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Dr . Tr e v o rCa t e s 7St epsFor Gl owi ngSk i n Di scovert hesecr et st oachi evi ng nat ur al l ygl owi ngski nwi t houtfil l i nga pr escr i pt i onf r om yourder mat ol ogi stor under goi ngi nvasi veski npr ocedur es Copyright © 2016 Dr. Trevor Cates All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or otvher electronic or mechanical methods, without the prior written permission of the publisher, except in the case of brief quotations embodied in reviews and certain other non-commercial uses permitted by copyright law. PART ONE 5 Biological Issues That Can Harm Skin Health 8 I love to see glowing skin, especially when it starts from the inside. There’s a difference between stopping problems before they start and suppressing them after they’ve emerged. In skincare, the latter feat is typically accomplished with steroids and antibiotics. But by enhancing skin from the inside-out and avoiding these medications, we can create glowing skin and vibrant health— without the need of additional treatment. I’ve found over the years in my clinical practice and from following research that there are five main underlying causes that lead to imperfect skin: elasticity, oxidative damage, inflammation, glycation and hormone balance. First, we’ll learn about what these factors are and what lifestyle choices can influence them, and then we’ll wrap things up with my skin quiz so you can learn which variables are likely at the root of your skin imperfections. ELASTICITY Elasticity is what keeps our skin tight and wrinkle-free. As we age, elastin fibers in the skin deteriorate causing a loss in elasticity. Collagen comprises 70 to 80 percent of the skin’s dry weight and gives the dermis its structure. Elastin is a relatively small part of the dermis, but its function is important because it creates skin elasticity. As we age, collagen production gradually declines, and our skin becomes thinner. In certain hereditary disorders, collagen or elastin are deficient, which leads to accelerated aging. Sun exposure—especially ultraviolet radiation—also causes skin to lose elasticity and age quickly. Usually, the biggest changes occur after 60 years of age, but with excessive sun exposure, changes can occur as early as our 20s. Later in the eBook, you’ll learn what factors decrease elasticity and how you can boost its production for more youthful-looking skin. OXIDATIVE DAMAGE Oxidative damage can lead to free radical damage, genetic mutations, and telomere shortening. These processes are all associated with accelerated aging. Free radicals damage our skin similar to how water rusts metal. Free radicals damage collagen and affect the firmness and suppleness of our skin. Exposure to free radicals results in dryness, fine lines, wrinkles and less elasticity— and that’s just skimming the surface. Oxidative damage can take a toll on our internal organs as well and even increase our risk of developing chronic diseases. We know, however, that certain lifestyle choices can help combat these effects. We’ll get to those later. INFLAMMATION Inflammation can have enormous effects on the body, including the skin. Skinflammation, as I like to call it, can make the skin more sensitive and cause you to be more susceptible to eczema, dermatitis, psoriasis, acne, rosacea and other skin issues. When something enters the body that the immune system detects as foreign, such as a bacteria or a virus, then histamine—which is made and stored within our white blood cells—acts as an inflammatory mediator. This is one of the internal changes that occurs with the immune system and that leads to inflammation. Essentially, when inflammation occurs the body believes it’s under attack and responds accordingly. Circling back to the gut microbiome, skinflammation problems often stem from digestive issues. In addition to the delicate balance of our gut microflora, there’s the dreaded “leaky gut.” What’s that? Our digestive tract has a somewhat permeable lining, but when that lining becomes more permeable than it should, food particles can slip through and our immune system sees those as foreign substances. This creates an inflammatory response in the body and one of the main effects we see is skin disturbance, which can take the form of eczema, acne or dermatitis. GLYCATION The body uses glucose as a primary source of fuel, but if it’s not used and metabolized properly, glucose can bind to your skin’s collagen and elastin, which can damage skin. This process is called glycation, and its end products, called advanced glycation end products (also know as AGEs), cause our skin to become rigid and less elastic. The end results: cracked, thin and red skin with a weakened ability to repair itself—and, ultimately, skin that becomes prone to wrinkles and accelerated aging. Research indicates once the cross-linking of glucose with collagen and elastin occurs, it is hard to reverse. Just how fast glycation occurs is partially genetic, but lifestyle choices play a big role as well. Consuming glucose and fructose are major contributors, and other foods, depending on method of preparation, may contain preformed AGEs. Cooking methods like barbecuing, grilling, frying, and roasting lead to higher levels of AGEs. In a moment, we’ll discuss how to reduce glycation effects and keep your blood sugar at a healthy level, which affects not only diabetes patients but everyone, especially with respect to skin health. HORMONE IMBALANCES When our hormones are off balance, we are more likely to develop skin problems such as dry skin, fine lines and wrinkles, acne or rosacea— and, sometimes, more than one of these blights at the same time. Hormones are biochemical messengers used by the endocrine system to communicate with itself and the rest of the body systems. Hormones are derived from amino acids, phospholipids and cholesterol4 and they play a significant role in many aspects of our health. It may surprise you how much they rule our physiology. From our mental focus, memory and cognition, to sex drive, cardiovascular health, bone growth, sugar regulation and metabolism, hormonal imbalance is one of the major underlying causes of health problems. Hormones also have a symbiotic relationship with one another, which means if one hormone is out of balance, then there’s a domino effect. That one imbalance will affect the normal signals to hormones, and either decrease or increase other hormone levels. PART TWO 7 Steps to Glorious, Glowing Skin 14 As we’ve learned, there are five biological factors that can impact our skin’s health, but fortunately, there are seven steps we can take to combat these issues or prevent them from occurring before they even start, and they include the following: 1. Watch Your Environment 2. Enhance Your Digestion 3. Ensure Outstanding Detoxification 4. Modulate Your Immune Response 5. Balance Your Blood Sugar 6. Keep Your Hormones in Check 7. Boost your Nutrient Intake 1. Watch Your Environment You’ve heard about the damage that sun exposure and tobacco smoke can have on your complexion, but there are a number of other toxins we are exposed to on a daily basis that harm our organs, including our skin. Exposure to chemical toxins in our air, water, food and personal products can cause oxidative damage. We know that our skin is highly sensitive to inflammation, irritation, and dehydration, and that these effects can make a huge impact on our appearance. The number of chemicals and toxins in our environment is increasing at an alarming rate, and our bodies are sponges to these toxins. We have become human storage tanks for chemicals, and we now know it’s not a matter of if but how these toxins are affecting us. One of the biggest problems are endocrine-disrupting chemicals (EDCs). EDCs include substances in our environment, water, food and personal care products that interfere with the production, transport, breakdown, binding and elimination of hormones. Exposure to EDCs ultimately affects the hormonal system and homeostasis of the body. Examples of synthetic EDCs are: pesticides, industrial chemicals and their byproducts (such as PCBs and dioxins), plasticizers (phthalates), plastics (BPA), fungicides, certain medications, and other chemicals widely used and in our environment. Heavy metals (like lead and mercury) also appear to have estrogenic activity, which suggests that they, too, may be EDCs. When it rains, chemicals are washed into our water supply and crops, and we’re at risk of exposure. The animals we eat also consume this contaminated water, grass, feed, and other foods, so when we eat meat and fish we may further come in contact with toxins. You’ll want to pay attention to labels on your skin care products too, as they can contain heavy metals, phthalates and other EDCs. Some skincare ingredients like parabens, phthalates, triclosan and sunscreen are toxins that have been found in the human body. All of these chemical ingredients are potential hormone disruptors. We’re exposed to these chemicals when we inhale them from sprays and powders, ingest them from the lips and absorb them through our skin. Statistics show that women use an average of twelve personal care products daily, while men use an average of six daily. That means we’re exposed to more than 80 different ingredients daily, which increases the chances that a harmful toxin or two is lurking in your medicine cabinet. Here are some quick tips for protecting your skin from the environment: • Shield your skin’s elastin and collagen from potentially harmful UV light by wearing sunblock, a hat and sunglasses when you go outside. • Studies have shown that a diet rich in vegetables, fruit and olive oil, as well as certain dietary supplements with vitamins E and C, and carotenoids, can have sun-protective effects and can combat oxidative damage. • If you smoke, stop! Smoking significantly impacts skin elasticity and can induce oxidative damage. • Steer clear of using chemical pesticides when you’re doing yardwork. Opt for natural alternatives that are free of the chemicals listed earlier in this section. • Avoid hazardous cleaning products. Use baking soda, lemon juice and vinegar instead: These cheaper, less risky solutions will clean just about everything in your house. • Consider a water filtration or purification system for your home. Having at least a carbon filter will help ensure your water is free of toxins that may affect the skin. A high-quality reverse-osmosis filtration system is even better for drinking water. • Take advantage of shower and bath filters to remove chlorine. • Reduce consumption of foods wrapped in plastics. • Store food in stainless steel, glass or ceramic instead of plastic. • Avoid eating large, carnivorous fish. Because they’re higher up on the food chain, these types of fish tend to contain higher levels toxins like mercury and PCBs: swordfish, shark, tuna, halibut, king mackeral, tilefish, as well as farm-raised and European salmon. Instead, choose wild fish—which are found in the clean ocean water—to reduce exposure to PCBs and other toxins. • Eat organic foods as much as possible. Check out Environmental Working Group’s (EWG’s) website for a list of the top least and most pesticide-laden produce http://www.ewg.org/foodnews/ to know when it’s most harmful not to opt for organic. • Pay attention to labels on your skincare products. Avoid ingredients such as parabens, phthalates, oxybenzone (in sunscreens) and triclosan. You can search for your skincare products and find out if you’re in the clear on the EWG’s website. http://www.ewg.org/skindeep/ 2. Enhance Your Digestion As previously mentioned, skin and digestive problems go hand in hand. “Leaky gut syndrome,” or hyperpermeability of the digestive tract lining, causes our immune system to go into overdrive. That results in inflammation, which can lead to issues like eczema, acne or dermatitis. Why do problems such as the “leaky gut” and imbalances of the gut microbiome happen? Oftentimes, these conditions occur due to at least one of the following factors: periods of high stress, a history of or current gastrointestinal (GI) infection, poor dietary choices, or the use of medications such as antibiotics and steroid treatments. Another digestive tract concern is constipation. If your exit route of eliminating waste—including toxins—is closed, then your body is not able to dispose of these elements and our system gets backed up. When this occurs, people often feel sluggish, tired and irritable, and may develop skin issues. Knowing whether you have a digestive tract issue is often pretty simple—tell-tale signs include diarrhea, constipation, the presence of undigested food particles in the stool, small or inadequate stools, heartburn, abdominal pain, gas or bloating. But digestive symptoms do not necessarily need to be present to indicate that this is an underlying problem of your primary health concern. In fact, many people have digestion, absorption and assimilation issues, and don’t even know it! That said, if you’re eating fiber-rich, nourishing foods, managing stress and staying away from unnecessary medications, your digestive system may be in good shape. On the flip side, if you’re having skin problems and digestive symptoms, it’s time to switch up your diet to allow for more digestive support. Another nutrition tip that we’ll discuss in more detail later: Probiotics, or “good” bacteria, are powerhouse foods that can help restore the beneficial microbes and keep the digestive system working smoothly. Probiotics can be found in yogurt, as well as any fermented food like kimchi or sauerkraut. Certain nutritional supplements such as L-Glutamine can similarly help repair damage to the digestive tract lining, which can help heal “leaky gut” syndrome. Here are some quick tips to enhance your digestion: • Eat fiber and nutrient-rich foods, manage stress and stay away from unnecessary medications. • If you have bloating, gas, heartburn, diarrhea or constipation, add probiotics and/or fermented foods to your plate to help restore the beneficial microbes that keep your digestive system working smoothly. See the chapter on “8 Essential Nutrients” to learn more about fermented foods and probiotics. • Consider nutritional supplements like L-Glutamine to help repair damage to the digestive tract lining. • Eat eight or more servings of vegetables daily (with at least two servings of leafy greens), good fats like coconut oil for cooking and olive oil for salad dressings, a wealth of colorful fruit, veggies, and legumes and other healthy protein sources like wild Alaskan salmon, grass-fed beef and free-range chicken. 3. Ensure Outstanding Detoxification Remember all those toxins we mentioned earlier? Unfortunately, even when we make our best effort, these chemicals can prove inescapable. But, luckily, there’s a way to detoxify our system to fight any potential effects of these toxins on our skin health. Not only are our body’s detoxification pathways essential for dumping toxins, but they’re also important for keeping our hormones balanced. Our liver and kidneys are amazing tools for removing toxins, but when overexposure to toxins occurs and it’s coupled with underlying genetic factors and a possible combination of organ impairment, our systems become overloaded and can malfunction. Here are some common symptoms that may be a sign you need to ramp up your body’s detoxification: • Fatigue or tiredness • Bad breath • Headaches and migraines • PMS, irregular menstrual cycles, infertility and other signs of hormone imbalances • Irritability and mood swings • Difficulty focusing or being distracted often • Inability to lose weight • Skin rashes, eruptions and itching • Chronic muscle or joint pain Our liver is the primary detoxification organ in the body—think of it as a filtration system that helps remove toxic substances as they’re processed through the body. You can strengthen your detoxification pathways by consuming nourishing foods, exercising regularly, and drinking filtered water and herbal teas. Choose colorful fruits, veggies and legumes that are rich in antioxidants and fiber. Onions, garlic and the brassica veggie family—like broccoli, cabbage, cauliflower and Brussels sprouts—can also rev your body’s detoxification system. Here are some other ways to ensure detoxification: • Avoid the toxins I mentioned earlier in your air, water, food and personal care products to ensure you’re not adding more burden to the body. • Avoid processed foods, especially those containing hydrogenated or partially hydrogenated oils, sugar and high fructose corn syrup. Limit your intake of alcohol and caffeine. • Drink plenty of filtered water and herbal teas (like dandelion and milk thistle) that support your kidney and liver function. • Eat an antioxidant-rich diet with staples like green tea, colorful fruits, vegetables and legumes. Blueberries, raspberries, green leafy veggies, and black beans are some of my favorite antioxidant sources. To be sure you’re getting enough antioxidants, eat eight or more servings of vegetables per day and a couple of servings of antioxidant-rich fruit. Include at least 1 daily serving of onions, garlic and another of the brassica veggie family. • Consume healthy oils such as olive oil in salad dressings and coconut oil for cooking. • Release stress toxins with breathing work, yoga, meditation and a good night’s sleep. • Regular exercise reduces stress, and sweating helps us release toxins through the skin. 4. Modulate Your Immune Response Without a balanced immune system, the body has no arsenal to protect from infection and illness. When our immune system is debilitated either due to poor diet or care, we are more likely to develop imbalances in our gut and skin microbiome. And, when our immune system is overly reactive, we are more likely to develop autoimmune diseases such as Hashimoto’s Thyroiditis, Rheumatoid Arthritis, Lupus, psoriasis, and other diseases that can affect the skin. That’s why keeping the immune system in proper order is absolutely essential. On the surface, as we age, the skin’s immune function changes. Our skin becomes thinner and more fragile, increasing the body’s susceptibility to acute and chronic diseases, including cancer. One of the biggest things you can do to help modulate your immune function is to find and eliminate any foods your body may be allergic to or not be able to tolerate. Often, when people think of allergies, anaphylactic reactions such as hives (itchy rashes), swollen lips and attacks of difficulty breathing come to mind. An allergy is technically different from a sensitivity or intolerance. Allergies involve an immunoglobin IgE responding to the substance and creating a cascade of internal responses that can sometimes lead to a life-threatening reaction. A food sensitivity can create a much broader range of symptoms and can be immediate but usually create more chronic, longterm symptoms. When someone is sensitive to a food, their body creates an immune response similar to an allergy, but different immunoglobins such as IgA and IgG are involved. This reaction leads to an inflammatory response in the body. One day, a former patient “Blake”, who was 4, came into my office with his mother. Blake was covered from head-to-toe in an eczematous rash. Both he and his mom were exhausted and miserable. He’d been up all night, scratching his skin and not able to sleep. His mother ended up taking him off dairy products because she read that dairy was a common food allergen linked to eczema. We did a food sensitivity test (IgG) and the results showed a high reaction to almonds. His mother was surprised to see this as she had switched to almond milk and thought she was helping relieve his symptoms by switching from cow’s milk to the nut variety. Her intentions were good: Cow’s milk is the No. 1 food sensitivity, but in this child’s case, it was almonds. In addition to suggesting Blake avoid all almonds, including almond butter and almond milk, I gave him a child’s probiotic and the amino acid L-Glutamine. Within one week, he was scratching less. Within a month, his eczema was 50 percent better. Within three months his eczema was gone. He was sleeping through the night, and both mom and Blake were happy. If you have any of the following symptoms, you may have a food intolerance or allergy: Itching, burning, pain, lymph gland swelling, hives, flushing, red spots, acne, rosacea, exacerbation of skin conditions such as eczema or psoriasis, and/or recurring infections. Remember that it is an immune response that leads to inflammation in the body, so it can affect everyone’s body differently. Acute inflammation helps keeps us alive. If we get a cut, our blood vessels constrict and clotting factors stop the bleeding. And, our white blood cells kick in to fight off any possible infection. The pain associated with acute inflammation can help us learn what is harmful for our bodies so we can avoid it in the future. Chronic inflammation, such as resulting from the immune reaction, leads to many disease processes. The most common food sensitivities and allergies are dairy, gluten, eggs, corn and soy, but it can be any food. As you can see from this list, these are the most popular foods in the typical Western diet. Here are some ways to support your immune system: • Avoid foods that increase inflammation. Start with: sugar, high fructose corn syrup, processed foods and hydrogenated oils. • Try an elimination diet. You can start by eliminating the most common foods linked to allergies: dairy, gluten, eggs, corn and soy. • Eat a plethora of antioxidant-rich foods and anti-inflammatory Omega 3s. • Consider taking a high-quality multi vitamin, mineral supplement and/or other essential micronutrients for immune support. • Consider taking an anti-inflammatory supplement, such as proteolytic enzymes, to reduce inflammation, support healthy lymphatic drainage and protect against oxidative stress. • If you have an autoimmune disease or chronic recurring infections, talk with a healthcare provider about what you can do to modulate your immune system. Until you address the underlying cause, your immune system will continue to affect your body and your skin. Various natural options can help balance the immune system and address whatever condition you may be dealing with. 5. Balance Your Blood Sugar As we covered earlier, during glycation, sugar in the bloodstream can attach to proteins to form new, potentially harmful products called advanced glycation end products (AGEs). AGEs accumulate on elastin and collagen and cause changes to their structural integrity and function—ultimately causing wrinkles and accelerating aging. Blood sugar is not just an issue for diabetes patients. These levels impact everybody and blood sugar imbalances can lead to skin damage. The good news is that research shows certain foods can stop the production of AGEs: herbs and spices (oregano, cinnamon, cloves, ginger, and garlic) and components of certain fruits and vegetables, like lipoic acid. Now, let’s discuss the “bad” foods: Foods with a high glycemic index, such as sugar, refined grains and your basic white potato are rapidly absorbed by the body, which can lead to higher serum glucose levels and corresponding elevated levels of insulin. Eating an excess of high-glycemic index foods over time can lead to glycation problems, diabetes, weight gain and even more skin problems! High insulin has been shown to stimulate sebum production and androgen activity, which play a role in the pathogenesis of acne. Ask your doctor to check your fasting blood sugar so you can address hyperglycemia and insulin resistance early on, if it’s a problem for you. Keep in mind that glycation doesn’t affect only those who’ve been diagnosed with diabetes. Even if your blood glucose is within what’s considered a normal range, the fasting levels that will result in the best internal and external health fall below 85 or 80. If your blood sugar is in the more ideal range, you will still want to make healthy food choices to keep your blood sugar balanced. Here are some tips to balance your blood sugar: • The No. 1 thing you can do to keep your blood sugar balanced is avoid sugar. Sugar is a sneaky additive that’s hidden in a countless number of foods, so I encourage you to not only stop adding sugar to your foods but to also start reading ingredient labels. Look for sugar, honey, agave, maple syrup, fruit juice, corn syrup, rice syrup, etc., as all of these names mean sugar. Artificial sugars are not a good substitute because they can have harmful effects on the body and even cause you to crave sweet foods after consumption. Sugar is an acquired taste, so training yourself to enjoy foods that aren’t sugar-laden is key. Stevia, a natural plant-based option, is the best alternative because it does not alter your blood sugar. • Sugary cereals and pastries are staples in the American breakfast, but these choices can sabotage healthy skin. A great way to start the day and limit your sugar intake is with a healthy shake. • Eat balanced snacks and meals. In other words, do not eat fruits and grains without complementing your plate with protein and fat. • Eat brightly colored fruits and vegetables containing phytonutrients that act as antioxidants to ward off free radical damage from AGEs, and reduce the risk of common chronic diseases and premature aging. • When picking veggies, avoid corn—it’s commonly mistaken for a vegetable, but it’s actually a grain. Also opt against potatoes when aiming to address a skin problem, as potatoes are starchy and have a high glycemic index. Bananas, especially those that are ripe, similarly have a high glycemic index, meaning the body quickly converts them to sugar. • Add spices and herbs to your cuisine like oregano, cinnamon, cloves, ginger, and garlic. • Consider a supplement for healthy blood sugar balance, with nutrients like chromium. 6. Keep Your Hormones in Check As mentioned before, maintaining hormonal balance is crucial for healthy skin. When levels are off, a host of blemishes—from signs of aging to more serious problems like rosacea—can occur. During puberty, women have hormone surges that can lead to acne, and around the time of pregnancy, women often experience rosacea. As we age, the hormones that help keep our skin firm and vibrant start to decline, which leads to sagging and wrinkles. Ongoing stress and poor sleep, as well as dietary and exercise habits, can similarly disturb the delicate balance of our hormones. One of the best ways to maintain hormone homeostasis is by managing stress, eating a balanced and nutrient-rich diet, exercising regularly and getting a good night’s sleep. If you have symptoms of hormone imbalances such as fatigue, dry skin and hair, weight gain, low sex drive, PMS, or irregular cycles, talk with a hormone specialist because you may have thyroid, adrenal or sex hormone (estrogen, progesterone, testosterone) imbalances. Consuming various nutrients and herbs can help target these conditions, but knowing which remedy will do the trick depends on which hormone levels are too high or too low. Making sure these levels are balanced means a lot for your energy level and metabolism. If in addition to being unable to lose weight and feeling tired, you are cold, constipated, and losing hair, you may have low thyroid. If you’re tired because you can’t sleep at night, then you may have low progesterone (if you’re a woman) or high evening cortisol (adrenal problems). These are just a few of the possibilities. Thankfully, blood, saliva and urine tests can help identify these problems. Ask your doctor to run a full thyroid panel (to me that means TSH, free T3, free T4, thyroid antibodies and reverse T3). Many doctors do not run these kinds of comprehensive tests unless you ask, so if you really want to pinpoint the issue, find someone who specializes in this area. Get help or find an ND in your area. As we age, hormones tend to decline or get thrown out of balance. However, there are lifestyle changes, nutritional and herbal therapies that can support our bodies during times of change. Bio-identical hormones can help fill in the gaps, especially when we’re in our 40s and 50s. It is a delicate balancing act and bio-identical hormones should only be prescribed under the leadership of a licensed healthcare provider who is well-trained in bio-identical hormones. Here are some tips to help keep your hormones in check: • Maintain hormone homeostasis by managing stress, eating a balanced and nutrient-rich diet, and exercising routinely. See below for sample meditation exercise to help manage stress. • If you have symptoms of hormone imbalances such as fatigue, dry skin and hair, weight gain, low drive, PMS, or an irregular menstrual cycle, talk with a doctor specializing in hormones to see if you may have thyroid, adrenal or sex hormone imbalances. • Eat foods that support the liver to help ensure proper hormone metabolism like cruciferous veggies (see the “detoxification” section in this chapter for more ideas). • Avoid harmful skincare ingredients and other sources of EDCs (see environmental section for more ideas). • If you find you have hormone imbalances, various herbs and nutrients such as chaste tree berry for low progesterone can help. • • • • First, find out what your hormones are telling you and then look for natural solutions to balance them. Your daily eating, exercise and stress management habits really make a difference. Take the 21 Day Healthy Habits Challenge to optimize your healthy habits and get your life back on track. You can manage stress by way of breath-work, yoga, meditation, moderate exercise and a good night’s sleep. Simple meditation exercise: Sit comfortably with your back straight. Begin by focusing your attention on your breathing. You may place your hand on your abdomen initially to focus your attention. Feel that the breath is gently flowing in and out. As your breath flows in, let it gently soften and expand your abdomen. As the breath flows out, let it carry away any thoughts that arise. Feel that your body is being washed of any unnecessary tension or upset. If a particular emotion arises and starts to overpower the meditation, allow it to be released. Let each breath softly loosen and carry away any blocks or barriers. With each breath, feel your body relax. If there is a particular area of tension, you can also breathe into that area and allow it to relax and soften. Complete your meditation with a moment of gratitude, reflection or prayer. Sleep - We need sufficient sleep to help us stay balanced and energized and repair processes during the night. Sleep deprivation leads to accelerated aging. Create a calm environment that is quiet and comfortable. Act like you’re at a spa and enjoy a peaceful bedtime routine such as meditation, breath-work or other relaxation techniques to help ease you into sleep. • Exercising at least 30 to 60 minutes most days of the week will help you reach your goals and enjoy a longer, healthier life. Research shows that being physically active can boost your selfesteem and overall happiness—meaning exercise can help you get more enjoyment out of life. 7. Boost your Nutrient Intake Nutritional deficiencies can lead to a number of diseases. These deficiencies often are the result of poor dietary habits, absorption issues, or a lack of nutrients in our food supply. When it comes to skin, in addition to water and protein consumption, specific nutrients can enhance skin quality when they’re added to our diet as well as our skincare regime. In addition to deficiencies, some people have imbalances of nutrients. This often happens if people are taking incorrect or lowquality supplements. Certain nutrients need to be consumed in balance with other synergistic nutrients, and if they are not then they may have too high of one nutrient in relationship to other nutrients. For example, if a person is taking zinc long-term without other minerals such as copper, then they may develop imbalances that can lead to immune system suppression. Nutrients like B12 and folate should also be taken together long-term, as well as magnesium with calcium. Because no single vitamin, be it calcium or vitamin E, is found alone organically, it’s always a good idea to mimic nature when we think of nutrients. This way, we’ll maintain that essential and intricate balance, and see the effects we desire. Scientists have identified a certain gamut of nutrients that play a critical role in normal skin function, particularly when nutrient deficiencies are apparent, such as vitamin C in collagen synthesis. Numerous studies have observed that dietary supplements of vitamins E and C, carotenoids (beta-carotene and lycopene), and polyunsaturated fatty acids (PUFAs) can strengthen the skin and help prevent sun damage. Refer to the forthcoming list of foods to eat for glowing skin and add them to your grocery list. Collagen: When it comes to skin, there are a number of nutrients that enhance health and affect aging. Many of the essential nutrients directly impact collagen. Collagen is a naturally occurring fibrous protein that comprises the vast majority of the dermis and is actually the most abundant protein in the human body. It’s thought to be the glue that holds the body together, and with respect to skin, it provides elasticity and strength. You’ve already learned that collagen production naturally depletes as we get older—especially after age 40—and that too much sun exposure, as well as smoking and consuming excess sugar, can expedite this process. Improving these habits is the first step to ramping up collagen production, but if you’ve already ticked off those boxes, it’s time to go a step further to combat signs of aging like wrinkles and sagging skin. Many people buy topical treatments that contain collagen or undergo procedures like skin filler injections or laser treatment, which can drain our bank accounts and can come with unwanted side effects. While these can affect your skin’s appearance, you can get even longer-lasting benefits by being more cognizant of what you’re putting in your body. You can complement your diet with protein either in supplement or whole-food form. Nine amino acids are important for collagen production, and they should be consumed through the diet. Consuming grass-fed beef, organic poultry, wild fish, and nuts will usually provide a sufficient amount of amino acids, such as arginine, glutamine, lysine, and proline that support collagen production. You can also consider taking a high quality collagen supplement from a clean source. Antioxidants: You’ve undoubtedly heard about antioxidants even before reading this eBook, but essentially what they aim to do is reverse the effects of free radicals, which are tied to oxidative stress. You already know that oxidative damage results from having too much sun exposure, smoking cigarettes, and encountering harmful toxins such as pesticides in food and gardening products. But consuming antioxidants can help combat the negative effects these elements have on the skin. Antioxidants have been shown to reduce UVB-associated skin damage. They also improve expression of genes associated with DNA replication and repair. And, because antioxidant-rich foods are high in fiber, they benefit other parts of the body like the heart and the gut as well. Fortunately, antioxidants can be found in an array of foods and drinks. Resveratrol, common in red wine and grapes, as well as the supplement CoQ10, are antioxidants that have specifically been shown to enhance the skin and reverse free radical damage. Other antioxidant sources include: nuts (walnuts, pistachios, pecans, hazelnuts and almonds), seeds, herbs and spices, dark chocolate, berries, stone fruits (peaches, nectarines, apricots, cherries), tropical fruits (mango, pineapple, kiwi), veggies (kale, okra, artichokes, bell peppers), sweet potatoes, beans (black, kidney, etc.) and green tea. Think colorful fruits, veggies, and legumes. Astaxanthin is another potent antioxidant and has a particular affinity for protecting the skin from the effects of oxidative damage. A number of studies show how astaxanthin aids in skin moisture levels, smoothness, elasticity, fine wrinkles, and spots or freckles. If you get a sunburn, which causes inflammation and oxidative damage, astaxanthin penetrates skin cells and reduces UVA damage — acting almost like an internal sunblock. Part of the carotenoid family, the antioxidant astaxanthin can be found in salmon, trout, krill, shrimp, lobster, crabs, and crayfish. Here are some tips to help boost your nutrients: • Address any digestive issues to ensure optimal breakdown and absorption of the nutrients in the foods you eat. • Choose whole, unprocessed, organic foods to ensure you’re getting the highest quality, nutrient-rich foods possible. • Consider taking a high-quality multi-vitamin/mineral supplement to fill in any possible nutritional gaps in your diet. Remember, our food is not perfect. Even if you buy the best locally grown organic food you can find, our soil is depleted and our digestion is less than optimal, so our micronutrient levels are innately poor. That’s why most people benefit from taking a high quality multivitamin and mineral supplement. Quality matters, so choose wisely. I carefully designed my Daily Nutrients packets to be high quality and a great balance of nutrients. • Consider additional nutritional supplements if you need extra support. See the next chapter for my favorites. As you can tell, I truly believe the quality of your skin provides an excellent indication of the health of your entire body. When you restore health, your skin glows. To help you achieve glowing skin and vibrant health, complete this quiz and get your skin score. The Spa Dr.’s Skin Quiz Link to Quiz: http://theskinquiz.com 60 About Dr. Cates Dr. Trevor Cates was the first woman licensed as a naturopathic doctor in the state of California. She was appointed by former Governor Arnold Schwarzenegger to California’s Bureau of Naturopathic Medicine Advisory Council. Also known as “The Spa Dr.,” Dr. Cates sees patients at world-renowned spas and in her Park City, Utah private practice with a focus on anti-aging, hormone balance and glowing skin. Dr. Cates has online wellness programs and products and schedules patient appointments on her website, TheSpaDr.com. Dr. Cates also consults spas and other businesses how to successfully implement wellness programs, services and products at TheSpaDr.com. Dr. Cates is the host of a regular iTunes podcast called THE SPA DR: Secrets to Smart, Sexy and Strong and the online Glowing Skin Summit. Nourish your skin on the outside too, with natural, non-toxic ingredients that effectively keep skin clear of blemishes and signs of premature aging. We use the science of natural beauty in The Spa Dr. skincare products. They are carefully pH balanced to promote a thriving skin microbiome, which supports healthy, clear skin and graceful aging. Click here to learn more about The Spa Dr.'s Daily Essential System *Medical Disclaimer: Information provided in this eBook is for informational purposes only. The information is a result of years of practice and experience by Trevor Cates, ND. However, this information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this eBook for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking or discontinuing any medication or nutritional, herbal or homeopathic supplement, or using any treatment for a health problem. If you have or suspect that you have a medical problem, contact your healthcare provider promptly. Do not disregard professional medical advice or delay in seeking professional advice because of something you have read in this eBook. Information provided in this eBook and the use of any related products or services by you does not create a doctor-patient relationship between you and Trevor Cates, ND. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. References Adebamowo C, Spiegelman D, Danby F, et al. High school dietary dairy intake and teenage acne. J Am Acad Dermatol. 2005;52:207–214. Adebamowo C, Spiegelman D, Berkey C, et al. Milk consumption and acne in teenaged boys. J Am Acad Dermatol. 2008;58:787–793. Adebamowo C, Spiegelman D, Berkey C, et al. Milk consumption and acne in adolescent girls. Dermatol Online J. 2006;12:1. Ahmed SH1, Guillem K, Vandaele Y. Curr Opin Clin Nutr Metab Care. Sugar addiction: pushing the drug-sugar analogy to the limit. 2013 Jul;16(4):434-9. doi: 10.1097/MCO.0b013e328361c8b8. Arakane Kumi. Effect of Antioxidant to Inhibit UV-Induced Wrinkles. Journal of Japanese Cosmetic Science Society Vol. 27;No.4; 298-303(2003). Arora MK1, Yadav A, Saini V. Role of hormones in acne vulgaris. Clin Biochem. 2011 Sep;44(13):103540. doi: 10.1016/j.clinbiochem.2011.06.984. Epub 2011 Jul 6. Bae J, et al. Bog blueberry anthocyanins alleviate photoaging in ultraviolet-B irradiation-induced human dermal fibroblasts. Molecular Nutrition and Food Research. 2009;53:726. Bickers DR, Athar M. Oxidative stress in the pathogenesis of skin disease. J Invest Dermatol. 2006;126(12):2565–2575. Bouilly-Gauthier, D., Jeannes, C., Maubert, Y., Duteil, L., Queille-Roussel, C., Piccardi, N., Montastier, C., Manissier, P., Piérard, G. and Ortonne, J.-P. (2010), Clinical evidence of benefits of a dietary supplement containing probiotic and carotenoids on ultraviolet-induced skin damage. British Journal of Dermatology, 163: 536–543. doi: 10.1111/j.1365-2133.2010.09888.x Borek C. Aging and antioxidants: Fruits and vegetables are powerful armor. Advances for Nurse Practitioners. 2006;14:35. Bowe W, Joshi S, Shalita A. Diet and acne. J Am Acad Dermatol. 2010;63(1):124–141. Camera E, Mastrofrancesco A, Fabbri C, Daubrawa F, Picardo M, Sies H, Stahl W. Astaxanthin, canthaxanthin and beta-carotene differently affect UVA-induced oxidative damage and expression of oxidative stress- responsive enzymes. Exp Dermatol. 2009 Mar;18(3):222-31. Epub 2008 Sep Cohen, G., Shamus, E. Depressed, Low Self-Esteem: What can exercise do for you? The Internet Journal of Allied Health Sciences and Practice. April 2009, Volume 7 Number 2. The collagen family, Sylvie Ricard-Blum, Cold Spring Harb Perspect Biol., doi: 10.1101/cshperspect.a004978, published online January 2011. Corstjens H, Dicanio D, Muizzuddin N, et al. Glycation association skin autofluorescence and skin elasticity are related to chronological age and body mass index of healthy subjects. Exp Gerontol. 2008;43:663–667. Cosgrove MC, Franco OH, Granger SP, Murray PG, Mayes AE. Dietary nutrient intakes and skin-aging appearance among middle-aged American women. Am J Clin Nutr 2007;86:1225-1231. Craig A. Elmets, MD, Divya Singh, MD, Karen Tubesing, MS, Mary Matsui, PhD, Santosh Katiyar, MD, Hasan Mukhtar, PhD. Cutaneous photoprotection from ultraviolet injury by green tea polyphenols. J Am Acad Dermatol 2001;44:425-32 Danby F. Nutrition and aging skin: sugar and glycation. Clin Dermatol. 2010;28(4):409–411. Danby FW. Nutrition and acne. Clin Dermatol. 2010;28(6):598–604. Dearlove R, Greenspan P, Hartle D, et al. Inhibition of protein glycation by extracts of culinary herbs and spices. J Med Food. 2008;11:275–281 Di Landro A, Cazzaniga S, Parazzini F, et al. GISED Acne study group. Family history, body mass index, selected dietary factors, menstrual history, and risk of moderate to severe acne in adolescents and young adults. J Am Acad Dermatol. 2012;67(6):1129–1135. Duarte TL, Cooke MS, Jones GD. Gene expression profiling reveals new protective roles for vitamin C in human skin cells. Free Radic Biol Med. 2009;46(1):78–87. Heinrich U, Wiebusch M, Tronnier H. Photoprotection from ingested carotenoids. Cosm Toilet 1998;113:61–70. Holick MF. Vitamin d: a d-lightful solution for health. J Investig Med. 2011;59(6):872-880. Holick MF. Resurrection of vitamin D deficiency and rickets. J Clin Invest. 2006;116(8):2062-2072. Holick MF, MacLaughlin JA, Clark MB, et al. Photosynthesis of previtamin D3 in human skin and the physiologic consequences. Science. 1980;210(4466):203-205. Hsu S. Green tea and the skin. J Am Acad Dermatol. 2005 Jun;52(6):1049-59. Ismail NH, Manaf ZA, Azizan NZ. High glycemic load diet, milk and ice cream consumption are related to acne vulgaris in Malaysian young adults: a case control study. BMC Dermatol. 2012;12:13. Iwamoto T, et al. Inhibition of low-density lipoprotein oxidation by astaxanthin. J Atherosc Thromb 2000;7:216-22. Kaliomaki M, Salminen S, Poussa T, et al. Probiotics and prevention of atopic disease: 4-year followup of randomized placebo–controlled trial. Lancet. 2003;361:1869–71. [PubMed] Kang JS, Kim HN, Jung da J, et al. Regulation of UVB-induced IL-8 and MCP-1 production in skin keratinocytes by increasing vitamin C uptake via the redistribution of SVCT-1 from the cytosol to the membrane. J Invest Dermatol 2007;127:698-706. (PubMed) ( 10.1155/2014/709152 Zinc Therapy in Dermatology: A Review). Kowalczyk MC, Walaszek Z, Kowalczyk P, et al. Differential effects of several phytochemicals and their derivatives on murine keratinocytes in vitro and in vivo: implications for skin cancer prevention. Carinogenesis. 2009;30(6):1008–1015. Lee J, Jiang SG, Levine N, Watson RR. Carotenoid supplementation reduces erythema in human skin after simulated solar radiation exposure. Proc Soc Exp Biol Med 2000;223:170–4. Maalouf S, El-Sabban M, Darwiche N, Gali-Muhtasib H. Protective effect of vitamin E on ultraviolet B light-induced damage in keratinocytes. Mol Carcinog. 2002;34(3):121–130. Maeve C Cosgrove, Oscar H Franco, Stewart P Granger, Peter G Murray, and Andrew E Mayes. Dietary nutrient intakes and skin-aging appearance among middle-aged American women. Am J Clin Nutr October 2007 vol. 86 no. 4 1225-1231 Majamaa H, Isolauri E. Probiotics: a novel approach in the management of food allergy. J Allergy Clin Immunol. 1997;99:179–85. [PubMed] Nichols JA, Katiyar SK. Skin photoprotection by natural polyphenols: anti-inflammatory, antioxidant and DNA repair mechanisms. Arch Dermatol Res. 2010;302(2):71–83. Nishida Y. et. al, Quenching Activities of Common Hydrophilic and Lipophilic Antioxidants against Singlet Oxygen Using Chemiluminescence Detection System. Carotenoid Science 11:16-20 (2007) Nusgens BV, Humbert P, Rougier A, et al. Topically applied vitamin C enhances the mRNA level of collagens I and III, their processing enzymes and tissue inhibitor of matrix metalloproteinase 1 in the human dermis. J Invest Dermatol 2001;116:853-859. Pazyar N1, Feily A, Kazerouni A. Green tea in dermatology. Skinmed. 2012 Nov-Dec;10(6):352-5. Purba MB, Kouris-Blazos A, Wattanapenpaiboon N, et al. Skin wrinkling: can food make a difference? J Am Coll Nutr 2001;20:71-80. Rhodes LE, Durham BH, Fraser WD, Friedmann PS. Dietary fish oil reduces basal and ultraviolet B-generated PGE2 levels in skin and increases the threshold to provocation of polymorphic light eruption. J Invest Dermatol 1995;105:532–5. Rizwan M, Rodriguez-Bianco I, Harbottle A, et al. Tomato paste rich in lycopene protects against cutaneous photodamage in humans in vivo: a randomized controlled trial. Br J Dermatol. 2011;164(1):154–162. Shaw JC. Acne: effect of hormones on pathogenesis and management. Am J Clin Dermatol. 2002;3(8):571-8. Smith TJ1, Wolfson JA2, Jiao D3, Crupain MJ4, Rangan U3, Sapkota A5, Bleich SN6, Nachman KE. Caramel color in soft drinks and exposure to 4-methylimidazole: a quantitative risk assessment. PLoS One. 2015 Feb 18;10(2):e0118138. doi: 10.1371/journal.pone.0118138. eCollection 2015. Tsiaras WG, Weinstock MA. Factors influencing vitamin D status. Acta Derm Venereol. 2011;91(2):115-124. Ulrich P, Cerami A. Protein glycation, diabetes, and aging. Recent Prog Horm Res. 2001;56:1–21. Yamashita, E. Beauty From Within: A Synergistic Combination Of Astaxanthin And Tocotrienol For Beauty Supplements (2002) Cosmetic Benefit of Dietary Supplements Containing Astaxanthin and Tocotrienol on Human Skin. Food Style 21 6(6):112-17. A novel micronutrient supplement in skin aging: a randomized placebo-controlled double-blind study. Journal of Cosmetic Dermatology Volume 4 Page 277 - December 2005