The Lifestyle Dermatologist

The Lifestyle Dermatologist

By Drew Kurtzman, MD and Christie Alexander, MDHealth & Fitness
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The Lifestyle Dermatologist episodes

  • 17-Big ugly pores? Treatments that actually work (backed by science).

    In this episode, we’re going to discuss:

    • Why you have huge pores
    • What things you can do to improve the appearance of your pores
    • When you need to seek professional help from a dermatologist for those gross huge pores. 

    • If you can’t tell, we’re just kidding about the ugliness of pore sizes. So, hopefully you got the joke. 


      References:

      Lee, SJ et al. Facial pores: definition, causes and treatment options. Dermatology Surg 2016; 42: 277-285.


      TIMESTAMPS: 

      1:28 3 reasons why you have large pores

      3:29 how to fix your pore size

      4:00 reduce oil

      4:23 OTC topicals that can help

      4:41 Rx options

      5:14 chemical peels 

      6:17 lasers

      7:20 how about biore strips?

      9 min
    • 16-Do you really need more reasons to love coffee?

      In today's episode, we cover:

      • coffee consumption and rosacea
      • coffee consumption and skin cancer
      • how coffee differs from other caffeinated drinks
      • why you should drink more coffee

      • References:

        1. Barrea et al. Coffee consumption, health benefits and side effects: a narrative review and update for dietitians and nutritionists. Crit Rev Food Sci Nutr 2023;63(9):1238-1261.

        2. Dranoff J. Coffee as chemoprotectant in fatty liver disease: caffeine-dependent and caffeine-independent effects. Am J Physiol Gastrointest Liver Physiol; 2023 Jun 1;324(6):G419-G421.

        3. Li et al. Association of Caffeine intake and caffeinated coffee consumption with risk of incident rosacea in women. JAMA Dermatol. 2018; 154 (12): 1394- 1400. 

        4. Merighi et al. Caffeine for Prevention of Alzheimer's Disease: Is the A2A Adenosine Receptor Its Target? Biomolecules 2023 Jun 8;13(6):967.

        5. Yew et al. Coffee Consumption and Melanoma: A Systematic Review and Meta-Analysis of Observational Studies. American Journal of Clinical Dermatology 2016; 17: 113–123.

        8 min
      • 15-The TRUTH about collagen supplements, so you can make the right choice, which means better skin for you.

        In this episode, we cover:

        - how collagen supplements work so you can understand the mechanism of their claimed benefit
        - how collagen supplements have been studied in people with cellulite, wrinkles, and dry skin so you can decide if it may work for you
        - what the sciences says about collagen supplements and your skin so you can make an educated decision
        References:
        1. Bolke L.  A Collagen Supplement Improves Skin Hydration, Elasticity, Roughness, and Density: Results of a Randomized, Placebo-Controlled, Blind Study. Nutrients. 2019 Oct; 11(10): 2494.
        2. Choi FD et al. Oral Collagen Supplementation: A Systematic Review of Dermatological Applications. Journal of Drugs in Dermatology 2019; 18(1).
        3. De Miranda RB et al. Effects of hydrolyzed collagen supplementation on skin aging: a systematic review and meta-analysis. International Journal of Dermatology 2021; 60 (12):  1449-1461.
        4. Those Buzzy New Collagen supplements are risky business. NYT May 12, 2021.

        7 min
      • 14-Stop eating this, and start eating this: A guide to your DIET and ACNE.

        In this episode, we cover:

        • how diet directly affects your likelihood of having acne
        • what foods cause acne
        • what foods can help with acne
        • how to eat for healthier skin
        • References:

          Baquerizo K et al. Probiotics and probiotics in dermatology. JAAD 2014; 71: 814-21.

          Meixiong J et al. Diet and Acne: a systematic review.  JAAD Int 2022; 7: 95-112.

          Melnick et al. Linking diet to acne metabolomics, inflammation and comedogenesis: an update. Clinical, Cosmetic and Investigational Dermatology 2015; 8: 371-388.

          Podgorska A et al. Acne vulgarism and intake of selected dietary nutrients - a summary of information. Healthcare 2021; 9: 668.

          Zamil DH et al. Acne related to dietary supplements. Dermatology Online J. 2020; 26 (8): 13030.  

          13 min
        • 13-How to regrow your hair, naturally. Even if you're tried some other stuff.

          Interested in re-growing your hair?


          In this episode, we cover:

          • some ways we lose our hair
          • some FDA approved drugs to regrow our hair
          • 5 natural oils that are scientifically proven to regrow hair
          • some of their side effects (hint, they are in general super safe)

          • Enjoy!


            Citation: Int J Dermatol. 2023 Aug;62(8):980-985. doi: 10.1111/ijd.16657. Epub 2023 Apr 5. Commonly used hair oils in the Black community: a narrative review in their use to treat androgenetic alopecia




            7 min
          • 12-Chemical sunscreens: What does the science say about their safety? (Sunscreens, Part 3)

            In part 3, we finally cover the topic you're been waiting for--chemical sunscreens. There's a lot to unpack here, but we cover everything including their differences from mineral sunscreens through the details about their potential health risks. Please keep in mind that most studies showing harm are in animals, not in humans. The chemical sunscreens retailed in the US include avobenzone, oxybenzone, octinoxate, homosalate, octicrylene, and octisalate.

            References:
            FDA Monograph - Proposed rules. Federal Register 2019; 84 (38). 6216 - 6232.
            Fivenson D et al. Sunscreens: UV Filters to protect us: part 2- increasing awareness of UV filters and their potential toxicities to us and our environment. International Journal of Women’s dermatology 2021; 7: 45-69.
            Kruase M et al.  Sunscreens: are they beneficial for health? An overview of endocrine disrupting properties of UV-filters. International Journal of Andrology 2012; 35: 424-436.  
            Matta M et al. Effect of Sunscreen Application on Plasma concentration of sunscreen active ingredients. JAMA 2020; 323 (3):256-267.
            Wang J et al. Recent advances on endocrine disrupting effects of UV filters. International Journal of Environmental research and public health 2016; 13: 782-793.

            12 min
          • 11-No wait really, does it matter what I put on my skin?

            Does it really matter what I put on my skin? The risk is all theoretical, right? It doesn’t actually matter. You’re just a fringe weirdo, right? No I’m an actual doctor. But my views may not represent or align with the medical community at large--at least in this specific way. In this episode, we got a bit deeper into the idea of transdermal absorption.

            24 min
          • 9-How to Use Sunscreens, Part 1. What does the FDA say about sunscreen? How are they regulated? What do you need to know?

            How much do you know about sunscreen? Do you know which ones are the safest and most effective? Which ones should you choose? These are very common questions we get from our patients because there are so many options for sale. It can be downright confusing. If you’ve ever wondered about sunscreens—how they are regulated, which ones to choose, benefits and potential harms—you won’t want to miss this three-part miniseries on sunscreens. 


            In part 1, we cover sunscreen basics and look at the two safest sunscreen ingredients on the market. You’ll learn about GRASE and how the FDA determines how to categorize sunscreens. 

            14 min
          • 8-Vitamin C and your skin: EVERYTHING you need to know.

            In this episode, we cover EVERYTHING you need to know about vitamin C. Should you be consuming it for skin health? Is there benefit to using it topically if you are ingesting it? What specific benefits do you get from using vitamin C topically on your skin? These and MANY other questions get answered in this episode. You’ll learn 10 easy-to-remember benefits that vitamin C provides for your skin. Christie spent a lot of time preparing to make this video, scouring the medical literature, and provides you with an easy-to-understand guide on using vitamin C for your skin. This is one episode you won’t want to skip over — take your time and listen to each detail. 




            Citations:

            Coerdt KM et al. Vitamins A, B, C, and D: A short review for the dermatologist. Alternative Therapies. July/Aug 2021; 27 (40): 41-48.

            Kameyama et al. Inhibitory effect of magnesium l-ascorbyl-2-phosphate (VC-PMG) on melanogenesis in vitro and in vivo. JAAD. VOLUME 34, ISSUE 1 , P29-33, JANUARY 1996

            Herndon J. Et al. An Open Label Clinical Trial to evaluate the efficacy and tolerance of a retinol and Vitamin C facial regimen in Women with mild to moderate hyperpigmentation and photodamaged facial skin. J Drugs Dermatol 2016; 15 (4): 476-82.

            Humbert P et al. Bateman purpura (dermatoporosis): a localized scurvy treated by topical vitamin C - double-blind randomized placebo-controlled clinical trial. JEADV 2018; 32: 323-28.

            Lin J et al. UV photoprotection by combination topical antioxidants vitamin C and Vitamin E. JAAD 2003; 48: 866-74.

            Lin, F et al.  Ferulic Acid Stabilizes a Solution of Vitamins C and E and Doubles its Photoprotection of Skin. Journal of Investigative Dermatology. Volume 125, Issue 4 , October 2005, Pages 826-832

            Pullar JM et al. The Roles of Vitamin C in Skin Health. Nutrients 2017; 9: 866.

            Valacchi G et al. Protective Effects of topical vitamin C compound mixtures against ozone-induced damage in Human Skin.  Journal of Investigative Dermatology 2017; 137: 1373-1375.

            Yokota M et al. Evaluation of the anti-wrinkle effect of a lipophilic pro-vitamin C derivative, tetra-isopalmitoyl ascorbic acid. J Cosmet Dermatol 2002; 21: 3503-3514

            21 min

          About The Lifestyle Dermatologist

          From the publisher's feed

          Welcome to the show. Your hosts, Dr. Drew Kurtzman & Dr. Christie Alexander, are board-certified dermatologists who love sharing their passion for a healthy lifestyle and skin with you. They break down complex topics like how does exercise and diet affect your skin's appearance and its health.