Treating Adult Acne & Rosacea From The Inside Out

Episode 45 41m


Our skin is a reflection of what’s going on with our health beneath the surface; skin problems often signals that something is off in our body. Acne rosacea is an inflammatory condition that affects about 10% of adults. While conventional medicine typically treats acne rosacea by prescribing lotions and potions, Functional Medicine seeks to get at the problem’s root cause. In this episode, Dr. Hyman sits down with Dr. Todd LePine to talk about common drivers of acne rosacea, why it is frequently related to gut health, and how they treat patients with this condition. Dr. LePine graduated from Dartmouth Medical School and is Board Certified in Internal Medicine, specializing in Integrative Functional Medicine. He is an Institute for Functional Medicine Certified Practitioner. Prior to joining The UltraWellness Center, he worked as a physician at Canyon Ranch in Lenox, MA, for 10 years. Dr. LePine’s focus at The UltraWellness Center is to help his patients achieve optimal health and vitality by restoring the natural balance to both the mind and the body. His areas of interest include optimal aging, bio-detoxification, functional gastrointestinal health, systemic inflammation, autoimmune disorders and the neurobiology of mood and cognitive disorders. Dr. LePine teaches around the world, and has given lectures to doctors and patients at American College for Advancement in Medicine (ACAM), Age Management Medicine Group (AMMG), the University of Miami Integrative Medicine Conference, The Kripalu Center in Lenox, MA, and is on the faculty for American Academy of Anti-Aging Medicine (A4M). Dr. LePine is the head of the Scientific Advisory Board for Designs for Health and a consultant for Diagnostic Solutions Laboratory. He enjoys skiing, kayaking, hiking, camping and golfing in the beautiful Berkshires, and is a fitness enthusiast. This episode is sponsored by ButcherBox and AquaTru. For a limited time, new members to ButcherBox can get 2 lbs of free ground beef in every ButcherBox order by signing up today at We need clean water not only to live but to create vibrant health and protect ourselves and loved ones from toxin exposure and disease. Learn more about the AquaTru water filter at a special price at In this episode, Dr. Hyman and Dr. LePine discuss:
  • Acne rosacea triggers including alcohol consumption, small intestinal bacterial overgrowth (SIBO), leaky gut, and more
  • Traditional vs functional medicine treatments for acne rosacea
  • Increased skin mite density in people with rosacea
  • Healing the skin from the inside out
  • Why sun exposure can worsen rosacea
  • How low stomach acid can exacerbate rosacea
  • Foods that can exacerbate and improve rosacea
  • Patient cases

Resources Mentioned

Host & Guests


Automatically generated. Please forgive any typos or errors in the following transcript. It was generated by a third party and has not been subsequently reviewed by our team.

Dr. Todd LePine: Small intestinal bacterial overgrowth is also one of the triggers for rosacea. A lot of patients that you see with rosacea will have irritable bowel type symptoms or bloating type symptoms. And when you do some testing for that and you treat it, that oftentimes will clear up their rosacea. Dr. Mark Hyman: Welcome to The Doctor's Farmacy. I'm Dr. Mark Hyman. That's Farmacy with an F, F-A-R-M-A-C-Y, a place for conversations that matter. And if you got skin problems, you just listen up because this conversation is going to matter to you, particularly something called rosacea, acne rosacea. It's a terrible skin condition. Let's talk about what it is, but if you have it, you know what I'm talking about and it is miserable. And today..

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Ep. 45 - Treating Adult Acne & Rosacea From The Inside Out