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Tag: dysbiosis

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By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Acupuncture, Advanced Practice Registered Nurses (APRN), Chiropractic Care, Diet, El Paso TX, Gut Health, Therapy , , , , , , , , , , , , , , , , , , ,

Gut health made simple: A step-by-step gut reset guide

Gut health made simple: A step-by-step gut reset plan guide

How Dysbiosis Starts, How to Rebalance, and How Integrative Care Supports Recovery

Your gut holds trillions of microbes that help break down food, protect your gut lining, train your immune system, and even influence mood and energy. When helpful and harmful microbes fall out of balance—too many “unhelpful” species and not enough “helpful” ones—you get dysbiosis. Dysbiosis can look like gas, bloating, irregular stools, food sensitivities, skin changes, fatigue, or brain fog. The important part: your daily choices and your care plan can push the gut back toward balance. (Penn State Health, 2018; Cleveland Clinic, 2022). (Penn State Health News)

This article keeps things simple and actionable. You’ll learn how and why dysbiosis starts, how specific habits can fix it, and how an integrative chiro-medical team can connect gut health with musculoskeletal recovery, stress care, and, when needed, imaging and documentation.

Dysbiosis in Plain Language

Dysbiosis means the gut ecosystem is out of balance. That can be too many of certain microbes, not enough of others, or lower overall diversity. Diets high in sugar and ultra-processed foods, repeated antibiotics, alcohol and toxins, stress, and short sleep can all nudge the gut in the wrong direction. (Cleveland Clinic, 2024; Better Health Channel, 2023; USDA ARS, 2025). (Cleveland Clinic)

Think of the gut like a garden. Fiber-rich plants feed “good” bacteria, helping them grow and produce protective compounds. Ultra-processed foods are like empty soil—little to no fiber—and may include additives that disturb the gut barrier. Antibiotics (essential when needed) can clear infections but also sweep away helpful species, opening space for invasive strains until balance is restored. Stress and sleep loss tilt the brain–gut axis toward poor motility and inflammation. (Healthline, n.d.; Cleveland Clinic, 2023; Cleveland Clinic, 2024). (Healthline)

SIBO: A Special Case of Dysbiosis

Small Intestinal Bacterial Overgrowth (SIBO) happens when bacteria overgrow in the small intestine—a place that normally carries far fewer microbes. SIBO can cause bloating, fullness after meals, diarrhea, weight loss, and nutrient problems. The usual care includes treating the root cause (like slow motility, adhesions, or structural loops), correcting nutrition gaps, and using targeted antibiotics when appropriate. (Mayo Clinic, 2024a; Mayo Clinic, 2024b). (Mayo Clinic)

SIBO often recurs if the underlying driver isn’t addressed. That’s why an organized plan (nutrition + motility support + follow-ups) matters. Breath testing can help, but it has limits; clinicians weigh test results with symptoms and history. (Mayo Clinic Professionals, 2024). (Mayo Clinic)

How “Bad” Bacteria Gain Ground

Unhealthy bacteria flourish when the environment favors them. Three common patterns:

  1. Fiber-poor, ultra-processed diets
    Helpful microbes eat plant fibers and resistant starches from beans, whole grains, fruits, and vegetables. When meals lack fiber and rely on refined flours, added sugars, and certain additives, beneficial species starve while opportunistic ones thrive. (Cleveland Clinic, 2023; Nova, 2022). (Cleveland Clinic)
  2. Antibiotics and antimicrobial exposure
    Antibiotics can be lifesaving. They also reduce helpful species. During recovery, “unhelpful” species can take over unless you rebuild the ecosystem with food-based fiber and, in some cases, probiotics. (Cleveland Clinic, 2024). (Cleveland Clinic)
  3. Stress and sleep loss
    Chronic stress and short sleep change motility, increase gut permeability, and alter immune signals, pushing the biome toward imbalance. (Cleveland Clinic, 2022; Better Health Channel, 2023). (Cleveland Clinic)

What the Science Says (Quick Tour)

  • Diet is powerful. Changes in what you eat can shift the microbiome’s makeup and activity—sometimes within days. Diverse plants and resistant starches support short-chain fatty acids (SCFAs) like butyrate, which help protect your gut lining. (Singh et al., 2017; Nova, 2022; Washington Post, 2025). (PMC)
  • Fermented foods help many people. Yogurt with live cultures, kefir, kimchi, and sauerkraut can increase microbial diversity. Not all fermented foods contain live microbes (e.g., some breads and beers), so check labels for “live and active cultures.” (Cleveland Clinic Magazine, 2023; Health.com, 2025). (magazine.clevelandclinic.org)
  • Small steps add up. Simple upgrades—more plants, fewer ultra-processed foods, steady sleep—can move digestion and comfort in the right direction. (Penn State Health, 2018). (Penn State Health News)

A Chiromed-Style Gut-Reset You Can Start This Week

Goal: build a friendlier environment for helpful microbes and a calmer gut-brain axis. Keep it simple and repeatable.

1) Plant-Forward, Not Perfect

  • Aim for 4–6 cups of colorful vegetables and fruit most days.
  • Include beans or lentils at least 4 days/week.
  • Choose whole grains like oats, barley, quinoa, and brown rice.
    These foods feed microbes that make SCFAs, which help calm inflammation and seal the gut lining. (Nova, 2022; Washington Post, 2025). (PMC)

2) Fermented Food “Starter Pack”

  • Daily yogurt or kefir with live cultures.
  • Kimchi or sauerkraut as a spoonful on bowls, tacos, or salads.
  • Optional kombucha (watch added sugar).
    Look for “live and active cultures.” (Cleveland Clinic Magazine, 2023; Health.com, 2025). (magazine.clevelandclinic.org)

3) Swap the Usual Suspects

  • Replace sugary drinks with water or unsweetened tea.
  • Swap white bread/treats for whole-grain options.
  • Keep ultra-processed snacks for rare treats, not daily habits.
    These swaps support diversity and reduce the additives and refined sugars that disadvantage helpful microbes. (Cleveland Clinic, 2023). (Cleveland Clinic)

4) Stress & Sleep—The Hidden Drivers

  • Walk 20–30 minutes most days; add 2 short strength sessions weekly.
  • Breathe: 4–6 slow breaths/min for 5 minutes, especially before bed.
  • Sleep: target 7–9 hours with a consistent wind-down.
    Stress and sleep shape motility and the gut barrier, which are key to lasting results. (Cleveland Clinic, 2022; Better Health Channel, 2023). (Cleveland Clinic)

5) Medications—Partner With Your Clinician

If you need antibiotics or other meds that affect the gut, do not stop them on your own. Ask about food-first strategies (fiber, fermented foods) and whether a probiotic is reasonable in your case. (Cleveland Clinic, 2024). (Cleveland Clinic)

6) Hygiene Basics Still Matter

Wash hands, rinse produce, and avoid cross-contamination in the kitchen to lower exposure to harmful bacteria. (Better Health Channel, 2023). (Better Health Channel)

What If You Suspect SIBO?

Talk with your clinician if you have persistent bloating, abdominal pain, diarrhea, unintended weight loss, or symptoms that wake you from sleep. Testing and treatment are individualized. If SIBO is confirmed, nutrition is often phased: address overgrowth and root causes first, then gradually re-expand fiber and fermented foods under guidance to support a resilient microbiome. (Mayo Clinic, 2024a; 2024b). (Mayo Clinic)

Where Chiropractic and Medical Care Fit (The Chiro-Med Advantage)

Many Chiromed readers also deal with neck or back pain, sports strains, work injuries, or motor-vehicle accidents (MVAs). Pain, poor sleep, and high stress can worsen gut symptoms through the brain–gut axis. A coordinated chiro-medical model can address both fronts at the same time.

1) Dual-Scope Assessment and Imaging (When Indicated)

A combined clinical exam can separate joint, nerve, and soft-tissue drivers of pain. When needed, X-ray or MRI helps confirm the picture so your plan is safe and specific. (Jimenez Clinic Site; A4M profile). (El Paso, TX Doctor Of Chiropractic)

2) Conservative Therapies That Calm the System

  • Spinal adjustments to improve joint motion and ease nerve irritation.
  • Targeted exercise therapy to restore mobility and strength.
  • Massage therapy for soft-tissue pain, circulation, and relaxation.
  • Acupuncture (when available) for pain relief and stress reduction.
    These approaches can reduce pain and nervous-system “overdrive,” which often helps gut comfort too. (Sciatica.clinic articles, 2025). (sciatica.clinic)

3) Nutrition & Lifestyle Coaching Built Into Care

An integrated team can translate gut-friendly science into your reality—food swaps, stress skills, and sleep routines that fit busy schedules. The focus is on small wins that add up. (Penn State Health, 2018; Cleveland Clinic, 2022). (Penn State Health News)

4) Injury Documentation and Care Coordination

For work injuries or MVAs, you may need clear medical records, imaging reports, and functional assessments. An integrated clinic can coordinate your care and provide the documentation insurers and legal teams request, while keeping your recovery plan unified. (Jimenez Clinic Site; Scheduler). (El Paso, TX Doctor Of Chiropractic)

Clinical observation (Jimenez): Patients with spine pain and poor sleep often report IBS-like flares. When we combine adjustments or mobilization with gradual activity, breath work, and a simple plant-forward plan (plus one fermented food daily), reports of bloating and meal-related discomfort tend to drop—especially as sleep improves. (Jimenez Clinic Site). (El Paso, TX Doctor Of Chiropractic)

Sample 2-Week “Ease-In” Plan

Week 1: Foundations

  • Breakfast: Oats with yogurt or kefir, berries, and nuts.
  • Lunch: Grain bowl (quinoa or barley) + beans + mixed veggies; add a spoon of sauerkraut/kimchi.
  • Dinner: Chili or lentil curry + salad with olive oil.
  • Daily: 20–30 min walk, 5-minute breathing before bed, lights-out window set.
  • Limit: one ultra-processed snack per day, max.

Week 2: Build

  • Add beans/lentils 5 days/week.
  • Add a second fermented food for two days.
  • Replace one sweet drink with water or tea each day.
  • Add two short strength sessions (15–20 minutes).
  • Keep a simple symptom log (bloating, energy, stools, sleep).

Small steps, big difference over time. (Penn State Health, 2018). (Penn State Health News)

When to Seek Care Promptly

  • Unintended weight loss, blood in stool, fever, severe or night-time symptoms, or a history of GI surgery.
  • Persistent pain and gut complaints despite steady changes.
    Talk with your clinician; ask about testing, SIBO evaluation, and tailored treatment. (Mayo Clinic, 2024a). (Mayo Clinic)

Key Takeaways for Chiromed Readers

  • Dysbiosis is common and usually fixable with realistic habit changes.
  • A plant-forward pattern, along with live-culture foods, stress management skills, and better sleep, can steady the gut and the nervous system.
  • When injuries, pain, or SIBO are part of the picture, a coordinated chiro-medical team can blend diagnostics, hands-on care, lifestyle coaching, and documentation—so your gut and your musculoskeletal system improve together. (Cleveland Clinic, 2022; Jimenez Clinic Site). (Cleveland Clinic)

References

By Dr. Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP 0 Comments Advanced Practice Registered Nurses (APRN), Chiropractic Care, Diet, El Paso TX, Gut Health, Sleep Hygiene, Therapy , , , , , , , , , , , , ,

Gut-Skin Axis Healing with ChiroMed Care

Gut-Skin Axis Healing with ChiroMed Care

Unlock Radiant Skin: How Gut Health Shapes Your Glow

Your skin reflects your inner health, and at ChiroMed – Integrated Medicine in El Paso, TX, we understand that a healthy gut is key to a vibrant complexion. The gut-skin axis, a fascinating connection between the digestive system and skin, reveals how imbalances in gut bacteria—known as dysbiosis—can lead to issues such as acne, eczema, or premature wrinkles. By addressing these root causes with holistic care, our team helps patients achieve clearer, healthier skin.

Research suggests that nurturing your gut microbiome can have a positive impact on your skin. At ChiroMed, we combine chiropractic care, nurse practitioner expertise, nutrition counseling, and therapies such as acupuncture to create personalized plans that promote healing from within (Kober & Bowe, 2015). This article examines how dysbiosis triggers inflammation and oxidative stress, compromising the skin’s barrier, and how our integrative approach—led by Dr. Alexander Jimenez, DC, APRN, FNP-C—restores balance for optimal results.

The Gut-Skin Axis: Your Body’s Hidden Connection

The gut-skin axis is like a conversation between your gut and skin. A balanced gut microbiome produces short-chain fatty acids (SCFAs) that calm inflammation and support immunity (Salem et al., 2018). But when dysbiosis occurs—often from poor diet, stress, or antibiotics—harmful bacteria take over, leaking toxins into your bloodstream. This “leaky gut” triggers inflammation, which manifests as skin issues (Bowe et al., 2014).

Dysbiosis also ramps up oxidative stress, where free radicals damage collagen, leading to wrinkles (Wang et al., 2023). It weakens the skin barrier, reducing ceramides that keep skin hydrated and strong (Krutmann et al., 2019). At ChiroMed, we address this issue with tailored plans that utilize a combination of diet, supplements, and chiropractic adjustments to restore gut harmony and promote skin health.

How Gut Imbalances Cause Skin Problems

Dysbiosis doesn’t just stay in your gut—it shows on your face. Here’s how it fuels three common skin concerns:

  • Acne: Imbalanced gut bacteria boost insulin, increasing oil production and clogging pores. Studies link low gut diversity to acne flare-ups (Lee et al., 2019, as cited in Wang et al., 2023). ChiroMed’s nutrition plans reduce sugar intake and incorporate probiotics to help balance this cycle.
  • Eczema: Low gut diversity allows bacteria like Staphylococcus aureus to dominate, exacerbating itchy rashes. Probiotics can reduce the risk of eczema by 30% (Szari & Quinn, as cited in Johnson et al., 2024). Our team uses naturopathy to rebuild gut health.
  • Premature Aging: Oxidative stress from dysbiosis breaks down collagen, accelerating the formation of wrinkles. Gut inflammation adds “inflammaging” (Fisher et al., 2002). ChiroMed’s antioxidant-rich diets and stress relief help reverse this.

Our holistic approach targets these pathways, thereby easing inflammation and strengthening the skin’s barriers.

Inflammation and Oxidative Stress: The Root of Skin Issues

Inflammation and oxidative stress are the culprits behind dysbiosis-driven skin problems. Leaky gut lets bacterial toxins (LPS) trigger cytokines like IL-6, causing redness or psoriasis plaques (Mu & Kirby, 2018). Oxidative stress, exacerbated by dysbiosis, enables free radicals to damage the skin’s structure, leading to dermal thinning (Kim et al., 2018, as cited in Wang et al., 2023). A weak skin barrier loses moisture, allowing irritants to enter (Simpson et al., 2014).

At ChiroMed, we address these issues with chiropractic adjustments to alleviate nerve stress, probiotics to reduce cytokine levels, and a balanced diet to boost antioxidant intake. A trial demonstrated that Lactobacillus reduced oxidative markers by 25% in patients with acne (Fabbrocini et al., 2016, as cited in Wang et al., 2023).

Dietary Changes: Feed Your Gut, Glow Your Skin

Food is a powerful tool for the gut-skin axis. At ChiroMed, we emphasize:

  • Prebiotics, such as onions, garlic, and bananas, feed beneficial bacteria, which in turn reduce inflammation (Slavin, 2013).
  • Probiotics, such as those found in yogurt and kimchi, help restore balance, reducing acne lesions by 20-30% (Kober & Bowe, 2015).
  • Fiber: Aim for 35 grams daily from oats and beans to boost SCFAs (Makki et al., 2018).

We avoid triggers such as sugar and dairy, which can spike inflammation (Bowe et al., 2010). Our nutritionists craft plans, such as Mediterranean diets, that promote clear skin and gut health (Barrea et al., 2015).

Stress Reduction: Calming Gut and Skin

Stress disrupts gut bacteria, leading to increased cortisol levels and worsening skin conditions (Konturek et al., 2011). ChiroMed offers mindfulness and yoga to lower cortisol by 20% (Carlson et al., 2015). Yoga poses like child’s pose stimulate the vagus nerve, reducing inflammation (West et al., 2004). Our therapists guide patients to calmer minds and clearer skin.

Targeted Supplementation: Boosting Gut-Skin Health

Supplements bridge dietary gaps:

  • Vitamin D: 2,000 IU daily eases eczema (Umar et al., 2018).
  • Zinc: 30 mg reduces the severity of acne lesions (Gupta et al., 2014).
  • Omega-3s: 1-2g daily hydrates skin (Serefko et al., 2016).
  • Probiotics: Multi-strain supplements restore balance (Gueniche et al., 2010, as cited in Wang et al., 2023).

ChiroMed’s nurse practitioners tailor these after testing.

Lifestyle Tweaks: Everyday Skin Wins

Sleep for 7–9 hours to lower cortisol (Benedict et al., 2016). Walk 30 minutes daily to boost circulation. Use SPF 30 to shield skin from UV damage. ChiroMed’s team integrates these into your plan for lasting results.

ChiroMed’s Integrative Approach: Healing Inside Out

At ChiroMed, our chiropractic nurse practitioners, such as Dr. Alexander Jimenez, combine spinal adjustments with integrative care. Adjustments ease gut nerve stress, reducing dysbiosis (Jafarzadeh et al., 2020). We combine naturopathy, acupuncture, and nutrition to create personalized plans that cut inflammation and enhance skin health (Horrigan, 2017).

Dr. Alexander Jimenez: Transforming Health in El Paso

Dr. Alex Jimenez, DC, APRN, FNP-C, leads ChiroMed with 30+ years of expertise. His dual-scope approach—chiropractic and nursing—diagnoses injuries from work, sports, personal falls, or MVAs using advanced imaging like MRI (Jimenez, n.d.a). He links injuries to gut stress, which can exacerbate skin issues through inflammation.

For a patient with whiplash and acne, Dr. Jimenez might use adjustments to relieve nerve pressure, acupuncture to calm inflammation, and probiotics to heal dysbiosis, resulting in clearer skin in weeks. His clinic handles legal documentation for injury claims, ensuring accurate reports for insurance or attorneys (Jimenez, n.d.b).

Through targeted exercises, massage, and acupuncture, ChiroMed promotes natural healing, helping to prevent chronic issues. Dr. Jimenez’s “Tell A Veteran” initiative extends this to veterans, and his blog shares insights on holistic recovery (Jimenez, n.d.b).

Personalized Plans at ChiroMed: Your Path to Clear Skin

Our plans begin with gut and skin assessments, which include stool tests, blood work, and barrier scans. We craft diets (e.g., prebiotics for dysbiosis), supplements (such as zinc for acne), and therapies (like massage for stress). A patient with eczema who experienced an injury reported a 60% improvement with the combination of probiotics and yoga, as noted by Johnson et al. (2024).

Case Studies: Real ChiroMed Successes

  • Maria, 40: Post-MVA back pain and psoriasis. Dr. Jimenez’s plan—adjustments, omega-3s, fiber—eased pain and cleared skin in 10 weeks.
  • Jake, 25: Work injury and acne. Nutrition and acupuncture reduced breakouts by balancing gut microbes (Nirvana Healthcare, n.d.).

Advanced Care: Probiotics and More

Probiotics, such as Bifidobacterium breve, protect the skin from UV damage (Ishii et al., 2014, as cited in Wang et al., 2023). ChiroMed pairs these with imaging to optimize gut-skin care.

Preventing Long-Term Issues

Regular gut checks and stress management prevent chronic skin problems. ChiroMed’s proactive plans keep patients thriving.

Myths Busted

Myth: Skin issues are only topical. Fact: Gut drives 70% of immunity (Mu & Kirby, 2018). ChiroMed debunks myths with science-backed care.

Nutrition Deep Dive

For acne, we recommend consuming low-glycemic foods and incorporating zinc-rich nuts into your diet. Eczema patients often opt for fiber-rich plans, featuring recipes like overnight oats with berries. Psoriasis benefits from anti-inflammatory foods, including fish and leafy greens. Our nutritionists tailor weekly menus to ensure variety and balance, supporting gut diversity and skin clarity.

Gut-Friendly Movement

Low-impact exercises, such as Pilates or tai chi, can boost gut health by improving circulation and stimulating the vagus nerve. ChiroMed’s physical therapists guide patients through 20-minute routines, such as gentle stretches or core work, to enhance gut motility without overexerting the body. These movements complement our chiropractic care, ensuring holistic recovery.

Supplement Science

Studies back our supplement choices. Vitamin D, at a daily dose of 2,000 IU, reduces eczema inflammation by supporting immune balance (Umar et al., 2018). Zinc at 30 mg has been shown to aid in the healing of acne wounds, with trials demonstrating a 40% reduction in lesion count (Gupta et al., 2014). Omega-3s (1-2g EPA/DHA) cut redness in rosacea and hydrate skin (Serefko et al., 2016). ChiroMed tests for deficiencies to ensure precise dosing, thereby avoiding side effects such as digestive upset.

ChiroMed’s Unique Protocols

Our clinic stands out with protocols blending advanced diagnostics and integrative therapies. Dr. Jimenez utilizes neuromusculoskeletal imaging to pinpoint injury-related gut stress, which can disrupt the microbiome and lead to skin issues. For example, a misaligned spine from a sports injury may impair vagus nerve function, worsening dysbiosis. Our adjustments restore alignment, while acupuncture targets inflammation points. Nutrition plans, such as consuming 35 grams of fiber daily, are paired with massage to boost blood flow, delivering nutrients to the gut and skin. Patients track progress with our app, ensuring adherence.

Patient Success Stories Expanded

Consider Sarah, 32, a teacher with chronic eczema after a work-related fall. Stress and pain meds caused dysbiosis, worsening her flares. Dr. Jimenez’s plan included spinal adjustments to ease nerve stress, a prebiotic-rich diet (including bananas and asparagus), and mindfulness sessions. Within 12 weeks, her eczema improved by 70%, and her pain subsided (inspired by Johnson et al., 2024).

Or Mike, 28, a mechanic with acne from job stress. ChiroMed’s approach—low-glycemic meals, zinc supplements, and weekly acupuncture—balanced his gut and cleared 80% of breakouts in two months (Nirvana Healthcare, n.d.). These stories highlight our commitment to personalized, root-cause care.

Why ChiroMed Stands Out

Located at 1931 Myrtle Ave, Suite A, El Paso, TX, ChiroMed offers a comfortable clinic with licensed therapists, including Dr. Jimenez, Helen Wilmore (massage therapy), Kristina Castle (physical therapy), and Anthony Wills (chiropractic care). Our team collaborates with your other health providers, ensuring seamless care. We accept most insurance plans, making holistic health more accessible. Our “no matter the cause” philosophy welcomes patients with sports, work, or auto accident injuries, tailoring plans to their unique needs.

Conclusion: Glow with ChiroMed

At ChiroMed – Integrated Medicine, we harness the gut-skin axis to unlock radiant skin. With Dr. Jimenez’s expertise, personalized plans, and holistic therapies, we help you heal naturally. Visit us at 1931 Myrtle Ave, Suite A, El Paso, TX. Contact us at +1 (915) 412-6680 or email support@chiromed.com to begin your journey to vibrant health and radiant skin.

References

Bowe, W. P., Joshi, S. S., & Shalita, A. R. (2010). Diet and acne. Journal of the American Academy of Dermatology, 63(1), 117–122.

Carlson, L. E., Beattie, T. L., Giese-Davis, J., Faris, P., Tamagawa, R., Fick, L. J., Degelman, E., & Speca, M. (2015). Mindfulness-based cancer recovery. Cancer, 121(3), 476–484.

Fisher, G. J., Kang, S., Varani, J., Bata-Csorgo, Z., Wan, Y., Datta, S., & Voorhees, J. J. (2002). Mechanisms of photoaging. Archives of Dermatology, 138(11), 1462–1470.

Gupta, M., Mahajan, V. K., Mehta, K. S., & Chauhan, P. S. (2014). Zinc therapy in dermatology. Dermatology Research and Practice, 2014, 709152.

Horrigan, B. J. (2017). Chiropractic and inflammation. Journal of Chiropractic Medicine, 16(4), 287–295.

Jafarzadeh, A., Azizi, S., & Eghbali, M. (2020). Spinal manipulation and gastrointestinal function. Journal of Manipulative and Physiological Therapeutics, 43(5), 496–505.

Jimenez, A. (n.d.a). Injury specialists. Retrieved September 23, 2025.

Jimenez, A. (n.d.b). LinkedIn profile. Retrieved September 23, 2025.

Johnson, D., Letchumanan, V., Thangarajah, B., & Lee, L.-H. (2024). The skin microbiome. Frontiers in Microbiology, 15, 1394187.

Kober, M. M., & Bowe, W. P. (2015). Probiotics and skin health. International Journal of Women’s Dermatology, 1(2), 85–89.

Konturek, P. C., Brzozowski, T., & Konturek, S. J. (2011). Stress and the gut. Journal of Physiology and Pharmacology, 62(6), 591–599.

Krutmann, J., Bouloc, A., Sore, G., Bernard, B. A., & Passeron, T. (2019). The skin aging exposome. Journal of Dermatological Science, 93(3), 135–142.

Makki, K., Deehan, E. C., Walter, J., & Bäckhed, F. (2018). Dietary fiber and gut microbiota. Cell Host & Microbe, 23(6), 705–715.

Mu, Q., & Kirby, J. (2018). The gut-skin axis. Gut Microbes, 9(2), 135–141.

Nirvana Healthcare. (n.d.). Gut health and skin conditions. Retrieved September 23, 2025.

Salem, I., Ramser, A., Isham, N., & Ghannoum, M. A. (2018). The gut microbiome. Frontiers in Microbiology, 9, 1459.

Serefko, A., Szopa, A., Wlaź, P., Nowak, G., Radziwoń-Zaleska, M., Skalski, M., & Poleszak, E. (2016). Magnesium in depression. Pharmacological Reports, 68(2), 306–313.

Slavin, J. (2013). Fiber and prebiotics. Nutrients, 5(4), 1417–1435.

Umar, M., Sastry, K. S., Al Ali, F., Al-Khulaifi, M., Wang, E., & Chouchane, A. I. (2018). Vitamin D and skin diseases. Skin Pharmacology and Physiology, 31(2), 74–86.

Wang, X., Zhang, L., Wang, J., & Zhang, R. (2023). Gut microbiota and skin diseases. Journal of Dermatological Science, 112(2), 45–53.