Science is increasingly showing us that if we want perfect skin on the outside, we need to look after our ‘skin on the inside’.1 A 2008 study of 173 participants found that patients suffering from rosacea were significantly more likely to have small-intestinal bacterial overgrowth (SIBO) than healthy people.2 Moreover, the skin condition improved once the SIBO had been treated. According to a 2017 study, patients with inflammatory bowel disease (IBD) will often present with inflammatory skin conditions, such as acne, rosacea, atopic dermatitis or psoriasis.3
Researchers looked at 39,353 patients with IBD and 77,947 control subjects to evaluate the associations between IBD and various skin diseases. Patients with IBD were at significantly increased risks of ISDs, including psoriasis, rosacea, and atopic dermatitis, whereas lower or nonsignificant associations were evident between IBD and…