Skin in the Game

You are what you itch! In this episode of Skin in the Game, we dive into the gut–skin connection and explore whether diet, probiotics, and nutritional supplements can actually improve atopic dermatitis. We separate science from hype, tackle common misconceptions, and discuss what the evidence really tells us about eating your way to better skin.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

What happens in Vegas doesn’t always stay in Vegas especially when it comes to dermatology! 

Diego and Graham unpack the latest data, emerging therapies, and practice-changing insights from Fall Clinical 2026. From exciting breakthroughs to questionable hype, they separate what’s new from what actually matters in clinical practice - with a few hot takes along the way.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

Are we over-monitoring isotretinoin and overreacting to Dupixent safety signals? We unpack the evidence behind moving away from routine lab monitoring with isotretinoin, then tackle two of Dupixent’s most controversial reported adverse events: CTCL and vision loss. What’s a true safety signal, what’s association, and what should we actually tell our patients?

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

Can we skip the scalpel? We break down the latest evidence for nonsurgical treatment of keratinocyte carcinomas, including when these approaches make sense and where surgery still reigns supreme. Then, we revisit an old precaution: avoiding live vaccines in patients on Dupixent. Has the evidence finally changed the conversation?

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

This week, we tackle two very different topics: the emerging evidence for upadacitinib in alopecia areata, and new data challenging the long-standing surgical dogma of keeping wounds dry after dermatologic surgery.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

Dermatitis flares are common but should we really accept them as inevitable?

Are they more closely linked to IL-31 blockade compared to the other MOAs used in AD treatment?

In this episode of Skin in the Game, we challenge the way we define, treat, and even think about flares, exploring what they tell us about disease control and whether it’s time to stop chasing flares and start preventing them.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

With new therapies rapidly expanding the CSU treatment landscape, which options actually come out on top? We unpack a recent meta-analysis comparing efficacy across treatments and discuss what the rankings mean for real-world treatment decisions.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

Biosimilars promise lower drug costs - but are patients actually saving? We unpack the surprising reality that despite lower prices, biosimilars can leave patients with higher out-of-pocket costs and discuss what this means for access and affordability in dermatology.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

Radiographic progression in psoriatic arthritis isn’t always as straightforward as the headline results suggest. We discuss David Oberlin’s recent JAAD paper examining IL-23 inhibitor trials, why trial design matters when interpreting structural outcomes, and what dermatologists should understand when treating patients with PsA.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.

Few topics in dermatology generate more debate than the management of dysplastic nevi. Should every positive margin be re-excised? Does the degree of atypia matter? And what does the evidence actually tell us about melanoma risk?

In this episode of Skin in the Game, Drs. Diego Ruiz Dasilva and Graham Litchman dive into one of the most common—and controversial—decisions in everyday dermatology. They separate long-held dogma from current evidence and share a practical, patient-centered approach to managing dysplastic nevi.

Whether you’re a resident, practicing dermatologist, or dermatology PA/NP, this episode will help you navigate one of the grayest areas in skin cancer management with greater confidence and evidence-based clarity.

Skin in the Game delivers high-yield dermatology quick hits for busy clinicians.

Hosted by:
 • Graham Litchman, DO, MS — Vivida Dermatology, Las Vegas, NV
 • Diego Ruiz Dasilva, MD — Forefront Dermatology, Virginia Beach, VA

We read the research so you don’t have to.

For show notes and more information please visit our website at https://skininthegamepodcast.buzzsprout.com/

Disclaimer: This podcast is intended for educational purposes only and does not constitute medical advice. Views expressed are those of the hosts and do not necessarily reflect those of their employers or affiliated organizations.