Dr Dray

Amlactin Daily Nourish 12% https://amzlink.to/az0r9ArzAFr9W
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Dermatologist Dr. Dray answers skincare questions from followers in this Q and A, covering lactic acid vs glycolic acid, laser treatments for aging skin, sunscreen reapplication, eyebrow hair loss, keratosis pilaris, azelaic acid, urea, and fluorescent light exposure.

In this video, Dr. Dray discusses whether 12% ammonium lactate, such as AmLactin, can improve dermal thickness and collagen-related signs of aging, and how its potential benefits compare with glycolic acid. She also explains why the evidence for at-home lactic acid products differs from the evidence for high-strength glycolic acid chemical peels performed in a medical setting.

She also answers whether Fraxel laser is worth considering for Fitzpatrick skin type IV, especially for someone concerned about post-inflammatory hyperpigmentation, and compares it with the gentler 1064 nm Laser Genesis treatment.

Other questions include whether sweating makes sunscreen reapplication less effective, whether eyebrow hair can regrow after scarring from trichotillomania, whether laser hair removal can cause keratosis pilaris, and whether urea and azelaic acid can be used together for KP.

Finally, Dr. Dray explains whether spending eight hours under fluorescent office lighting can contribute to wrinkles, sagging, or premature skin aging.

Topics covered:

0:00 Intro
0:19 Lactic Acid 12% vs Glycolic Acid for Anti-Aging and Dermal Thickening
6:36 Fraxel vs Laser Genesis for Aging Skin and Fitzpatrick IV Skin
9:54 Does Sweat Make Sunscreen Reapplication Less Effective?
11:06 Can Eyebrow Hair Regrow After Scarring From Trichotillomania?
12:13 Can Laser Hair Removal Cause Keratosis Pilaris?
13:09 Azelaic Acid + Urea for Keratosis Pilaris
14:25 Can Fluorescent Lights Cause Wrinkles and Sagging?
15:46 Outro

Dr. Dray provides evidence-based dermatology information, but individual skincare and treatment recommendations can vary based on skin type, medical history, and diagnosis. For concerns about prescription medications, lasers, or persistent skin or hair conditions, consultation with a board-certified dermatologist is recommended.

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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Can GLP-1 medications like semaglutide and tirzepatide actually improve inflammatory skin diseases? Dermatologist Dr. Dray explores the emerging research connecting GLP-1 medications, weight loss, metabolic health, and inflammation, including what this could mean for psoriasis, psoriatic arthritis, and hidradenitis suppurativa (HS).

GLP-1 medications are best known for treating type 2 diabetes and obesity, but researchers are increasingly investigating their potential effects on inflammation. This video explains why adipose tissue can contribute to systemic inflammation, how GLP-1 signaling may influence inflammatory pathways, and whether improvements in skin disease can occur beyond the effects of weight loss.

Dr. Dray discusses the latest evidence, including the TOGETHER-PsO trial, which investigated tirzepatide in people with moderate-to-severe psoriasis and overweight or obesity, as well as emerging research on GLP-1 medications and hidradenitis suppurativa.

The video also covers:

• What GLP-1 medications are and how they work
• Semaglutide vs. tirzepatide
• Why obesity and inflammation are connected
• GLP-1 medications and psoriasis
• Tirzepatide and psoriasis clearance
• GLP-1 medications and psoriatic arthritis
• GLP-1 medications and hidradenitis suppurativa
• Whether GLP-1s have anti-inflammatory effects beyond weight loss
• Why metabolic health matters in inflammatory skin disease
• Whether everyone with psoriasis or HS should take a GLP-1
• Common GLP-1 side effects and risks
• Why GLP-1 medications require medical supervision
• What happens when GLP-1 medications are discontinued
• The potential future role of GLP-1 medications in dermatology

⏱️ TIMESTAMPS

0:00 Could GLP-1 medications help inflammatory skin disease?
1:03 What are GLP-1 medications?
1:47 Why would a weight-loss medication help a skin disease?
3:44 GLP-1s and psoriasis
5:33 What does this mean for psoriasis treatment?
6:34 GLP-1s and psoriatic arthritis
7:48 GLP-1s and hidradenitis suppurativa
10:43 Could the benefit be independent of weight loss?
12:26 Why does obesity matter so much in these diseases?
14:00 Should everyone with psoriasis or HS take a GLP-1?
14:30 What about side effects?
16:20 Start low and go slow
17:26 What happens if you stop?
17:44 Who should manage the GLP-1?
18:43 Where does this leave us?

RELATED VIDEOS

Can Skincare Fix Ozempic Face?
https://youtu.be/zURv_nMTUc0

Nutritional Deficiencies From GLP-1 Medications
https://youtu.be/SXjwBXIZtvQ

Ozempic Face and Aging Effects of GLP-1 Medications
https://youtu.be/E0V7jgubOfc

GLP-1s and Hair Loss
https://youtu.be/0VW43kd63zM

DISCLAIMER

This video is for educational and informational purposes only and is not a substitute for individualized medical advice, diagnosis, or treatment. GLP-1 medications are prescription medications with potential benefits, side effects, contraindications, and risks. Anyone considering treatment should discuss whether a GLP-1 medication is appropriate with a qualified healthcare professional.

Dr. Dray's discussion of emerging research on GLP-1 medications and inflammatory skin disease does not mean that these medications are currently established treatments for psoriasis, psoriatic arthritis, or hidradenitis suppurativa in every patient.

#GLP1 #Ozempic #Wegovy #Mounjaro #Zepbound #Semaglutide #Tirzepatide #Psoriasis #HidradenitisSuppurativa #PsoriaticArthritis #Dermatologist #SkinHealth #Inflammation

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Fiber may be doing much more than supporting digestion. In this video, dermatologist Dr. Dray explains the emerging science behind the gut-skin axis and how dietary fiber may influence the gut microbiome, inflammation, immune function, metabolic health, and potentially skin health.

When gut bacteria ferment fiber, they produce short-chain fatty acids (SCFAs) such as acetate, propionate, and butyrate. These compounds can influence immune signaling and may play a role in maintaining the skin barrier and regulating inflammation.

Dr. Dray discusses what the research currently shows about fiber and eczema, psoriasis, acne, and other inflammatory skin conditions, while separating promising mechanisms from what has actually been demonstrated in human clinical studies.

The video also explains why fiber may be relevant to acne through its relationship with blood sugar, insulin, IGF-1, and dietary glycemic load, and why a Mediterranean-style dietary pattern keeps appearing in discussions about gut and skin health.

Dr. Dray also shares practical advice for increasing fiber intake without triggering excessive bloating, gas, or abdominal discomfort, including how to gradually introduce foods such as beans, vegetables, fruits, whole grains, nuts, and seeds.

In this video:

00:00 Introduction
01:41 What Happens to Fiber in Your Gut?
02:38 The Gut-Skin Axis
04:06 Fiber and Eczema
05:36 What About Psoriasis?
06:45 Fiber and Acne: The Connection May Be More Indirect
07:57 Why the Mediterranean Diet Keeps Coming Up
11:19 How Much Fiber Should You Eat?
12:45 How to Increase Fiber Without Feeling Awful
13:45 What About Inflammatory Skin Disease?
20:12 Final Takeaway

Key topics covered:

• Dietary fiber and skin health
• The gut-skin axis
• Gut microbiome and skin
• Short-chain fatty acids and butyrate
• Fiber and inflammation
• Fiber and eczema
• Fiber and psoriasis
• Fiber and acne
• Insulin, IGF-1 and acne
• Mediterranean diet and skin health
• How much fiber to eat
• Whole food sources of fiber
• How to increase fiber gradually
• Fiber supplements and highly processed high-fiber foods

Dr. Dray emphasizes that fiber is not a treatment or cure for inflammatory skin diseases. While laboratory, animal, and observational research provides interesting evidence connecting fiber, the microbiome, immune regulation, and skin inflammation, more high-quality human clinical trials are needed to determine how much increasing fiber intake can actually influence conditions such as eczema or psoriasis.

The goal is not to find a highly processed food simply because it is labeled "high fiber." Instead, Dr. Dray discusses the benefits of getting fiber from a variety of whole plant foods, which also provide vitamins, minerals, polyphenols, and other compounds that interact with the gut microbiome.

If you're interested in gut health, skin health, eczema, psoriasis, acne, nutrition, the microbiome, or the connection between diet and skin, this video provides an evidence-based look at what researchers currently know about fiber and the skin.

#Fiber #GutSkinAxis #GutHealth #SkinHealth #Dermatologist #Eczema #Psoriasis #Acne #GutMicrobiome #Nutrition #DietAndSkin #ShortChainFattyAcids #HealthySkin #skincare

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related dia

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What can your skin reveal about your overall health?

In this video, dermatologist Dr. Dray explains 7 skin, hair, and nail changes that can sometimes provide clues about what is happening inside the body. While these findings are not diagnoses on their own, certain changes can be associated with underlying metabolic, hormonal, nutritional, autoimmune, liver, kidney, thyroid, heart, or lung conditions.

From dark, velvety skin on the neck and insulin resistance to yellow skin and jaundice, Dr. Dray explains what dermatologists look for when examining the skin, nails, and other visible signs of systemic health.

The video covers:

• Acanthosis nigricans and its connection to insulin resistance, diabetes, and metabolic health
• Skin tags and their association with insulin resistance and metabolic syndrome
• Xanthelasma, xanthomas, cholesterol, and triglycerides
• Yellowing of the skin and eyes and possible causes of jaundice
• Nail clubbing and potential associations with heart and lung disease
• Dermatomyositis, heliotrope rash, and Gottron papules
• Spoon-shaped nails and possible iron deficiency
• Generalized itching without a rash and potential systemic causes involving the kidneys, liver, thyroid, and blood

Dr. Dray also explains why these findings should be viewed as clues rather than diagnoses, and why a new, persistent, or rapidly changing skin or nail finding deserves medical attention.

TIMESTAMPS

0:00 Can your skin reveal what's happening inside your body?
0:28 Dark, velvety skin on the neck
2:49 Yellow bumps around the eyes
5:21 Yellow skin or whites of the eyes
7:37 Swollen fingers and curved nails
9:46 Purple or red rashes on the eyelids or knuckles
11:10 Spoon-shaped or unusually thin nails
12:50 Intense itching with little or no rash
14:17 Important caveats
14:58 Final takeaways

Disclaimer: This video is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Skin changes can have many different causes, and viewers should consult an appropriate healthcare professional for evaluation of new, persistent, or concerning symptoms.

#Dermatologist #SkinHealth #SkinSigns #AcanthosisNigricans #InsulinResistance #Jaundice #SkinCare #HealthSigns #Dermatology #drdray

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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Can your diet make inflammation worse? Dermatologist Dr. Dray explains how dietary patterns may influence inflammatory skin diseases including eczema, psoriasis, and hidradenitis suppurativa (HS), and what the research actually tells us about food, inflammation, and skin health.

This video takes a closer look at the connection between sodium and inflammatory skin disease, including research linking higher sodium intake with increased eczema risk, active flares, and disease severity. Dr. Dray also discusses sugar and refined carbohydrates, processed and red meat, metabolic health, weight loss and hidradenitis suppurativa, and the evidence surrounding Mediterranean and plant-based diets.

Rather than promoting an extreme "anti-inflammatory diet" or restrictive elimination diet, Dr. Dray discusses practical ways to build a more nourishing dietary pattern, including eating vegetables frequently, incorporating legumes, choosing whole grains and minimally processed starches, eating whole fruit, limiting added sugar and refined carbohydrates, reducing processed meats, and paying attention to sodium intake.

In this video:

00:00 Can your diet make inflammation worse?
01:09 High-salt diets and inflammatory skin disease
04:32 Sugar, refined carbohydrates and inflammation
07:54 Red meat, processed meat and inflammation
08:53 Hidradenitis suppurativa and diet
12:53 What should someone with inflammatory skin disease actually eat?
15:17 Why you shouldn't fear whole fruit
16:01 Sodium and processed foods
18:01 Final takeaways

Dr. Dray also explains why diet should be viewed as one part of managing inflammatory skin disease, rather than a replacement for appropriate medical treatment. Eczema, psoriasis, and hidradenitis suppurativa are complex inflammatory conditions, and dietary changes should not be used in place of care from a qualified healthcare professional.

Topics covered: inflammatory skin disease, diet and inflammation, eczema diet, psoriasis diet, hidradenitis suppurativa diet, HS diet, sodium and eczema, salt and inflammation, sugar and inflammation, processed foods, red meat and inflammation, Mediterranean diet, plant-based diet, metabolic health, nutrition and skin health, food and skin inflammation.

#Inflammation #Eczema #Psoriasis #HidradenitisSuppurativa #DietAndSkin #SkinHealth #Dermatologist

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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Kerasal Intensive Foot Ointment: https://amzlink.to/az05VWDfND6wS

Struggling with dry, rough, or cracked heels? Dermatologist Dr. Dray explains why urea is one of the most useful skincare ingredients for treating dry, thickened skin on the feet and what to look for when choosing a foot cream or ointment.

Urea is a humectant that helps the skin retain moisture. At higher concentrations, it also acts as a keratolytic, helping soften and loosen excess thickened skin. This makes urea particularly useful for rough, callused heels that are prone to cracking.

In this video, Dr. Dray discusses how urea works, which concentrations may be helpful for dry and rough feet, and why the formulation matters just as much as the active ingredients. She also explains other potential causes of cracked heels, including mechanical stress, aging, keratoderma climactericum associated with menopause, eczema, psoriasis, and athlete's foot.

People with diabetes should take particular care of their feet because cracks can increase the risk of infection, especially when neuropathy or circulation problems are present.

Dr. Dray also reviews Kerasal Intensive Foot Repair Ointment, a product she likes for thick, rough heels. Its combination of urea, salicylic acid, and an ointment vehicle helps hydrate and soften thickened skin while reducing moisture loss.

Discover why urea is worth looking for in foot care products, how ointments compare with creams and lotions, and how to care for dry, cracked heels without relying on aggressive exfoliation or marketing claims.

TIMESTAMPS

0:00 Intro: The Best Ingredient for Dry, Cracked Heels
1:10 Why Do Heels Get Dry and Cracked?
1:56 What Is Urea?
2:56 How Urea Works on Dry, Rough Skin
3:52 What Concentration of Urea Should You Look For?
5:27 Other Causes of Dry, Cracked Heels
7:28 Diabetes and Cracked Heels: Important Foot Care Considerations
8:41 What to Look For in a Foot Cream or Ointment
12:16 Kerasal Intensive Foot Repair Ointment Review
13:03 How to Use Foot Repair Ointments
14:27 Final Tips for Smoother, Softer Heels

#CrackedHeels #DryFeet #UreaCream #UreaForFeet #Kerasal #KerasalFootRepair #FootCare #FootCareTips #DrySkin #CallusedFeet #HeelCracks #Dermatologist #DrDray #SkincareIngredients #salicylicacid

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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Shop with me for Japanese skincare Ebisu Life and watch me go ice skating at the Galleria Mall. I also shop for holiday candles at Bath and Body works.

Varley pullover https://bit.ly/3zN4FAd
Pearl drop earrings https://amzlink.to/az0UlmW3Cfeex

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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Amlactin 12% Daily Nourish Lotion: https://amzlink.to/az0r9ArzAFr9W

Can an affordable drugstore lotion help improve the appearance of aging skin? Dermatologist Dr. Dray compares 12% ammonium lactate in AmLactin Daily Lotion with the popular Skinbetter Science AlphaRet Overnight Cream to explore what research reveals about skin thickness, wrinkles, collagen, and photoaging.

In this video, Dr. Dray explains the science behind alpha hydroxy acids and retinoids, including the clinical evidence for AlphaRet and the human research on lactic acid and ammonium lactate. She discusses how these ingredients may affect the epidermis and dermis, and why the results of a finished skincare product do not necessarily prove which individual ingredient is responsible for its benefits.

Topics covered include:

• AmLactin Daily 12% ammonium lactate: Research on skin thickness, texture, and dermal changes
• Skinbetter Science AlphaRet Overnight Cream: What clinical studies show about wrinkles, uneven skin tone, and photoaging
• Ethyl lactyl retinoate: Understanding AlphaRet's proprietary AHA retinoid conjugate and the unanswered questions about its individual effects
• Lactic acid for wrinkles: Human research examining epidermal and dermal thickness, firmness, and skin smoothness
• Ammonium lactate vs. lactic acid: Important differences between the ingredients and the studies evaluating them
• Tretinoin for photoaging: How prescription retinoids compare with alpha hydroxy acid treatments
• Affordable anti-aging skincare: Whether a drugstore body lotion deserves more attention for improving rough texture and the appearance of aging skin

Dr. Dray also discusses the limitations of the available research, why ammonium lactate should not automatically be considered a replacement for tretinoin, and why expensive skincare formulations can make it difficult to determine which ingredients are responsible for visible improvements.

Although AmLactin is commonly used on the body, its 12% ammonium lactate formulation may cause stinging or irritation, particularly in people with sensitive skin, eczema, rosacea, or a compromised skin barrier. Not every body lotion is appropriate for facial use.

Suggested product:
AmLactin Daily Nourish Lotion: https://amzlink.to/az0r9ArzAFr9W

Subscribe to dermatologist Dr. Dray for evidence-based skincare advice, ingredient reviews, anti-aging skincare recommendations, and explanations of the science behind popular skincare products.

#AmLactin #AmmoniumLactate #AlphaRet #SkinbetterScience #AntiAgingSkincare #LacticAcid #Tretinoin #Retinoids #Photoaging #Wrinkles #SkinThickness #Dermatologist #DrDray #SkincareIngredients #DrugstoreSkincare
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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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Dermatologist reviews the skin benefits of eating sardines. Will eating sardines give you radiant skin? In this video I discuss eating sardines for acne and eczema.
Skin benefits of eating almonds https://youtu.be/WOhGsFVVmaQ
Best foods for healthy collagen https://youtu.be/w_Dq1cW60AM
Worst foods for collagen https://youtu.be/ZDpSOniJIVA

References
Santos HO, May TL, Bueno AA. Eating more sardines instead of fish oil supplementation: Beyond omega-3 polyunsaturated fatty acids, a matrix of nutrients with cardiovascular benefits. Front Nutr. 2023 Apr 14;10:1107475. doi: 10.3389/fnut.2023.1107475. PMID: 37143475; PMCID: PMC10153001.
Balić A, Vlašić D, Žužul K, Marinović B, Bukvić Mokos Z. Omega-3 Versus Omega-6 Polyunsaturated Fatty Acids in the Prevention and Treatment of Inflammatory Skin Diseases. Int J Mol Sci. 2020 Jan 23;21(3):741. doi: 10.3390/ijms21030741. PMID: 31979308; PMCID: PMC7037798.
Cottin SC, Sanders TA, Hall WL. The differential effects of EPA and DHA on cardiovascular risk factors. Proc Nutr Soc. 2011 May;70(2):215-31. doi: 10.1017/S0029665111000061. Epub 2011 Feb 24. PMID: 21349231.

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

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Can the gut microbiome affect your skin? In this video, dermatologist Dr. Dray explains the science behind the gut-skin connection, including how gut bacteria may influence inflammation, inflammatory skin diseases, and even responses to melanoma immunotherapy.

The gut microbiome plays an important role in immune function, intestinal barrier health, and the production of short-chain fatty acids that can influence inflammation throughout the body. Researchers are increasingly investigating how changes in the gut microbiome, sometimes called dysbiosis, may be associated with skin conditions such as eczema, psoriasis, acne, rosacea, hidradenitis suppurativa, lupus, and vitiligo.

But what does the research actually show? And can probiotics or commercial microbiome testing really help improve skin health?

In this video, Dr. Dray discusses the current evidence on the gut-skin axis, the potential role of probiotics, prebiotics, and postbiotics, and practical ways to support a healthy gut microbiome through diet and lifestyle. She also explains why associations between the microbiome and skin disease do not necessarily prove cause and effect, and why microbiome testing and probiotic supplements should be approached with caution.

IN THIS VIDEO:

0:00 The gut-skin connection and why it matters

0:46 What is the gut microbiome?

1:48 What is dysbiosis?

2:39 The gut microbiome and inflammatory skin diseases

5:43 Can a stool test tell you what is wrong with your skin?

6:12 Probiotics, prebiotics, and postbiotics

8:25 How to support your gut microbiome through diet and lifestyle

11:07 The bottom line: What the research really tells us

CAN THE GUT MICROBIOME AFFECT SKIN CONDITIONS?

Research has identified associations between changes in the gut microbiome and several inflammatory skin conditions, including:

Atopic dermatitis (eczema)

Psoriasis

Acne

Rosacea

Hidradenitis suppurativa

Lupus

Vitiligo

Scientists are also investigating how the gut microbiome may influence the immune system's response to melanoma immunotherapy. These findings could eventually help researchers better understand disease risk and treatment response, although much more research is needed before microbiome-based approaches can routinely guide dermatologic care.

DO PROBIOTICS HELP SKIN HEALTH?

Some studies suggest that certain probiotic strains may provide modest benefits for selected people with atopic dermatitis, but results have been inconsistent. Evidence is still developing for other skin conditions, and the benefits of one probiotic strain cannot automatically be applied to every supplement.

Dr. Dray also explains why a varied, fiber-rich diet containing vegetables, fruits, legumes, whole grains, nuts, and seeds is a practical way to support gut microbial diversity and function, without chasing an idealized microbiome.

IMPORTANT TAKEAWAY: The gut microbiome is an exciting area of dermatology research, but it is not a replacement for evidence-based skin treatments. Commercial stool tests cannot currently diagnose the cause of most skin diseases or reliably determine which treatment an individual needs.

Subscribe for evidence-based dermatology information, skincare ingredient reviews, and practical advice on skin health.

#GutSkinAxis #GutMicrobiome #Dermatologist #SkinHealth #Probiotics #Eczema #Psoriasis #Acne

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