Nutrition, Rosacea, Acne & Inflammation with Elissa Goodman

[Intro] Hey, everyone. Welcome back to Facially Conscious with myself, Trina Renea, esthetician, Dr. Vicki Rapaport, dermatologist, Rebecca Gadberry, the cosmetic ingredient guru, and our fabulous, overly-educated consumer, Julie Falls. We are gathered here together with you to talk about this crazy world of esthetics. It's confusing out there in this big wide world. 

That's why we are here to help explain it to you all, subject by subject. We will be your go-to girls, and from our perspective without giving medical advice, we will keep things facially conscious.

Let's get started. 

01:00 Julie Falls: Welcome to Facially Conscious. We're actually coming to you today from our home studios, so if we sound a little different or a little funky, please bear with us. But it'll be worth it because we have an incredible guest today. 

We have Elissa Goodman who is a certified holistic nutritionist in Los Angeles and she works with people from every walk of life to help them cleanse their bodies and their lives. She has helped thousands of clients manage various health issues through diet, lifestyle, and emotional methods. 

Elissa has had a very interesting journey. She herself is diagnosed with cancer, hypothyroidism, Hashimoto's and celiac disease, and now is completely in the clear thanks to this lifestyle that she has developed. 

She has collaborated with Erewhon and Café Gratitude, creating juices and salads, like the cleanse salad, so people can easily bring this way of eating into their homes. 

She has a best-selling book about her journey with cancer called Cancer Hacks and is currently working on her next book, Autoimmune Hacks.

Elissa, welcome. 

02:12 Elissa Goodman: Thank you. 

02:12 Trina Renea: Welcome. 

02:14 Elissa Goodman: I'm always honored to be asked to do these podcasts, so thank you very much. And my next book actually is not Autoimmune Hacks, it's called Pro-Aging Hacks, because I'm obsessed with turning back the biological clock. 

02:27 Rebecca Gadberry: Oh, wow. 

02:28 Julie Falls: Love that.

02:29 Rebecca Gadberry: That's Awesome. And we've been talking about not only that, but also longevity for the cells and skin. So that's a really big one, isn't it?

02:40 Elissa Goodman: Yes. Yes. Yes, absolutely. 

02:42 Trina Renea: Well, you look amazing.

02:43 Elissa Goodman: So much good stuff. I'm going to be 63 and I just did a biological test and it came out to 54. 

02:50 Trina Renea: Oh, my gosh. 

02:50 Rebecca Gadberry: Wow.

02:52 Elissa Goodman: And I feel better than I did, well, of course, when I was diagnosed with cancer. But in my 30s, I feel better at this age than I did in two of my 30s. 

03:02 Dr. Vicki Rapaport: And you know, Julie, you didn't mention in your intro, what you didn't mention was how Elissa was brought to Mexico to some healing center by her mother. I really love that part of this story. 

03:13 Julie Falls: I could go on and on and on about her fasting. I literally was interested in some weight loss at a particular time. And I Googled and all this information came up and that's how I met her.

I've done her cleanse, which she delivers, unfortunately, only to Los Angeles, but it is life changing. My daughter is constantly, "Can we do the cleanse this week?" I mean, just the most incredible, it's all wonderfully, beautifully organic, brought to your door. 

Weight loss or not, just you'll never feel better in your life after you do this cleanse. I can't say enough for it.  And talk about the effects of the skin. 

03:55 Trina Renea: Wait, so what happened in Mexico? Did you like the experience or not like it? 

04:01 Elissa Goodman: That is a really great question, because I went when I was a teenager. I went when I was 14, 15. My mom would go to Rancho La Puerta. The Golden Door at Rancho La Puerta were owned by the same person in those years. it was sort of ahead of its time because it was plant-based eating and hiking and massages and yoga and meditation. 

And here I was 14, 15 wanting to be home with my friends, eating sugar and, like, not at a ranch with these old women. One telephone for the entire ranch in those days. I was miserable. 

But it was so fabulous later in my life when I had all the illnesses and health issues. I saw what seven days did for women that got off the grid and ate this way and took care of themselves and honor their bodies and really started to tune in. I was like, wow!

04:58 Trina Renea: But did you ever go back there? 

04:59 Elissa Goodman: I did. I did go back as an adult. I really have wanted to go back since. I don't know why I haven't, but I will get back there at some point. 

05:09 Dr. Vicki Rapaport: Not only do I love that story, just obviously about the health meaning of all that, but just like how we all have children and how when we try and impress upon them things that we really like and they're so sour, I feel like, I love that story, because maybe in 20, 30 years, all the stuff that I've showed my daughter, she'll really look back and go, "Wow, those were good ideas, Mom." 

05:29 Trina Renea: She will. 

05:29 Dr. Vicki Rapaport: I love that, love that so much. 

05:32 Elissa Goodman: I think she's going to, Vicki.

05:35 Rebecca Gadberry: Well, I'm going to hijack this conversation because we are here to talk not only about nutrition, but rosacea as part of our Rosacea Awareness Month. We've asked to listen to be part of this because the gut microbiome has a direct impact on the skin, as we know from a lot of studies that have been conducted over the last probably decade. 

I remember when I first started working with microbiome, it was around 2010. I was one of the first people to bring microbiome into the skincare community. Now look at how big it is. So we really want to dig deep into this. Maybe that's a pun. Maybe that isn’t. I don't know.

Elissa, I know you're really well schooled in this. Can you tell us more about how the gut microbiome is connected to rosacea, and what the microbiome is even?

06:31 Elissa Goodman: Well, the gut microbiome is so crucial for many things. It is for the mood, for digestion, for immunity. I think that our microbiome is so crucial also for keeping out viruses and bacteria from getting into our intestines, places like SIBO where they shouldn't get. 

I think it's a protection mechanism for things getting into places that then we get into health issues. It is so important for breaking down your food. We just don't ever have enough microbiome. I think that we always are on a deficit, which is really sad. We run on a deficit. I think most of us, because of the sugar and the stress and the processed food and the things we eat and the over-the-counter medications that we take, it destroys our microbiome. We are very much at a deficit and we aren't ever at an even playing field. 

I know that when I work with clients and I put them on probiotics or I have them start eating probiotic foods and really focus on the microbiome and also focusing on lowering bacteria or viral or fungal issues in the gut to also help maybe balance out that microbiome a bit as well, everything changes for them, especially their skin and their mood and their immunity and their digestion, the whole gamut. So it is very, very crucial. 

Our gut, that's our first line of where the food goes in from the outside world. It's really important that we protect ourselves from, like I said earlier, bacteria or viruses getting into the intestines. 

08:27 Dr. Vicki Rapaport: And how long does it take? How long does it take when you do want to sort of reset people who are in the processed foods and having the typical American diet? Like, around how long does it take for you to feel like their microbiome is back to basics and reset? 

08:42 Elissa Goodman: That is such a good question, Vicki, because I think it's different times for different people because it just depends on what's going on with their gut. I have a gut cleanse right now and I feel like we're resetting people in five days. It's wild, with a lot of bloating, of course some constipation, a lot of gut issues. We're putting on some activated charcoal for five days in the morning and we're just loading them up with probiotics, foods, and also supplements. 

It's really, like in five days, their gut is better. They're going to the bathroom three times a day, instead of just once, and that's miraculous, because nobody is can do that. We want to detox the body as well. 

But sometimes it takes a good four weeks, good couple of months to get someone back. It just depends on what's going on with them. And also zeroing in on what's going on with them. What is the issue?

09:40 Rebecca Gadberry: And that kind of brings up, how do you know if your gut microbiome is the problem with rosacea, if you have rosacea?

09:47 Elissa Goodman: Well, I love stool tests. I definitely think that's the one way to really see what kind of viral, fungal, bacterial stuff you're dealing with and then also what kind of microbiome that you need to replenish with, because there's so many different kinds of microbiome. I love to throw the kitchen sink sort of at the gut for the microbiome, and that's not always the best case, but I have found that it has worked more often than not.

But I find that, more often than not, we do not deal with the viral, fungal or bacteria that's in the gut and dealing with lowering those pathogens at the same time, or even before we deal with it, putting on, giving them beneficial bacteria. 

10:35 Elissa Goodman: - One of the things that's included in Elissa's cleanse is this big jar of pickled vegetables. It is so delicious. And it's something you never would think of eating, but there's carrots and cucumbers and everything under the sun. This big thing, it's all pickled and she goes, “Just eat them all day long.” They're filling and they're delicious and they're so good for you. 

Of course, I promised I would make it myself and always have it in the refrigerator. I never have, but oh, my God, that was such a treat. 

11:09 Trina Renea: Is that anti-inflammatory? 

11:12 Julie Falls: It's a prebiotic.

11:12 Elissa Goodman: It's really good for sugar cravings, yeah, prebiotics. It's fermented. It's good for sugar craving. It's prebiotics. It doesn't have a ton of probiotics in it, but it's a fun thing. Fermented foods are really good to eat for the digestive system. The probiotics are— go ahead. 

11:34 Trina Renea: Oh, sorry. What do you recommend for people that get rosacea flare-ups to do internally to help with that, to calm the inflammation? 

11:49 Elissa Goodman: I am really big on elimination diet to figure out maybe what foods are disturbing them, because sometimes some foods can be disturbing one person and not disturbing the other. I do love to take out all the dairy and added sugar and gluten, kind of no-brainers. Also, eggs, maybe some soy, the typical things. Maybe even eggplant and all of the nightshades, just to see if maybe that would calm things down, the inflammatory response. 

I am a humongous fan of turmeric and curcumin. I think that is a beautiful herb that helps with inflammation. There is a supplement. Thorne makes a curcumin phytosome that is fabulous. I put a lot of my clients with rosacea on the curcumin, the Thorne curcumin. I also put them on the Thorne Super EPA Pro, the omega-3s to lower inflammation. 

So we do diet and then I would definitely load them up with probiotics to see if we can get them help with that inflammation as well in the gut. 

13:02 Julie Falls: So, on our show, I could have sworn, ladies, because I take that Super EP, I could have sworn you said that Omegas can cause rosacea. 

13:12 Elissa Goodman: Oh, it can? 

13:12 Dr. Vicki Rapaport: Yeah, they can. 

13:14 Elissa Goodman: I didn't know that. 

13:14 Dr. Vicki Rapaport: They trigger them.

13:15 Julie Falls: I didn't either. And that was one of the reasons I'm taking them. 

13:16 Dr. Vicki Rapaport: Yeah, they can. 

13:18 Julie Falls: These ladies were like, “Well, hold on.”

13:21 Elissa Goodman: Oh, my goodness, I did not know that. Thank you for telling me that. 

13:26 Julie Falls: Yeah. 

13:28 Elissa Goodman: I thought Omegas were so anti-inflammatory. 

13:32 Dr. Vicki Rapaport: They are anti-inflammatory, but they trigger rosacea because they enlarge capillaries. And that enlargement of the capillary can trigger the vaso endothelial growth factor, VEGF, then too. The VEGF then triggers the permeability of the capillaries and then we get a leaky capillary that can add to rosacea.

14:01 Elissa Goodman: Oh, wow. Okay. 

14:03 Julie Falls: Didn't know either. 

14:05 Elissa Goodman: I take clients off of alcohol. Yeah, go ahead.

14:09 Rebecca Gadberry: - I know H. pylori, which is also implicated in ulcers a lot of times, not always but a lot of times, is also implicated in rosacea. Have you heard of that? 

14:19 Elissa Goodman: Yes. Yeah, absolutely. And I think of H. pylori, you're not having enough acid. A lot of doctors say it's too much acid, but not enough acid and overgrowth of bacteria in your gut. Again, you don't have the microbiome to protect you from not getting the H. pylori, so, yeah. I have definitely heard that. 

14:43 Julie Falls: Dr. Vicki, do you have a checklist of when patients come in, is the Omegas on there? Is that something that you've come across? 

14:53 Dr. Vicki Rapaport: No. And I'm thinking about Omegas obviously like you guys, that it's so positive. It's so currently massively positive. But if there is that dilation characteristic, then, yes, it would make sense it would potentially be a risk factor for rosacea flare. So, no, it is not on my list. 

And the typical list that I have is spicy foods, hot temperature foods. Unfortunately, tomatoes is on there, but maybe it's really just all the nightshades now because the nightshades have gotten such a bad rap. Nightshade. Basically that, like that's pretty much it.

15:28 Julie Falls: Alcohol.

15:29 Dr. Vicki Rapaport: Oh, yes, alcohol. 

15:31 Julie Falls: Hot showers. 

15:31 Dr. Vicki Rapaport: Hot showers, hot yoga. But it is so true, what Elissa said, that it's so patient dependent. Some people do fine on tomatoes. Other people, they could tell right away they can't have a tomato. Their rosacea flares. So it is good for somebody to test themselves before and just look at the list and say, "I can't have that." 

15:48 Julie Falls: Yeah, and I'm wondering if mangoes could fit into that too, that mangoes could be…

15:52 Rebecca Gadberry: As you bring up Dr. Vicki, it's not the same for everybody. If you're just taking a couple of capsules of Omegas a day, that's completely different than doing an Omega-based diet. There are some people that also do that. 

So it's unique to the individual on any of those things. I don't know if you've found this as well, everybody, but I found that nobody responds to everything on the list. It's like a pick and choose, which is why we've recommended keeping a daily diary of what goes on to trigger rosacea.

16:31 Trina Renea: Do you think that, overall, if somebody does have rosacea, that an easy fix would be to be on an anti-inflammatory diet or like eating all anti-inflammatory foods? Like when you look that up online, one diet comes up. Somebody created an anti-inflammatory diet and is that the way someone should eat?

16:55 Elissa Goodman: Again, I think the anti-inflammatory does have tomatoes on that diet. You just got to figure out what foods work for you and what foods don't work for you. But the typical, we eat way too much added sugar. We're just overdoing the sugar, as you guys know. And the dairy has been an issue like crazy, because it has hormones and antibiotics. Even if it's clean dairy, it's a casein molecule that's very hard for the digestive system to break down. 

I'm definitely more of a fan if you're a dairy fanatic you go goat and sheep. Easier to break down, those casein molecules. But the dairy has been such an issue with clients and skin, as you guys know. 

Then the processed food with all this shit in it, you know?

17:45 Trina Renea: It's so bad.

17:46 Elissa Goodman: These chemicals, it's crazy. And also the fillers and the additives and the natural flavorings.

17:54 Dr. Vicki Rapaport: Oh, can’t stand it. 

17:54 Elissa Goodman: Some people are fine with it, but then others are sensitive.

17:58 Dr. Vicki Rapaport: And I think that we have those markets, at least in LA, at Erewhon’s and all those clean markets that really do have foods that don't have any processed ingredients. But even if there's that one healthy bar that says, “Only seven ingredients,” it lists the seven ingredients and then in there it says natural flavors. I'm like, “That's why it tastes so good.” 

And stop putting natural flavors in everything. Go home and make your own bars or your seeds. I know that you have an amazing bar, but it's like people really need to read the ingredients. If it has anything that they can't understand or if it says natural flavors, just try and make it at home. It's so, so, so unclean. 

18:36 Elissa Goodman: Right. And the fried foods and the hydrogenated oils, those omega-6s are killing the skin, right? That's just awful. But most of America, that's the way they eat. 

And it's so hard because they don't have the time to meal prep. They don't have access to good stores and places where they can get good, high-quality food. So it's tricky. 

And I'm seeing a lot of hydration issues. You know that when you're severely dehydrated, your mucosal lining gets destroyed of your gut. I don't know if we really tied— you know, a lot of people tie those two together, but we have all this access to beautiful water. We're just peeing it out. We're not absorbing the water. We're not hydrated. That also is an issue. And then when we're not hydrated, our skin doesn't look so good. 

19:29 Dr. Vicki Rapaport: What are we supposed to do to get that hydration? 

19:31 Elissa Goodman: That is a really good point. There's a hydrating powder that I have been using for eight years. Vicki's going to kill me because it does have natural flavorings in it, but…

19:41 Julie Falls: I love it. 

19:42 Elissa Goodman: It's called Ultima Replenisher and I dilute it like crazy. It has stevia and it has natural flavorings, but it has magnesium, manganese, potassium, sodium, zinc. It has really beautiful minerals, and minerals are what help water go into your cells. 

19:59 Trina Renea: You add it to your water? 

20:01 Elissa Goodman: I add it to 32 ounces of water. 

20:03 Julie Falls: It's a pepper.

20:05 Elissa Goodman: I just put a scoop or a travel pack. I dilute it like crazy. Or you can put a pinch of sea salt. 

20:09 Trina Renea: What’s it called? Ultima what?

20:12 Elissa Goodman: Ultima Replenisher. 

20:13 Trina Renea: Thank you. 

20:15 Elissa Goodman: I don't do a lot of natural flavorings. 

20:17 Julie Falls: It's really good. And God forbid if you have any kind of upset stomach, instead of having like a Gatorade, it's really great. 

20:24 Trina Renea: Good. 

20:25 Julie Falls: My kids love it. 

20:26 Dr. Vicki Rapaport: I will say something about meals.

20:27 Julie Falls: I'm telling you, all of Elissa’s things, I do them all.

20:31 Dr. Vicki Rapaport: Elissa, you did say something about what I thought was really important, that people don't have time, they don't know how to meal prep, they don't have the means necessarily, but I will say there is that trend, a trend on Instagram. And of course it's tailored to me, because I do a lot of recipe followings on Instagram, but so many young girls are meal prepping. I love seeing those inspirational videos where like, actually, you can meal prep. Put those five days of your lunch in the fridge with the nuts and the egg and the strawberries. I think that it's possible and I feel like Instagram is going to help us get there. 

21:07 Elissa Goodman: And TikTok.

21:08 Julie Falls: That's good to hear. 

21:09 Elissa Goodman: Yeah, you're right. 

21:09 Trina Renea: It is TikTok. 

21:10 Elissa Goodman: You're right. We're going back to the basics, I hope so. Just going back to real food, making a piece of chicken with some rice and a side of veggies, like going back to, hopefully, just those simple things, the simple things.

21:25 Dr. Vicki Rapaport: Yeah. I have a question about just a random food question. What is vegan Parmesan made of? Do you know? 

21:33 Elissa Goodman: Well, probably it has a lot of fillers and like not natural food sources.

21:39 Dr. Vicki Rapaport: Flavors?

21:39 Elissa Goodman: It probably could be cashew cheese.

21:43 Dr. Vicki Rapaport: Cashews. 

21:42 Elissa Goodman: It could be cashews. So many nuts in those vegan cheeses. Those vegan cheeses, believe me, I love them, but they can be so bad for you. And they can do a number on your skin.

21:51 Julie Falls: Really? 

21:52 Dr. Vicki Rapaport: Interesting.

21:51 Julie Falls: Wow.

21:53 Elissa Goodman: There's a lot of shit in them, just like the Beyond Burgers and…

21:58 Dr. Vicki Rapaport: Oh, yeah. I know. 

22:00 Elissa Goodman: I mean, we're trying to be healthy and doing these plant-based cheeses, but you look at the package and you're like, “Oh, my God, I can't believe I'm eating this.”

22:10 Julie Falls: I'm off of dairy, but every once in a while I'll have a sprinkle of Parmesan and, like you said, goat cheese, sheep's milk. I mean, there are things you can do. I don't think Parmesan is going to kill anybody, but…

22:24 Trina Renea: No.

22:25 Julie Falls: People do have allergies of.

22:26 Elissa Goodman: I think you should go for the real stuff just not overdo it.

22:29 Dr. Vicki Rapaport: Yeah. Just everything clean and real. Or try, try the best you can.

22:35 Julie Falls: Yeah, I mean, some people do have bad allergies, but that's a whole other thing. What was the next question that we were going to talk about? We talked about triggers.

22:45 Rebecca Gadberry: We were going to talk about how rosacea is related to inflammation, but we don't have to go there. 

One of the things that I know you wanted to wanted to talk about, Elissa, is leaky gut and SIBO, S-I-B-O, which has a relationship to acne and rosacea. Do you want to share something about that? 

23:09 Elissa Goodman: Yeah. Years ago, about four years ago, I was working with a medical medium. Do you all know who the medical medium is? He's a little crazy. Anyway, he actually helped me on the road to heal my Hashimoto's and my celiac, actually. I was part of his practitioner group for a year-and-a-half. 

It was very fascinating because he was talking about all these ulcerative colitis, diverticulitis, SIBO, leaky gut. He was basically saying we all have some form of leaky gut. And SIBO is a virus in the intestine, the same with ulcerative colitis and diverticulitis. Most doctors don't think that. They think it's bacterial overgrowth. 

So I put a lot of clients on a SIBO protocol where I lowered their viral, fungal and bacterial loads in their gut with grapefruit seed extract and oregano oil capsules and berberine and garlic oil capsules. We would do that in the morning and then load up the probiotics before bed. 

A lot of doctors with SIBO will never let you go on probiotics, but we had a lot of success with that, like resetting the gut that way. I think that, for people's skin, I will actually, a lot of times, put them on a smaller protocol of that, like maybe grapefruit seed extract and oregano oil capsules for a couple of weeks. We only do it for two weeks. That's all you do it for. And it has been really helpful with skin. 

I wanted to ask you ladies in terms of— or the leaky gut also, we all sort of have permeable guts that aren't very strong or the intestinal lining isn't that strong. 

I do love collagen powder. The whole, the amino acids from the bovine collagen powders that are clean because they do help muscle and tissue repair, and I found that very helpful with me going to remission for celiac. 

I also like colostrum. It's not a new thing on the market. There's only one company selling it, but that's really helping with healing and strengthening the intestinal lining and your gut. I'm lowering inflammatory markers in your gut. 

I love glutamine. I love all that. 

So I think definitely once you get that gut back in working order, so much of your health issues, not only skin or rosacea, but just digesting your food better and the sleep and just mental clarity and your mood is better. Everything is tied there. 

25:48 Rebecca Gadberry: Before you ask us your, I have a question for you. I'm wondering what the difference is between these freeze-dried probiotics and the ones that are in the refrigerator section of stores? Is one better than the other? And can you take enough probiotics? In other words live microorganisms, to really make a difference in your gut? 

26:15 Elissa Goodman: That is a spectacular question and the million dollar question. I'm not sure if you can. I hope that you can. 

The answer to the second part of the question, I do like a hundred, 200 billion in capsules. So I'm doing a lot more than most people are taking. I tell my clients 100 billion at a minimum.

And then this biome is one of my favorite probiotics. It's like you can do two capsules and it's like 225, I think, billion. There's a company in Canada that does a trillion. It's a powder form that is brilliant and beautiful. I have a lot of my cancer people on the trillion probiotics while they're in chemo. 

Then I have them eat probiotic foods, like COCOYO has this beautiful yogurt that four ounces, they say four ounces is 100 billion probiotics. So if you eat eight ounces, it's 200 billion in food based. 

I'm not sure you can ever— I don't know if you can make a difference. 

27:14 Trina Renea: I think you say you favor probiotics. What did you say? 

27:19 Elissa Goodman: I said this biome. This biome is refrigerated. 

27:23 Trina Renea: This biome?

27:23 Julie Falls: Did you also like the Gut Health? 

27:26 Elissa Goodman: I like Genuine Health. Genuine Health Gut Health. That's also— I don't know the difference between, I don't know the answer with the freeze-dried and the fresh. I kind of do a little bit of both and I'm trying it all. I wish I had the answer to that first question. 

27:45 Rebecca Gadberry: Yeah, I always take about 200 billion of live when I have antibiotics, especially just to repopulate the gut. And I'll take those twice a day for about a week. But I think that you’re pretty lucky.

27:59 Trina Renea: I take 100 billion a day.

28:02 Julie Falls: Yay, Trina! 

28:04 Rebecca Gadberry: I think the more microbes, the better, not just like the three or four, six or seven that are the easiest to grow. I think that's why they've been so popular. There's like over 30 or 40 of them. 

28:20 Julie Falls: It's hard because the gastroenterologists are like, “Well, you can take them if you want. There's no real proof.” 

28:27 Trina Renea: That makes me mad. 

28:29 Julie Falls: I went on antibiotics. I haven't even talked to Elissa. I have to continue my journey with another session with her, but I was on antibiotics for SIBO. Elissa said, “Stay on the probiotics while you're taking the antibiotics,” and my doctor was like, “What? No.”

Anyway, the antibiotics made me so sick and I just do believe that healing comes from what you eat. Some of these antibiotics…

28:56 Trina Renea: Wait a second. You just said something. So I have learned from the doctors that you take antibiotics and then you take probiotics to replace what the antibiotics killed. But if you take probiotics while you're taking antibiotics…

29:10 Julie Falls: The antibiotics don't work. That’s what she said.

29:13 Trina Renea: Yeah.

29:13 Julie Falls: That's what the gastro said too.

29:13 Elissa Goodman: Yeah, you’ve got to take it afterwards.

29:16 Trina Renea: Is that right?

29:18 Julie Falls: Dr. Vicki?

29:19 Rebecca Gadberry: And just to say, one good thing from my gastroenterologist, she does recommend them. So it's not all gastroenterologists.

29:27 Trina Renea: What's her name? Maybe I’ll go to that person.

29:29 Julie Falls: She didn't say not to. She just said that there's a lot of different schools of thought, but she definitely said, don't take them while you're taking antibiotics. I don't know.

29:44 Dr. Vicki Rapaport: You know, we give a lot of antibiotics for acne. Dermatologists are notorious for over-prescribing antibiotics. I think, in fact, we're one of the specialties that unfortunately over prescribes. We have to. We see a lot of bacterial infections and folliculitis and acne. We are never, ever taught— I mean, maybe now. I did my derm residency 20 years ago, but we are not taught about nutrition. We were not taught about gut microbiome. We were not taught about replacing with probiotics. 

So I can't really say what to do. We don't really recommend it because it's never really truly proven. These are over-the-counter products. They're never going to be FDA approved. So I’d go with my gut and if people want to do it, let's have them do it. Why say no? 

Like when doctors pooh-pooh it, they shouldn't. Patients are going to want it. So I'm fine with them doing it. 

But I do get very frustrated when patients say, “Oh, my acne is because I'm eating poorly.” I'm like, “Well, then stop eating poorly. Come back to me if your acne is still there. Then let's talk.” And of course they notoriously, they always come back. It's not just their diet. It's multi-factorial. 

So, I feel like I want to do both. I like to play both sides. Sure, eat as clean as possible. I'm a big fan. But you also need prescription-strength interventions, unfortunately, not just diet. 

31:14 Trina Renea: Right.

31:14 Rebecca Gadberry: Elissa, you had a question for us. What was your question? 

31:18 Elissa Goodman: Now I forget. There's so much going on here. On the spot, guys. I love…

It was something to do with, I guess I was really more about what success you’ve had with rosacea and in terms of, really, over-the-counter meds. Is it really more about elimination diet and rebalancing the gut? 

Also, what about liver? Do you feel like liver is involved in skin and rosacea?

31:55 Dr. Vicki Rapaport: Are you asking me? 

31:56 Elissa Goodman: I'm asking anybody. Yeah, Vicki, that'd be awesome.

32:01 Dr. Vicki Rapaport: Never thought about liver being involved in rosacea, sorry. It's never been in any sort of study that the liver is involved. But is the liver involved in everything? Basically, of course, right? It's the factory that gets rid of all of the waste. Well, besides the kidney. But we don't target anything in the liver when we treat rosacea, but maybe there's something there in the future. 

Do you have a liver cleanse that helps rosacea?

32:33 Elissa Goodman: I want to put together a liver cleanse. I know, because there's so much fatty liver and so much— right? All of it, everything, the liver can be so toxic. I think that…

32:43 Julie Falls: And people drink too much. 

32:46 Rebecca Gadberry: And I know that fatty liver is connected with rosacea. One of the ways…

32:52 Trina Renea: I know if you drink alcohol, you get rosacea, and that hurts your liver.

32:58 Rebecca Gadberry: But they're not connected directly. But the fatty liver is connected, and if they go online, if you go online and you look up liver and rosacea, that'll come right up. I just checked it. 

I actually have been doing intermittent fasting. I've had fatty liver for 23 years. I did intermittent fasting for two years? I'm still doing it. I no longer have fatty liver and my rosacea has been relieved. So, there may be a connection. That's just something to share. It's a personal experience, but there may be something there. Yeah.

33:35 Elissa Goodman: I've had, I got eczema over COVID. I got some eczema in my hand. I had eczema as a kid, but I got it as an adult and it really was there for all of two years, two-and-a-half years. Then I started doing colostrum and it went away. 

It's why I did liver cleanse, I did gut stuff. I'm great with my diet. I juice. I take probiotics. I mean, that eczema was still there, would not go away until I started doing this new product in January, which was the colostrum. 

34:13 Dr. Vicki Rapaport: Were you washing your hands frequently and using sanitizer? Were you a little stressed? 

34:16 Elissa Goodman: No. I should say yes, but no because it hurt so bad. I kind of avoided doing that. I used all kinds of creams. It's so wild how sometimes things can be a little stubborn. 

I know. I do have fatty liver as well. 

34:34 Rebecca Gadberry: Dr. Vicki, did you have another question you wanted to ask Elissa, because we're coming to an end of the episode?

34:40 Julie Falls: I'd just add one thing I wanted to ask her. Is the colostrum the Pure Encapsulations? 

34:46 Elissa Goodman: No. It's by this company, ARMRA, A-R-M-R-A. One company is doing it…

34:53 Julie Falls: Because I take the Pure Encapsulations one.

34:57 Elissa Goodman: Colostrum? 

34:57 Julie Falls: Yeah. 

34:59 Elissa Goodman: Yeah, this is a powder. Powder I just put in my green juice.

35:02 Julie Falls: You like it? 

35:04 Elissa Goodman: I love it. I feel like my skin has really transformed. I've been doing it since January and it feels so much, like just everything about it, I mean, even like the thickness of my skin. Because my age is 63. It's getting thin, so I felt like my skin has really changed. 

35:29 Julie Falls: Amazing.

35:31 Dr. Vicki Rapaport: Are they making the colostrum from cows? Is that where they're getting it from?

35:34 Elissa Goodman: Yeah. 

35:36 Dr. Vicki Rapaport: Yeah. Do you guys know what colostrum is? 

35:37 Elissa Goodman: Which I think can be gross. 

35:39 Trina Renea: You can tell the audience what colostrum is, Dr. Vicki. 

35:43 Dr. Vicki Rapaport: Well, it's just the first milk that comes from the pregnant mom after giving birth. It's really rich in fat. I don't know more than that, truly, and I don't know how it works for the skin, but it's hot right now. It's a hot thing. 

36:00 Julie Falls: I've been taking it for gut issues and it's been amazing. 

36:04 Rebecca Gadberry: I've worked with it in skincare for years and it is loaded with— not only does it have a lot of fatty materials in it, fatty lipids, but it is loaded with immune system stimulants, and not to trigger the immune system but to get your immune system, your cells going and developed because they need that protection.

36:28 Trina Renea: I have a question about that, because in health, it's anti-dairy and anti-cow’s cheese and cow milk and everything cow, beef. But then why is the colostrum part of the cow okay? And why is collagen from a cow? 

36:48 Rebecca Gadberry: Well, if you were vegan, it wouldn’t be okay. This is your choice. There are different things in your armamentarium…

36:55 Julie Falls: No, she's talking about why would you have reactions from things like dairy but not from…

36:59 Elissa Goodman: Yeah.

37:00 Rebecca Gadberry: Because of the chemicals that are in them. 

37:04 Elissa Goodman: It's just a cleaner, it's a clean source how it's processed. Also, you're not having to digest the collagen powder. It's already in a powder form so it just goes right into the system. With the colostrum, it's a powder form going right into the system. 

I know what you're saying, why wouldn't that be inflammatory? But it isn't. It's really when it's been processed and shot full of hormones and antibiotics that it gets bad. And also when you’re— go ahead.

37:37 Rebecca Gadberry: It doesn't have any of the contaminants in it that we get when we have dairy or meat. So when you have pure collagen, you just have the molecule of the collagen. You don't have all the other parts of the beef muscle that we eat. When you have colostrum, you just have pure colostrum. You don't have any of the dairy that's involved. So it's very, very different. 

38:00 Julie Falls: Elissa, what do you think of marine collagen as opposed to bovine? Do you have a preference? 

38:06 Elissa Goodman: I do like the bovine better only because it has a couple different collagens, it has different collagens that actually really do help muscle tissue repair. Marine has I think just one kind and bovine is two. 

Marine is great for skin, absolutely fabulous. It also brings a lot of hydration to the skin. I love the fact of I just need, and my age want tissue and muscle repair very much, and I feel like gut too. 

38:41 Rebecca Gadberry: And marine collagen is from fish. It's still an animal collagen. You can't get collagen from a plant unless it's a GMO. So, all of your collagens are animal source. Dr. Vicki…

38:55 Elissa Goodman: Okay, so we have Dr. Vicki back on with her question. Did you want to... 

39:01 Rebecca Gadberry: We lost Dr. Vicki for a minute, in case you didn't notice. So Dr. V, what's your question? 

39:05 Dr. Vicki Rapaport: Honestly, I think we really did talk about it. My big question was really about acne and the gut microbiome and why all my young patients want to treat their acne with cleanses and not the medications I want to give them. I think we really did touch on that. 

But if there's anything else you can maybe add that maybe we didn't touch on?

39:29 Elissa Goodman: I think that also stress is a huge factor with acne. These poor young people, and probably us too, we're all living in a fight-or-flight mode and we're all so stressed. I think that has become a big issue in regards to just really not digesting your food. Your digestive system shut down completely when you're stressed and living in fight-or-flight mode. Maybe you're eating healthy food, trying to be healthy, but you're really not absorbing any of the nutrients from it because your digestive system is completely shut down. 

And also, you're kind of like a little bit backed up. I feel acne very much can be a constipation issue as well. We have a lot of constipation these days. We're not hydrated enough, we're not eating enough fiber. Definitely, nobody's focused on how much fiber am I eating in a day, so we're not cleaning our intestines out and I think we're retoxying the body, very much so.

And food is staying in the intestines for way too long and fermenting, causing all kinds of issues. Then also, again, when food is put into the large colon if we're not going to the bathroom, we're retoxying our body. I think that can be a problem for acne. 

40:50 Julie Falls: It shows up on the skin. 

40:52 Elissa Goodman: Yeah, I think we need to hydrate. We need to maybe the Ultimate Replenisher or some sea salt, if you don't want natural flavorings in your water. Sea salt is full of minerals. You just put a pinch of that in lemon water is awesome. 

And then just take some extra magnesium at night before you go to bed so you make sure you go to the bathroom. 

41:13 Rebecca Gadberry: We've talked about everything from rosacea and acne to inflammation, to antibiotics, to probiotics. I think if you're listening, you have gotten a huge sampling of information that is really important for daily life. 

Anybody want to say anything else before we sign off?

41:30 Trina Renea: Well, we're going to have all of the information for Elissa on our About page, so if you guys want to learn more about her, you can go to our About page and we'll have everything about her, how to get a hold of her, where to find her, all of her social media, everything there as well.

And you can always email us at info@faciallyconscious if you have any questions, and we can find answers for you.

42:02 Rebecca Gadberry: And remember, we're not here to endorse anyone. What we want to do is to bring information to you. And if you want to contact Elissa, feel free to do so because at that About page, underneath her biography will be all the different ways that you can contact her, her website, her personal information, her contact, everything. 

So, we love you, Elissa. You were fabulous.

42:22 Julie Falls: Amazing. Thank you so much. 

42:24 Elissa Goodman: Oh, my God, you ladies are so fun. I've done a lot of podcasts, but this was so fun.

42:31 Rebecca Gadberry: Oh, good. 

42:31 Julie Falls: You’ve been a great guru.

42:32 Trina Renea: Hopefully, you'll come back.

42:33 Julie Falls: And we'll find many, many topics to discuss.

42:35 Elissa Goodman: The energy here is intoxicating. 

42:39 Julie Falls: Oh, thank you. It's a good mix of all ages. 

42:42 Elissa Goodman: Yeah. It's cool. 

42:45 Julie Falls: I'm so tired of everything. You have to be like 21 and you don't know anything. We know what we're talking about.

42:54 Dr. Vicki Rapaport: Thank you so much. 

42:55 Elissa Goodman: That’s beautiful. Thank you, guys. Thanks for having me. 

42:55 Rebecca Gadberry: We have almost 100 years of experience here. 

42:59 Elissa Goodman: Okay. 

43:01 Julie Falls: Thank you so much, Elissa.

43:01 Rebecca Gadberry: Bye, everybody.

43:02 Dr. Vicki Rapaport: Thank you. Bye, everybody. 

43:05 Trina Renea: Thank you. Bye. 

[Outro] This podcast is so needed in the world right now. There's so much information out there that it's hard to know who to believe and if it's right for you. We are very excited to be your guides and bring you Facially Conscious. You can find info we talked about today in our show notes and on Instagram, YouTube, and Facebook. 

Please subscribe, like and review us wherever you listen to podcasts. This helps others find us. And if you have any questions or ideas, please send us an email at info@faciallyconscious.com.