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Beyond the Surface - Skin Community
SKIN / bio-markers
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All of these are applicable to both men and women. 1. Hormonal Assessment https://discord.com/channels/1169738819688468501/1179956664221311066 https://discord.com/channels/1169738819688468501/1179983578671628348:
  • Androgens: Elevated levels can stimulate sebum production, leading to acne.
  • SHBG
  • Estrogens (particularly Estradiol) and Progesterone: Imbalances can affect skin health. Oestrogen/Progesterone ratio.
  • Hormone (LH) and Follicle-Stimulating Hormone (FSH): Important for understanding overall hormonal balance. FSH/LH ratio.
  • Cortisol
  • DHEA/DHEAS
  • DHT
  • Androstenedione
  • Growth Hormone (GH)
2. Nutritional Status https://discord.com/channels/1169738819688468501/1179948530878648430:
  • Vitamin D: Deficiency can impact skin health.
  • Vitamin A: Essential for skin repair and maintenance.
  • Serum Iron, Ferritin
  • Zinc: Low levels can exacerbate acne.
  • Selenium
  • B12 & Folate
  • Magnesium
3. Blood Sugar and Insulin Sensitivity https://discord.com/channels/1169738819688468501/1179956411858427954:
  • Fasting Blood Sugar: To check for glucose levels.
  • HbA1c: Provides an average of your blood sugar levels over the past 2-3 months.
  • Fasting Insulin: High levels can influence androgen production and are linked to acne.
  • Fasting IGF-1: Implicated in stimulating sebaceous gland activity and increasing sebum production, which are key factors in acne development.
  • Lipids - too low can also cause issues
4. Inflammation Markers https://discord.com/channels/1169738819688468501/1179979315622973490:
  • Erythrocyte Sedimentation Rate (ESR): Another marker for inflammation.
TODO: HAIR TRACE MINERAL ANALYSIS?
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5. Liver Function Tests https://discord.com/channels/1169738819688468501/1179964185203974204:
  • Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST), ALP: Liver health can influence hormonal balance and detoxification.
  • Bilirubin: High levels might indicate liver dysfunction.
6. Thyroid Function Tests https://discord.com/channels/1169738819688468501/1179956298041807009:
  • Thyroid antibody tests
  • TSH, Free T3, Free T4: Thyroid imbalances can affect skin health.
7. Gut Health https://discord.com/channels/1169738819688468501/1179978160717172776 https://discord.com/channels/1169738819688468501/1179948878267678832:
  • Stool tests:
    • Fecal occult blood test
    • Stool pH test
    • Comprehensive stool analysis
    • Gut microbiome tests
  • Intestinal Permeability Tests
  • Celiac disease tests (blood)
  • Urine tests:
    • Organic acids test
    • Intestinal permeability (leaky gut) tests
  • Endoscopy and colonoscopy
  • Hydrogen and methane breath tests: These tests can diagnose SIBO (small intestinal bacterial overgrowth), which has been linked to increased inflammation and may contribute to acne.
8. Food/General Sensitivity/Allergy Tests - although elimination of that food is key to determining if you have an intolerance that you need to avoid until you heal your gut https://discord.com/channels/1169738819688468501/1179948804116598804/1179948804116598804:
  • IgE tests (allergies) - blood and skin prick
  • IgG tests (sensitivies) - see "Consumption - Foods Intolerances" for trials and findings
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