Dr. Elizabeth Boham

speaker
367 appearances 7 recordings 1 series first heard Nov 2024 last heard 1 Dec

Dr. Elizabeth Boham’s voice in public audio — every appearance, attributed to the second.

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acanthosis nigricans which is this darkening of the skin folds like in your neck and in your armpit and so you can by just examining somebody right away you can get a sense of do they have insulin resistance or that pre-diabetes state because it shifts the um the the growth factors the high inflammation from eating these high sugary foods causes changes in your
Yes.
Often, yeah.
Which is amazing to see. I mean, we know that when we pull away those refined and processed foods and the sugary foods, most of our patients, so many of our patients see great improvement in their acne right away.
Right away.
Yeah.
Yeah, the dairy.
Dairy. I mean, because dairy is, you know, all of our dairy food, our milk, our cheese, our ice cream, you know, all of that is very high in hormones.
It helps the calves grow, right?
Yes. And we know that those growth factors can stimulate acne in some people. You know, not everybody, but for some people, they're more sensitive to them and they definitely will cause more acne. Actually, for a lot of people.
Absolutely. And I think it depends, like the question of sheep or goat, I think it depends on the person. There's some people that it really, all types of dairy bother their skin. And for other people, there's some that is better than others. And what we know is sometimes the testing, like the food allergy testing or food sensitivity testing doesn't always pick it up.
I mean, we do it often, but there are times when we get a negative test result, but even if we still pull it away and people's skin improves.
Not necessarily. It could be just like you said, all the hormones in dairy too.
Absolutely. So there's so many ways, and I always say this, there's so many ways that somebody can react to food, right? And people get confused all the time because they get one negative report and they say, oh, then I must be fine to eat that food, right? You can get an immediate reaction to food or an IgE.
You can get a delayed reaction to food or an IgG, but you can also have a food intolerance. There's just so many ways you can react to food. So just because you have one negative food test result doesn't necessarily mean that food is not causing you problems.
Or how food changes your microbiome, and then that changes the inflammation.
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.
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.
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