by freddy » Mon Jun 23, 2014 12:33 am
talking to a leading clinical expert in food allergy/food intolerance research last year, he acknowledge the self-reports of lessened acne from patients discovering that they have celiac and went on the gluten-free diet or recognizing they're lactose-intolerernce, etc. furthermore he says, so far there is no confirmed study that deterministically correlates food as the causation for manifesting into acne as an end-symptom. unfortunately perhaps it will require a convergence of multidicipinary efforts (Allergists, Gastroenterologists, Nutritionists, and Dermatologists) that they may not have the unifying interest in this issue right now - probably because of the "chicken-or-the-egg" layman ignorance and lack of expertise in confirming the correlation to bring it to larger public light. given the state of research, i'm not sure if folks whom are interested in food issues are willing take an a side interest, albeit potentially large, in acne. understandably this gluten-free/gmo-free/hippie-organic business is fairly recent for this past decade. i'm also not sure how open-minded dermatologists are interested in being informed transdisciplinarity collaboration and being informed through other disciplines and medical specialities. after all, a good amount of them veer on cosmetic improvements (botox) and what is considered non-essential to good health.
unfortunately, no, dermatologist don't look at things holistically and can be one-sided in their reductive diagnosing. if they are only taught to use antibiotics and topical solutions and specially-designed pharmaceuticals as per with accutane, then they may not realize the correlation with diet/nutrition, as that being a registered dietician and food researcher is not their field nor "signed-up" interest - maybe it'll take several more decades to get folks whom first see the observable effects of acne that they immediately think to get referred to see a dermotologist - and for him/her to realize that it may be beyond his specialty realm - that the folks over in GI whom attribute celiac and gluten-intolerance that manifests into not just only the symptoms of acne, but other stuff like headaches, migraines, stomach acne, low-energy, etc. that is more inherently physiologically obstructive within the body - than say acne which as an organ itself is literally more tangible as we're dealing with skin that is external
it is very similar to the psychiatric realm; taking prescribe psychopharmacological anti-depressants, mood stabilizers, or anti-psychotics medications to alleviate the symptoms but it does not resolve social and family issues than can attribute to the causation of the underlying issue at hand. your physician can just throw some wellbutrin in attempts of a quick-quick manner "light up" your seemingly situationally 'down' mood, but they may not be well-skilled or trained to look for furthermore into potentially deeper-seated mental health arrests and issues - they may deterministically label a patients symptoms in an oversimplified perspective. even for psychiatrists whom focus on mental illness may focus too much on the observable symptoms - and can also be swayed by psychosomatic complaints. alternatively there is the more "humanistic" approach by clinical psychologists with a non-medical reductive-diagnostic that may a more holistic perspective in understanding and treatment mental health problems - especially if they are indeed more "social" in nature. it also doesn't mean the patient can be aided with medication along with therapy
for the medical world there are be some inherent issues where it can go beyond a doctor's expertise, which is why seeking out second opinions and differentiated approaches can be ideal; as say a headache or migraine can originate from many sources - it could be your viagra medication or not getting enough sleep - maybe even because we're dealing with arrogant, obnoxious, annoying, or bratty care-tagers or you're your kid is emotionally causing you rife for their hyperactivity and behavioral unpredictability that your self-righteous complaints are undeniably.. psychosomatic. but really, if anything, like psychiatrists whom address a wider gamut of clinical populations, whom are increasingly being overrun with many advances in the disciplines of neuroscience/psychological to inform their medical approach; that we recognize that dermatologists may have the same fate as to how the 'largest organ' - our skin -can be effected by a slew of things, especially when fundamentally the etiological origin is truly elsewhere but manifests as a symptomatic condition externally!
