Acne is rarely a "topical deficiency"; it is typically an external sign of internal imbalances in the gut, immune system, and nervous system. Dr. Abby emphasizes that treatments like birth control or creams often mask symptoms rather than curing the imbalance.

Clinical Case Findings (please note - this is a specific case and not generalized advice)

• Gut Issues: Testing revealed "leaky gut," dysbiosis (overgrowth), and a high sensitivity to gluten.
• Hormonal Imbalance: High DHEA-S indicated adrenal overdrive, while testosterone was being metabolized into a more potent form (DHT), driving cystic breakouts.
• Immune State: The patient was in a state of chronic immune activation, partly triggered by gluten.

Treatment Strategy

1. Nervous System Reset: Prioritize sleep and vagus nerve work to move the body into a "rest and digest" state.
2. Dietary Shift: Eliminate gluten and processed foods in favor of nutrient-dense, warming whole foods.
3. Digestive Support: Use bitter-rich foods (arugula, artichoke) to optimize enzyme function.
4. Targeted Support: Once the system calmed, specific supplements were used.

Next Step: Dr. Abby is accepting new patients for virtual or in-person consultations. Visit her Instagram @dr.abbyborkowski for more info or use the booking link here.