What about someone who felt like they had their acne under control with eating a Paleo diet and supporting hormones, but then once they started on parasite and bacterial protocols, acne flared? Even when they stopped the protocol, it didn’t go away.

Dr. Amy Nett:  This sounds like sort of a detox or die-off type reaction, and it’s really frustrating for patients completely understandably. I would think about supporting detoxification. Often, the skin is a way for us to detox, so think about doing things like glutathione, milk thistle. He could do some of the like detox formulas that contain a combination of milk thistle, dandelion root, that sort of thing – Epsom salt baths. Again, how can you support detox pathways? Maybe saunas, sort of ease people into the saunas. If it’s persisting even with supporting the detox pathways, I would do some follow-up gut testing because I wonder have you somehow shifted their microbiome where you’re continuing to have some sort of dysbiosis that’s leading to the skin issue. Make sure they’re getting enough vitamin A. That can be helpful. Going back to that, making sure they’re getting cod liver oil. It is super tricky, but you need to keep digging, is their body trying to detox something is kind of what I’m thinking of there.