The main finding is that remember the mechanism is the chemicals. They damage the good microbes. Okay. So if you're like, um, eating a bunch of strawberries, they're not organic. The chemicals are damaging the good microbes.
The good microbes equal good skin, bad bugs equals bad skin. In general, that's an oversimplification, but in general, bad bugs, more skin issues, good bugs, better skin, but the good bugs have to be preserved, meaning not killed by pesticides in the food supply or in your local environment, but regarding the infections, you know my story with parasites.
Parasites affect the skin quite a bit as well, so we're going to test for these parasites on the stool test. That case study we looked at, you saw bacteria. We did not see parasites, but we did see Candida. And so, if you have a fungal infection or a bacterial infection, we're gonna use herbs to knock those down.
And it's very, very cool because some of these herbs are anti inflammatory. So, they might be antimicrobial, but they're also anti inflammatory. And so, you may see skin progress very quickly just by helping to reduce the inflammation in the gut that these pathogens are causing.
Dr. Justin Marchegiani: Dr. Justin Marchegiani, M. D.:
A hundred percent. And then also just real quick, um, You know, there are protocols we can do on the skin. I'll talk about the favorite ones that I use with patients, but don't get me wrong, skin care topical things can help. It can help maybe 20 to 30 percent, but when you go to your dermatologist, one, they do things that actually negatively impact the microbiome.
They give, if they go with oral antibiotics, that may make sense acutely if You're not seeing a functional medicine practitioner. You have massive inflammation, you're, you're potentially scarring. That may make sense. But ideally, don't wait till the fire is like raging. Get on top of this before. Um, but that way we can come in there and start gradually fixing things because it does take a little bit of time to turn that cruise ship around.
The cruise ship's going 10 knots, it takes some time to slow it down and, and pull a 180.
Evan Brand: Evan Brand
Dr. Justin Marchegiani: Yeah, so let's, I
Evan Brand: think it'd be helpful, I want to hear from your perspective if you were to do a pie chart of skin issues, how would you break that pie chart down in terms of root causes, or maybe things that can benefit you, you'd say 20 30 percent topical, what about the rest?
Dr. Justin Marchegiani
Dr. Justin Marchegiani: Yeah, and so, any patient listening, they know, sulfur soap, 10 percent because sulfur soap 10 percent with salicylic is going to help exfoliate the skin. Salicylic comes from white willow bark. Uh, sulfur comes from volcanic ash. So it's natural. It's been in the peer review literature for over a hundred years.
It's gentle. Um, you can add the, the sulfur soap with the, um, um, tea tree in there if there's more fungal stuff or bacterial stuff, but 10 percent sulfur with salicylic acid, we're going to be doing a witch hazel base toner afterwards. Very clean, um, gets the the pores more pH, uh, gets the pores cleaned out.
pH balances the skin, so it keeps the microbiome on the skin really good. And then we use a good healthy fatty acid. My favorite is emu oil. It's gonna work amazing at hydrating the skin. It's a one out of five on a commonogenic scale. Does not clog the pores. They use it in burn victim units for, um, inflammation on the skin for third degree burns.
And so, it's very receptive when your skin's inflamed. You don't want an oil that's gonna inflame your skin. So, emu oil's kind of stood the test of time in regards to inflammation.
Evan Brand: Evan Brand That's awesome. Uh, do you do emu oil just ongoing? Just like a maintenance for your face? Dr. Justin Marchegiani
Dr. Justin Marchegiani: I do it every single day.
Love it. That's what I use on my skin. I use the exact routine. I don't recommend anything typically that I have not tried or I don't do on a regular basis. So, emu oil is, is my favorite. And the witch hazel is just the best, man. And you can use, and again, it's a toner witch hazel. I'll put some of the links in the chat here, um, what I recommend.
Um, but that's, that'll be helpful. I'll put that in the chat as we're going here.
Evan Brand: Yeah, I've used the There's a couple different versions of the witch hazel. There's like an alcohol free. I mean, that's what you want. Okay.
Dr. Justin Marchegiani: Yeah, that's what you want. Like there's a big brand out there, Thayer's. I like Hyalogic in there because it's a little bit more hydrating.
Um, and it's clean, good nutrients. Witch hazel has been around forever. It's straight witch hazel is wonderful for bug bites, but we'll use a witch hazel based toner, which is going to be a little bit more. Uh, gentle. And I'll put the exact links in the chat. Also, um, one thing I do as well to help with the toxification that works wonderful is we add in a activated charcoal bentonite clay face mask.
And we'll leave that on once or twice a week or 15 to 30 minutes. And that pulls toxins out of the skin. Then we rinse it off with the sulfur soap, then do the toner afterwards. And, you know, maybe once to twice a day. I mean, for females that are wearing makeup, definitely twice a day. If you're doing a lot of sweating.
Or you're in a job where you're getting dusty, then you probably want to do twice a day. If not, you can just do it once a day. And I'll put some recommended things in the chat here right now so you guys have it. Evan Brand I swear sauna, saunas help my skin too. Dr. Justin Marchegiani Oh, yep. Because that's just pushing stuff out, right?
It's allowing that sweat to come in and push stuff out. And if you're doing like an infrared sunlight, that um, that um, infrared light is very anti inflammatory, very healing. If you do red light, red light's very healing as well on the skin too.
Evan Brand: Evan Brand Yeah, that's cool. And so, okay, so I want to hear the rest of your pie chart.
So 20 to 30 topical, what else? Dr. Justin Marchegiani
Dr. Justin Marchegiani: Topical. And again, uh, you can definitely have a crummy diet and some gut issues and it can make up for it more in some people. But next is going to be diet. Like you need to have really good anti inflammatory nutrient dense, good fatty acids in your diet.
And again, if you're getting exposure to lots of glyphosate, glyphosate was originally patented as an antibiotic. So that's gonna negatively impact your microbiome. Uh, and then I would say hormones after that, it's gonna be a combination of insulin resistance, estrogen dominance, estrogen in men too, because that's creating more of the sebum.
And then I would say on top of that, probably a 10 20 percent on the detoxification. Um, being able to excrete these toxins. That's why sauna could help. Just getting more hydration, clean water in there. Maybe adding in some NAC or some milk thistle, just some gentle things, um, for the liver. Glutathione.
Gentle things for the liver and gut. And then, of course, we can do topical things, whether it's like an activated charcoal, bentonite, claymax, to pull things out topically. But we wanna also make sure we're doing it internally. And of course, organic, no hormones, all that's good, because that takes more toxins off the liver.
Yeah,
Evan Brand: awesome. And then we can look at what's called beta glucuronidase on the stool. That'll impact hormones as well. So just get the workup done. If you need help clinically, you can reach out to us. Dr. J and I both do consultations worldwide, so justin health.com. You can reach out and we can get a workup done on you.
I'm at evan brand.com. So Dr. J Justin Health. Me, EvanBrand. com reach out to us. If you have these issues, maybe you've already been through several different doctors or practitioners or dermatology experts, and they just can't fix you. We're going to look at everything. And I think. Hopefully, this is already clear, but the stuff you put on your skin and in your clothing affects you as well.
So if you're still using scented laundry products, any synthetic soaps, shampoos, like, please clean all that junk up. I want you to fragrance free everything.
Dr. Justin Marchegiani: So we talked about the detoxification stuff, uh, hydration, talked about different supplements, um, but again, any kind of toxin, right? Whether it's dryer sheets, any fragrance in your laundry.
Cut that out. Any Glade plugins, any Febreze stuff, right? Good air filtration. What are the things that hang in the car? The little trees? Oh, they're so nasty. Little trees. Yeah. What are they? What are
Evan Brand: they? They call them little trees. No. Yeah. They're called little trees. No. Little toxic trees. I promise you.
Dr. Justin Marchegiani
Dr. Justin Marchegiani: Yeah. They're called little trees. Crap. You're right, dude. Little trees. Okay. Good. I'm like, all right. I'm not making that up. So little trees. Yeah. So stay away from that junk. Uh, and then also to, um, why is your MD most of the time going to be inefficient? One, those drugs they use topically can be very hard.
very harsh on the skin. Okay. Whether it's the azelaic acid or the retin a or the antibiotics, and a lot of times they can negatively impact those, the skin microbiome over time. And they're not making any diet changes. They're not fixing or upregulating the toxification. They're making zero lifestyle changes, better clean water, avoiding toxin in the environment.
They're doing all these same things themselves. Some people can respond well to a topical clindamycin, to a topical different. They can do well. So you have some people that have great stories and dermatologists will take these kids and the people and they'll say, Hey, look, we help this person. That's great.
But there's so many that aren't getting helped. And the average time a dermatologist spends on a patient. I had someone that walked in literally in with the dermatologist for 10 seconds, looked up at him, said, all right, acne, clindamycin, antibiotic, blah, blah, blah. Tetracycline, here you go. And literally walked out.
The whole interaction was 30 seconds. There was no, hey, what's your diet like? What do you do for hydration during the day? How's your sleep? Like, what, what about toxins? It was not even any conversation. It was just look up, went right down to the prescription pad. Here you go. Next. And so that type of methodology and interaction is going to be totally inefficient to ever fixing the issue long term.
Evan Brand: Amen. Amen. Tess, don't guess with your health. Let us help you get a functional medicine workout. We'd love the opportunity to help you reverse your skin issues because at the end of the day, this helps you make more money and be more successful because you feel better about yourself. Your confidence is improving.
You seek out that new job. You seek out that raise. You seek out that beautiful girl, that beautiful man. Like skin is important. I mean, it is a vanity thing, but the vanity changes your confidence. How you put yourself out into the world and how you perceive yourself is going to. I mean, that, that changes everything.
So this is, it's important. Dr. Justin Marchegiani
Dr. Justin Marchegiani: Your skin's a mirror of what's happening on the inside of your gut, inside of your hormones, inside of your microbiome. Dr. Justin Marchegiani And again, we'll put pin comments down below, if you guys want to see the exact things that we typically recommend.
But obviously, reach out to Evan, EvanBrand. com. Evan sees patients worldwide. Again, we can do gut testing, we can do detoxification, we can look at your hormones. These are all good options that Evan has access to, as well as myself, Dr. J, JustinHealth. com. We see patients. Links down below for you guys if you wanna dive in.
And if you enjoy this podcast, please share with a friend or family that could benefit. That's my man. Have a great day, man. Dr.
Evan Brand: Justin Marchegiani Cheers, man. Merry Christmas. Dr. Justin Marchegiani Oh, Merry Christmas, brother. You too, man. You
Dr. Justin Marchegiani: take care, man.
Evan Brand: Dr. Justin Marchegiani Bye
Dr. Justin Marchegiani: bye. Dr. Justin Marchegiani Talk to you soon.
Bye.
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