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April 1, 2025 • Gut-Skin Connection

Is Your Acne Starting in Your Gut?

Research shows the gut-skin axis plays a key role in inflammatory breakouts. Here's what to look for.

Illustration showing the connection between gut health and acne

The Gut–Skin Axis Explained

There's a growing body of research connecting the health of your gut microbiome to the clarity of your skin. This relationship — known as the gut–skin axis — suggests that inflammation, nutrient absorption, and immune responses triggered in your gut can directly impact breakouts on your face, back, and chest.

When your gut barrier is compromised, toxins and food particles can leak into your bloodstream — a condition often called intestinal permeability or "leaky gut." Your immune system reacts, inflammation spreads, and your skin wears the evidence.

What Causes Gut-Driven Acne?

  • Diets high in processed sugars and seed oils
  • Overuse of antibiotics or long-term medications
  • Imbalanced gut flora (dysbiosis)
  • Chronic stress, which alters digestion
  • Hormonal changes worsened by poor nutrient absorption

Signs Your Gut Might Be the Root

  • You experience bloating, gas, or irregular digestion
  • Acne flares after high-sugar or dairy-heavy meals
  • Topical skincare doesn't make a dent
  • You have a history of antibiotics or gut issues
  • Your breakouts flare with stress

What You Can Do Today

  • Start with a gut-friendly, anti-inflammatory diet
  • Reduce sugar, dairy, and processed foods
  • Add fermented foods and a broad-spectrum probiotic
  • Address stress: breathwork, sleep, nervous system care
  • Start tracking your gut–skin connection with a simple log

Dr. Sarah Johnson

Functional Medicine Practitioner specializing in the gut-skin connection. Dr. Johnson has helped hundreds of patients resolve chronic skin conditions through targeted gut healing protocols.

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