Dr. Todd LePine
speaker
114 appearances
3 recordings
1 series
first heard Dec 2024
last heard May 2025
Dr. Todd LePine’s voice in public audio — every appearance, attributed to the second.
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You know, again, taking the history is the big one. You know, I always will ask people, what's your ethnic background? A lot of people say, you know, I'm white. No, it's like, you know, are you Irish, English, German, Jewish, Russian, whatever? Because the rosacea is typically found in light skin, fair skin people. And from a genetic standpoint, they are the ones who are more likely to have that.
It's just an interesting part to have in terms of the history. And then I'll just ask them, you know, what is it you're eating? Are you eating a standard American diet? How much alcohol are you drinking? How much stress do you have? Stress also. Caffeine. Yeah, caffeine can play a role. Spicy foods.
Yeah, those are all things which can sort of, you know, it's like adding gasoline to the fire because literally rosacea is the skin on fire in the facial area. But doing the testing for essential fatty acids, making sure that they have the right balance of the essential fats in their diet. A lot of people have too much omega-6, which tends to be more pro-inflammatory. Lack of the omega-3s.
One of the oils, I don't know if you've used it, that I've found very helpful with patients who have rosacea is porridge oil and even criminal's oil. They tend to be very, they help to dampen down that inflammatory response.
Exactly. Yeah. Putting patients on an anti-inflammatory elimination diet, you know, 80% of the time, it doesn't matter what they come in with. They're going to actually, they'll actually get better.
They, you know, getting them off of the pro-inflammatory foods and then putting in foods which are anti-inflammatory, cold water fish, sardines, wild salmon, the essential oils like evening primrose oil help to sort of dampen down that inflammatory response.
And you actually just triggered a thought because there's actually a paper that says if you have rosacea, you have a higher incidence of Alzheimer's disease. Oh, wow. So it's not just a cosmetic issue. It's actually systemic inflammation. You have a red face and a red brain that's on fire. Exactly. Yeah. I was sort of blown away by that. That's fascinating. Yeah, especially in women.
It's actually more common in women.
Yeah, I've been surprised at how many people have what I would call a relative lack of hydrochloric acid in the stomach. I venture to say that the majority of people don't have too much acid. They have not enough acid in the stomach.
Yeah, exactly.
Right. Those are huge.
Osteoporosis.
And you bring up a really good point because a lot of the pharmaceutical medications, especially some of the psychotropic, so the antidepressants are like that too. The PPIs and the antidepressants, when you try to get off of them, you get this rebound process. The body tries to get back into balance. And it can be very difficult.
So you've got to go low and slow when you're trying to taper off the PPIs or taper off antidepressant psychotropic meds. Absolutely.
Yeah. Well, I had a patient who came in and she was a undiagnosed celiac, not just a gluten sensitivity. She was an undiagnosed celiac. She was Irish. And she was having a standard American diet. And she was self-medicating for her heartburn with over-the-counter acid-blocking medications. It had a lot of bloating-type symptoms. And came in. And her major complaint was her skin.
But she had all these other things. But her big thing was how I look.
So, you know, it's, it's, you know, people are vain and people's attention. Exactly. Right. And, and then when I, uh, did a dive into, uh, her, uh, testing, you know, it turned out that she was deficient in her essential fatty acids, especially the gamma linoleic acid. Um, she, she had a lack of stomach acid because of the PPIs. You can actually measure a test.
Uh, blood test is a commercially available test called gastrin and, uh, gastrin levels will go up when you block acid. Um, and, So, and that's actually one of the tests that I actually like to use when I have patients where I'm trying to get them off of a PPI, because the higher the gastrin level, the more difficult it will be to get off the PPI.
And that's sort of like, it'll tell you how easy you can get off of it. These acid blockers, that's the PPI, right? Exactly. And then she also had low vitamin D levels. I mean, we spend a lot of our time clothed and indoors, so we don't get way enough sunshine. That's one of the big things.
And low vitamin D, you don't just fix low vitamin D. This is one of my, I get up on my soapbox all the time with here, is you don't just fix low vitamin D by, taking vitamin D. Vitamin D deficiency is basically a sunshine deficiency.
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