Delve into dermatology diseases with new approaches from conventional to complementary care.
Explore a broad spectrum of dermatological conditions and topics to enhance your practice.
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These microbes naturally live on and with us and have an important impact on our health and wellness. This activity will review what constitutes the microbiome and describe the gut and the skin microbiome, the concept and biochemical basis for the gut-skin axis, and the role of fermented foods on both the gut and skin microbiome.

Several technologies have emerged for the assessment of the microbiome that includes bacterial, fungal, and shotgun metagenomics. In addition to DNA based assessments, there are now methods available to measure metatranscriptomics.

The skin hosts one of the most diverse species of microbes in our body. Dysbiosis, or the alterations of microbial composition with overgrowth of pathogenic species over commensal species, has been implicated in a number of skin diseases including atopic dermatitis, psoriasis and acne vulgaris.

This lecture will discuss the topic of the leaky gut including the biological mechanisms that may be involved in the leaky gut. The relation of a "leaky gut" to the skin will also be explored.

In contrast to antibiotics, probiotics are emerging as alternative treatments for certain skin conditions. Though it sounds counterintuitive – antibiotics kill bacteria, while probiotics are bacteria – probiotics have shown promising results in treating acne, psoriasis, and atopic dermatitis.

Evaluate the evidence of the way herbs interact with the microbiome of the skin, gut, and genital tract.

Examine concepts of the microbiome from a TCM perspective and TCM therapies that influence the microbiome.

Diet can affect our health in numerous ways, whether directly or indirectly. The things we ingest can affect the health of the microorganisms in the body and can lead to changes in the microbiome of the skin as well. This activity will examine the way that certain foods can alter the microbiome.

Review of product categories containing various topical and oral probiotics and prebiotics formulations pertaining to skin health and conditions.

The microbiome is an important part of vaginal health. Antibiotics and products may alter the microbiome and dysbiosis can lead to inflammation and overgrowth of different organisms leading to conditions such as vaginal yeast infections. This activity will review how the gut microbiome may influence circulating hormones and strategies to maintain a healthy microflora. The use of natural approaches and probiotic supplementation will be reviewed.

Biofilms are unique structures formed by bacteria that have reached a critical mass and provide bacteria with unique protections. This activity with review biofilms and what gut and skin bacteria form them. Triggers for the formation of biofilms will be discussed along with strategies to reduce their development.

Wounds are the most common and most costly skin disease. Immediately upon injury to the skin, the wound becomes colonized by bacteria and a biofilm quickly emerges thereafter. Research data has now accumulated on biofilms in wounds and interventions are available on the market.

The purpose of this course is to give an overview of the gut microbiome and its role in health and disease. It is important to understand the role that the gut microbiome plays in chronic inflammation and chronic diseases and how intestinal permeability is a contributing factor to this process. In this course, we will review some of the major concepts in gut microbiome science and review how alterations in certain microbial populations could be contributory to gastrointestinal conditions.

Alterations in the microbiome, as seen in SIBO, can be referred to as states of dysbiosis. The microbiome plays important roles in modulating immunity, inflammation, and metabolism, and so, a change in its composition is not only implicated in gut pathology, but also, systemic conditions. This activity provides an overview on the pathophysiology of small intestinal bacterial overgrowth and summarizes the literature on its systemic associations.

This activity will outline and compare the methods used to assess the components of the gut microbiome and will highlight microbiota-related abnormalities and metabolites that have been associated with various diagnoses.

This activity is a review of the central tenets of Ayurveda and discusses new research on how Ayurvedic herbs may influence the gut microbiome.

The microbiome has become a hot topic for the role it plays in the development of various skin conditions. Recently there has been an increase in studies regarding both acne and rosacea pathology. Furthermore, these studies have sparked interest in the development and study of new therapeutic options like probiotics. This course will outline the role the microbiome plays in the development and pathogenesis of both acne and rosacea.

This article explores the relationship between the gut microbiome and metabolic syndromes, particularly Type 2 diabetes mellitus, obesity, hypertension, and more. We will briefly touch on the composition of a healthy gut microbiome and clinical indicators of metabolic syndrome.

This article will outline the current evidence on the connection between the microbiome and mental health and present the current clinical evidence on probiotics for mood support. While there is emphasis on clinical studies in this article, some in vitro studies are mentioned to give background information and mechanistic explanations on the supplements discussed.

Review the mechanism of action of different probiotics and provide insight for making probiotic recommendations.

Want to understand how topical prebiotics work on the skin? Read more for valuable summaries of some prebiotics at LearnSkin.

Jessica completed her BSc at York University in Toronto, ON and has completed her Doctor of Naturopathy degree from the Canadian College of Naturopathic Medicine. She believes that integrative medicine with an evidence-based approach can allow practitioners to better support patients and optimize patient care. Jessica is passionate about bridging naturopathic and conventional medicine in clinical dermatology.

Dr. Raja Sivamani is a board-certified dermatologist and practices as an integrative dermatologist at Pacific Skin Institute. He is an Adjunct Associate Professor of Clinical Dermatology at the University of California, Davis and Director of Clinical Research and the Clinical Trials Unit.He is also an Adjunct Assistant Professor in the Department of Biological Sciences at the California State University, Sacramento and an Associate Professor of Dermatology at California Northstate University, College of Medicine.He engages in clinical practice as well as both clinical and translational research that integrates bioengineering, nutrition, cosmetics, and skin biology. With training in both Allopathic and Ayurvedic medicine, he takes an integrative approach to his patients and in his research.He has published over 100 peer-reviewed research manuscripts, 10 textbook chapters, and a textbook entitled Cosmeceuticals and Active Cosmetics, 3rd Edition with a passion for expanding the evidence and boundaries of integrative medicine for skin care.

Adrianne Pan is a third year medical student at California Northstate University. She graduated from UC Davis in 2018 with a degree in Cell Biology. Adrianne has a strong interest in integrative dermatology and is always looking for new approaches to improve skin health.

Alina Zufall is a 4th year medical student at the University of Virginia School of Medicine. She graduated from the University of Virginia with a bachelor's degree in Biology. Her passion and love for Dermatology grew after working in a busy private Dermatology clinic for a year prior to entering medical school. Her interest has grown as she has worked on several research projects in the department. She is currently leading a multi-year long project to digitalize a large collection of Kodachrome slides for educational and research purposes. Alina is excited to be a part of the LearnSkin team!

Dr. Aunna Pourang is a graduate of the University of Florida College of Medicine Medical Honors Program and is board-certified in family physician (Mayo Clinic) and integrative medicine (Academy of Integrative Health and Medicine). She is currently a dermatology resident at Wayne State University in Detroit, Michigan.
Her interests include integrative dermatology, complex medical dermatology, global and preventive health, and antibiotic-stewardship.

Dr. Ashley Dumont, ND is a Naturopathic Doctor and a graduate from the National University of Natural Medicine.
With a deep-rooted passion for dermatology, she believes in taking an evidence-based, holistic and individualized approach to skin health by addressing the foundational aspects of health as well as incorporating botanical medicine, nutraceuticals, mind-body medicine, and IV therapy. Dr. Dumont understands and values the importance of physical, spiritual, and emotional health and its direct connection to achieving healthy skin and overall wellness. Her goal is to empower her patients to take an active role in their personal and unique path to healing.

Chaitra is a first-year medical student. She graduated from The University of Southern California undergraduate program in Health Promotion and Disease Prevention and the master’s program in Global Medicine. Raised by a mother who trained in Ayurvedic Medicine, Chaitra believes that the future of medicine will benefit from an evidence-based integrative approach to inform patient care. Chaitra is excited about writing content that will inform both healthcare providers and patients about emerging topics and developments in the field of dermatology. In her free time, she enjoys hiking, baking, and spending time with her Goldendoodle, Luca.

Emerald Curry is a physician assistant working in dermatology in Sacramento, California. She graduated in September 2019 from UC Davis. She enjoys being a PA as she is able to help an underserved population whom she believes is so worthy of care. Emerald's interests include integrative medicine, learning about the human microbiome, and all things general dermatology related.

Dr. Hadar Lev-Tov is a board-certified dermatologist with extensive research experience. Throughout his training and in daily practice, he has always believed that the key to achieving health for his patients is grounded in his ability to truly connect to their experiences and perceptions of health and well-being. Maimonides, one of the greatest philosophers of all time realized that human knowledge, often represented as "science," is limited. As a physician, he feels he would be a fool to believe all is known. Maimonides said, "The physician should not treat the disease but the patient who is suffering from it." LearnSkin is his journey to a better understanding of his patients.

Jessica completed her BSc at York University in Toronto, ON and has completed her Doctor of Naturopathy degree from the Canadian College of Naturopathic Medicine. She believes that integrative medicine with an evidence-based approach can allow practitioners to better support patients and optimize patient care. Jessica is passionate about bridging naturopathic and conventional medicine in clinical dermatology.

Joelle is a fourth year osteopathic medical student at Touro University College of Medicine. She is a southern California native who graduated from the University of California, Los Angeles with a degree in Environmental Science. She also has a Master’s degree in Public Health from SUNY Downstate. Prior to medical school, she worked in consulting as an Environmental Health Analyst and in basic science and clinical research at UCLA and California State University Northridge. Joelle’s goal as a future physician is to provide an integrated approach to healthcare to help her patients achieve optimal health of the mind, body, and spirit. Her interests include integrative medicine, the microbiome, and working with the underserved. In her spare time, Joelle enjoys surfing, snowboarding, yoga, and traveling. NDA & Intern Agreement - 2/6/19

Dr. Joseph Alban is a Doctor of Acupuncture and Board Certified Herbalist. He has run a private practice in New York City for seventeen years.
Dr. Alban graduated from Touro College’s Graduate Program in Oriental Medicine, obtaining a Masters of Science in Acupuncture and Oriental Medicine and completed a Doctor of Acupuncture at Five Branches Univerisity. He completed a Chinese Medicine hospital residency in Hunan, China where he trained in acupuncture, Chinese medicine dermatology, and Tui Na medical massage.
He has received the Traditional Chinese Medicine Dermatology Diploma from world-renowned expert Mazin Al-Khafaji. Dr. Alban sits on the board of the International Traditional Chinese Medicine Dermatology Association (ITCMDA). He is also the Traditional Chinese Medicine editor for Learn Skin and on the board for the Integrative Dermatology Symposium. He is the head editor and a contributing author of the ebook An Introduction to Chinese Medicine Dermatology which resulted from a collaboration of the ITCMDA and Learn Skin.

Jordan Parker is a 1st year medical student at the University of California, Riverside. He graduated from the University of California, Los Angeles in 2018 with a degree in biology. Jordan’s clinical interests include pediatric dermatology, specifically autoimmune and inflammatory diseases. He believes that caring for skin conditions is of paramount importance as it is the first part of ourselves that we share with the external environment. He is also a firm advocate for living life with healthy skin, as he sees it as a vital marker of our overall health & well-being. Jordan is committed to helping those of all ages live a healthier and more confident lifestyle.

I was born in Abbotsford, British Columbia and moved to Fremont, California, a diverse city near Silicon Valley, for the remainder of my childhood. I completed my undergraduate career at the University of California, San Diego. Following this, I worked as a remote scribe at Augmedix, Inc. utilizing Google Glass technology to document encounters for physicians in real time. I was then accepted to Chicago Medical School at Rosalind Franklin University where I am currently an M3 student. As a future physician, through dermatology, I wish to empower patients through skin education so they can feel in control of their health and specifically the prevention and treatment of their diseases. I also wish to add to the growing field of dermatology through research. In my free time, I enjoy playing basketball, both recreationally and in competitive adult leagues. I also have an interest in board games such as Settlers of Catan and Codenames, and in cooking fusion foods such as pizza burgers and Korean bulgogi burritos.

LaToya is a passionate advocate for access to affordable, non-invasive healthcare. She is a third-year naturopathic medical student at the Canadian College of Naturopathic Medicine. LaToya brings over a decade of business experience to her naturopathic journey. Her background is in strategic leadership, software and infrastructure deployment, and project and portfolio management.
LaToya’s medical interests include integrative dermatology, oncology and chronic disease. Her goal is to decrease the disparities in life expectancy that exists among varied socio-economic levels by influencing systematic change that can positively impact social determinants of health. In her free time, you can find LaToya serving her community alongside her sorority sisters of Alpha Kappa Alpha Sorority, Incorporated, where she implements initiatives that focus on cultivating academic achievement towards post-secondary education, building economic literacy and empowering others to improve their health and wellness.
LaToya also strives to build community and support naturopathic medical students in her role as Vice President of Membership for the Naturopathic Medical Student Association. Skin Philosophy: Once we learn to speak the same language as our bodies, we can promote lasting healing that emanates on our skin and throughout our bodies.

Maria is a naturopathic doctor who attended the Canadian College of Naturopathic Medicine. She has a strong interest in integrative dermatology, mental health, environmental medicine, and epigenetics. Maria’s passion is to help make integrative medicine more accessible, especially in the state of Florida where naturopathic medicine is currently not regulated. She is an active member of the FNPA and has participated in naturopathic advocacy and lobbying events such as the DCFLI. In the future, she aims to help others reach their own health goals by providing individualized treatment plans that address the multiple root causes of illness. She also loves animals and would like to help make integrative veterinary care more accessible as well.

Marvin Singh, M.D is an Integrative Gastroenterologist in San Diego, California, and a Member of the Board and Diplomate of the American Board of Integrative Medicine. He is also trained and board certified in Internal Medicine and Gastroenterology/Hepatology. A graduate of Virginia Commonwealth University School of Medicine, Singh completed his residency training in Internal Medicine at the University of Michigan Health System followed by fellowship training in Gastroenterology at Scripps Clinic Torrey Pines. Singh was trained by Andrew Weil, M.D., a pioneer in the field of integrative medicine, at the Andrew Weil Center for Integrative Medicine.
Singh is currently the Director of Integrative Gastroenterology at the Susan Samueli Integrative Health Institute at UC Irvine. He is also currently a voluntary Assistant Clinical Professor at UCSD in the Department of Family Medicine and Public Health; prior to this, he has been a Clinical Assistant Professor at UCLA and an Assistant Professor of Medicine at Johns Hopkins University. Singh is a member of the American Academy of Anti-Aging Medicine, American College of Lifestyle Medicine, and many other societies. He is actively involved in the American Gastroenterological Association. He is one of the editors of the textbook of Integrative Gastroenterology, 2nd edition (a Weil Series text) and has written several book chapters and articles.
He is dedicated to guiding his clients toward optimal wellness every step of the way, using the most cutting edge technologies to design highly personalized precision based protocols and help them stay on top of their health, rather than underneath disease. Towards this end, he founded Precisione Clinic, to bring the best in preventive medicine to his clients.

Dr. Peter Lio is a Clinical Assistant Professor of Dermatology and Pediatrics at the Northwestern University Feinberg School of Medicine. He received his medical degree from Harvard Medical School, completed his internship in Pediatrics at Boston Children's Hospital, and his Dermatology training at Harvard where he served as Chief Resident in Dermatology. Dr. Lio is the founding director of the Chicago Integrative Eczema Center and has spoken nationally and internationally about atopic dermatitis, as well as alternative medicine.

Dr. Robert Crawford grew up in Northeast Ohio and is proud to call that area of the country his native land. At California State University Sacramento, Crawford makes it his persistent goal to honor the field of medical microbiology and pay forward the gifts of his life’s tutelage by providing undergraduate and master’s-level research. He is quick to celebrate the accomplishments of his students and how remarkable collaborators (including Raja Sivamani, MD) have facilitated an advanced agenda and led to the dissemination of exciting findings

Dr. Rubaina Dang is a licensed naturopathic doctor, educator, researcher and speaker in the field of integrative dermatology. Her practice centers on the gut, skin, and hormone connection, using functional medicine testing, targeted nutrition, and evidence-based supplementation to resolve concerns that are often missed or dismissed in conventional care. In addition to her practice, she is a primary investigator on several clinical trials with the Integrative Research Institute, she is a contributing author to LearnSkin's continuing medical education series, a featured speaker at the Integrative Dermatology Symposium, and a recurring guest on the LearnSkin podcast. Her perspectives on the gut-skin connection have also been featured in multiple news articles and conferences nationwide.

Samantha Magana is currently a first-year physician assistant (PA) student at the University of California, Davis; Betty Irene Moore School of Nursing. She completed her undergraduate education at UC Davis, with her Bachelor of Science degree in Biological Sciences and a minor in Psychology. Before starting the PA program, she worked as a medical assistant for North Pacific Dermatology in rural Humboldt County, CA. Upon successful completion of the PA program, she intends to enter dermatology and continue to help those who are underserved and undertreated.

Sonali Nanda is a fourth-year medical student at The University of Virginia, expected to graduate medical school in May 2020. She is applying for a residency position in dermatology this fall. Sonali graduated from The University of Virginia undergraduate program with honors and with research distinction in Neuroscience. Prior to attending medical school, she completed a Masters of Science in Narrative Medicine at Columbia University. Sonali then worked in clinical and basic science research at The Phillip Frost Department of Dermatology and Cutaneous Surgery in Miami, Florida and explored her interests of hair, pediatrics, medical dermatology, and nutrition in dermatology. She is interested in creating content that will educate physicians and the public on current topics in dermatology.

Tess Engel is a second-year medical student at UC Davis interested in dermatology and integrative approaches to patient care. She is in the Rural PRIME track program and hopes to help expand healthcare access in rural communities. She got her undergraduate degree in nutrition with a minor in biological sciences at Cal Poly, San Luis Obispo. In her spare time, she enjoys baking, being outdoors, painting, pilates, and travel.

Tess is a second-year medical student at CNUCOM. Tess’ interest in dermatology began with her own struggles with acne, where she learned how afflictions of the skin can affect you physically, psychologically, and emotionally. She is also passionate about Integrative Medicine, mind-body wellness, and patient advocacy. After graduating from UC Berkeley, Tess worked in health insurance and as an EMT.

Dr. Vivian Shi, MD is an Associate Professor of the Department of Dermatology at the University of Arkansas for Medical Sciences (UAMS), where she directs the Eczema Clinic and Hidradenitis Suppurativa Clinic.
Dr. Shi received her undergraduate degree in physiological sciences from UCLA, and
subsequently spent a year performing research on gene regulation in pathogenic bacteria in the department of microbiology at UCLA. She learned her medical degree from the University of Illinois at Chicago. During that time, she also completed a fellowship in the Skin Immunology Laboratory. She was an integral part of the team characterizing the pathophysiology of atopic dermatitis. She then completed her internship in Internal Medicine at the University of Chicago – NorthShore Health System, followed by a dermatology residency at the University of California, Davis, where she also served as chief resident.
Dr. Shi’s research and clinical interests are in complex inflammatory skin conditions (such atopic dermatitis, hidradenitis suppurativa, and psoriasis), skin barrier repair, transepidermal drug delivery, and integrative dermatology. She has served as the principal investigator for numerous industry-sponsored and investigator-initiated clinical and translational studies. She has published over 150 peer-reviewed articles and is the editor for two reference dermatology textbooks on atopic dermatitis and hidradenitis suppurativa. She is on the Board of Directors for the Hidradenitis Suppurativa Foundation, advisory board of the National Eczema Association, and is a member of the International Eczema Council.