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The Role of the Microbiome in Acne and Rosacea

  • Milk protein consumption (predominately whey protein) leads to worsened acne. Pea protein does not have the same effect.

  • Doxycycline use, even low dose, can alter the gut microbiome for up to 6 months. Other antibiotics may alter the gut microbiome for up to 2 years.

  • Acne patients are typically deficient in short chain fatty acids. Spore based probiotics known to produce acetate (a short chain fatty acid) can be an important adjunct in acne management.