Dr. Elizabeth Boham

Absolutely. Absolutely. And I think that this first case that we were going to talk about, this 22-year-old who came to see me, it really kind of pulls in the importance of the microbiome in terms of your immune system, but also in terms of your skin. She was a 22 year old and she had, she started to develop acne when she was around 12.

Absolutely. Absolutely. And I think that this first case that we were going to talk about, this 22-year-old who came to see me, it really kind of pulls in the importance of the microbiome in terms of your immune system, but also in terms of your skin. She was a 22 year old and she had, she started to develop acne when she was around 12.

Absolutely. Absolutely. And I think that this first case that we were going to talk about, this 22-year-old who came to see me, it really kind of pulls in the importance of the microbiome in terms of your immune system, but also in terms of your skin. She was a 22 year old and she had, she started to develop acne when she was around 12.

When we got more history from her, I realized she had had multiple antibiotics as a kid. She had chronic ear infections and especially when she was getting those ear infections, they were treating most of them with antibiotics. And I think we've kind of calmed down a lot on treating every ear infection with antibiotics, but she got a lot of antibiotics because of her ear infections.

When we got more history from her, I realized she had had multiple antibiotics as a kid. She had chronic ear infections and especially when she was getting those ear infections, they were treating most of them with antibiotics. And I think we've kind of calmed down a lot on treating every ear infection with antibiotics, but she got a lot of antibiotics because of her ear infections.

When we got more history from her, I realized she had had multiple antibiotics as a kid. She had chronic ear infections and especially when she was getting those ear infections, they were treating most of them with antibiotics. And I think we've kind of calmed down a lot on treating every ear infection with antibiotics, but she got a lot of antibiotics because of her ear infections.

Right, right.

Right, right.

Right, right.

So she came in to see us because she was using a lot of different topical treatments. She was also taking a low-dose antibiotic. And her skin was better, but she didn't want to stay on these antibiotics and she wanted to really look at it a different way. And when she stopped taking the oral antibiotic, which she realized she didn't want to be on forever, her acne started to get worse again.

So she came in to see us because she was using a lot of different topical treatments. She was also taking a low-dose antibiotic. And her skin was better, but she didn't want to stay on these antibiotics and she wanted to really look at it a different way. And when she stopped taking the oral antibiotic, which she realized she didn't want to be on forever, her acne started to get worse again.

So she came in to see us because she was using a lot of different topical treatments. She was also taking a low-dose antibiotic. And her skin was better, but she didn't want to stay on these antibiotics and she wanted to really look at it a different way. And when she stopped taking the oral antibiotic, which she realized she didn't want to be on forever, her acne started to get worse again.

So she said, okay, I really want to figure out.

So she said, okay, I really want to figure out.

So she said, okay, I really want to figure out.

it becomes a vicious cycle. We see these vicious cycles all the time with medications, right? Because they're shifting, because there's antibiotics, as we've mentioned, are shifting the microbiome.

it becomes a vicious cycle. We see these vicious cycles all the time with medications, right? Because they're shifting, because there's antibiotics, as we've mentioned, are shifting the microbiome.

it becomes a vicious cycle. We see these vicious cycles all the time with medications, right? Because they're shifting, because there's antibiotics, as we've mentioned, are shifting the microbiome.

They're shifting the microbiome in your gut, they're shifting it on your skin, they're getting rid of that first line of defense, and then they're allowing, then it's more common to get the acne again when you stop them.

They're shifting the microbiome in your gut, they're shifting it on your skin, they're getting rid of that first line of defense, and then they're allowing, then it's more common to get the acne again when you stop them.