Nutrition Counseling for Acne, Eczema and Psoriasis

In my experience the problem is rarely missing information. Most of the people who write to me arrive having already read the trigger lists, the gut-skin axis and what each vitamin is supposed to do. The hard part sits elsewhere: with five different lists in hand, working out which one belongs to their own picture. What follows is how I make that separation, and where this process sits next to dermatology care.

The Part That Runs Alongside Your Dermatology Treatment

A biologic for psoriasis, isotretinoin for acne, a topical treatment for eczema... Those decisions and those doses belong to your dermatologist. I do not interpret that treatment and I do not ask you to stop or reduce it; on the contrary, I say from the start that in a widespread or severe picture nutrition alone will not carry the load. My side is the table: which meal pattern actually holds for you, which group genuinely causes trouble, and where your blood fats and weight are heading while the medication runs. Walking into a dermatology follow-up with your own record in hand makes for a very different appointment than saying "I am not sure, I do not think anything changed."

Why the Plan Is Not the Same for Acne, Eczema and Psoriasis

Three pictures sit under one heading, but what drives the plan comes from a different place in each.

• Acne: the weight usually sits on the hormonal and blood sugar side. Where irregular periods, excess hair growth or PCOS come with it, it is more productive to run the process from hormone-led nutrition.
• Eczema: the work rests on your test results and your symptom record, not on hunting for triggers. We do not cut a food group for an unconfirmed suspicion.
• Psoriasis: weight, blood fats and the liver side usually shape the picture before the skin does, and the plan is built from there.
• Rosacea, vitiligo and other pictures: instead of one shared banned-food list, we build your own trigger record.

What I Look At Before Anything Comes Off the Plate

Removing a food group is never free. Cutting dairy or gluten for an unconfirmed suspicion narrows your diet and hides the real cause; adding it back later leaves the picture even harder to read. So the first things I ask for are your intake form, the list of medicines and supplements you use, any lab results your doctor has requested, and a few weeks of meal records. Which test is needed is your doctor's decision; I read the result that comes back from a nutrition standpoint. The record itself is often the most useful piece: a client will say "I always eat the same things" while the record shows a completely different picture.

There is no detox, cleansing or blood-purifying stage here. The liver and the kidneys already do that work, and I do not prescribe products such as collagen, biotin or zinc. Where a supplement is needed, the decision and the dose belong to your doctor.

Why a Fortnightly Rhythm Suits Skin

Skin is not an organ that gives fast feedback. Changing the plan every week mostly means blaming nutrition for swings that come from the season, from sleep or from the menstrual cycle. So the rhythm runs like this: a personalised programme with recipes that are easy to prepare, photo-based meal analysis, a voice call every 2 weeks, WhatsApp messaging support in between, and body measurement tracking. The scope is the same in all three packages; only the duration and the fee change, and the call frequency does not. Calls are voice only; video consultations are not offered. Payment is taken by bank transfer and fees are not refunded.

What Food Cannot Fix

The places I stop are clear. A rash that is new, spreading fast, or coming with fever or widespread swelling is not a nutrition question but a medical one. Where the autoimmune side has moved to the front (joint involvement, a thyroid condition alongside, medication side effects dominating), it is better to run the process from autoimmune-led nutrition; which one is in front we settle together during the intake assessment. In infants and children, the timing and the place of an allergen trial belong to a paediatric allergist. Cosmetic products, skincare routines and medication changes are not my field either.

How We Open the Process

After your free application, I review the information and expectations shared in your intake form; if I think the process is not right for you, I let you know clearly. If it is, we start with your intake form, your medication and supplement list, and any recent lab results. I write the first programme once those reach me, and the first week usually goes on reading your current pattern properly rather than on restriction.