The Gut–Skin Axis Explained: How Your Diet Impacts Acne, Rosacea & Inflammation

Could your gut be the real reason your skin keeps flaring? Acne, rosacea, psoriasis, and chronic inflammation may start deeper than your skincare routine. In this episode Dr. Mary Alice Mina sits down with board certified gastroenterologist Dr. Pia Prakash to explain the gut skin connection. They break down how the gut microbiome, leaky gut, inflammation, antibiotics, diet, fiber, probiotics, and hormones directly impact your skin. You will learn which foods support healthy skin, how processed foods and alcohol disrupt the gut barrier, why antibiotics can worsen long term skin health, and how perimenopause and estrogen changes affect digestion and inflammation. If you have stubborn skin issues that are not improving with topical treatments alone, this conversation will change how you think about skin health from the inside out. In this episode: 00:00 – Why gut health impacts skin health 02:45 – What the gut microbiome really is 06:20 – Leaky gut explained in simple terms 10:05 – How inflammation shows up on the skin 14:30 – Foods that help and hurt your skin 18:45 – Antibiotics and long term microbiome damage 22:40 – Perimenopause, estrogen, and gut changes 26:10 – Practical gut health tips for better skin 29:10 – Final takeaways and when to see a GI doctor 📢 Are you in the Atlanta area? Then I would love for you to be part of the Founder’s Experience! My guided dermatology program built around a comprehensive consultation and a long term plan for your skin. Now open to a small, intentional group for a limited time. Book here: https://theskinreal.janeapp.com/locat... 📲 Not in the Atlanta area. No problem! Join me inside The Skin Real app for science backed routines, dermatologist guidance, and product recommendations I trust. Download here https://linktr.ee/theskinreal About the guest: Dr. Pia Prakash is a board certified gastroenterologist in her 10th year in private practice, seeing clinic patients and doing procedures daily. She is passionate about reducing stigma around gut symptoms, and helping patients feel seen, understood, and empowered in their own care. Instagram:   / gastrogalmd   TikTok:   / gastrogalmd   YouTube:    / @gastrogalmd   #GutSkinConnection #SkinHealth #GutHealth #Inflammation #Dermatology