It’s Not Just Acne: Cosmetic Dilemma or Hidden Health Concern?

Dr. Shayna Peter, a functional medicine doctor and holistic dermatology specialist who has helped hundreds of people treat the root cause of their skin problems and the author of “It's Not Just Acne" which examines the root causes of stubborn midlife acne and how to treat it will provide her knowledge and insights about acne and how it is connected to other midlife health problems that need to be addressed.

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I this training you will learn:

  • What is going on when we start getting acne problems later in life.

  • How are adrenal or cortisol issues tied to skin health and acne.

  • Know more about the so-called diabeted in the skin.

  • Lab test used for acne.

  • Traditional and natural approach to acne

  • Supplements to help support the adrenals adaptiveness.

  • Relationship between auto-immune diseases and skin problems.

  • Signs for a woman that her acne is on that auto immune spectrum.

Dr. Kyrin: Hey everybody. And welcome back to another episode of her brilliant health revolution with Dr. Kyrin. I'm so glad that you chose to join me today. It's a wonderful day to talk about your health and learn some tools and strategies that you can use to make your health this year amazing. And going to talk about a topic today that women have been like really concerned about, and it has to do with our skin. Yeah. We might forgetting some sagging, some wrinkles and whoa, what's this? I thought I was done with acne. What's going on? If you can run away, raise your hand, right. Ask me a midlife. It can be very disconcerting. So my guest today is going to shed some light on that. I'm getting a lot of background noise Shayna like buzzing.

Dr. Kyrin : Okay. Now I just stopped. Okay. It just stopped. So we're good. So I'll edit that up. Okay. My guest today, Dr. Shayna, Peter is gonna break it down about why you really need to be concerned about me because it's not just me stop saying that. I'm going to tell you a little bit about her and then we'll get started. Dr. Shayna Peter is a functional medicine doctor and holistic dermatology specialist who has helped hundreds of people treat the root cause of their skin problems. Dr. Peter is the author of it's not just Acne, which examines the root causes of stubborn midlife acne, and how to treat it. She is the founder of a Well Ahead Chicago, a functional medicine practice providing natural solutions to both skin and auto-immune issues. Welcome Dr. Shayna.

Dr. Kyrin: Yeah, I can't hear you either. You need to put your headphones on. Yeah, yeah. This now I can't hear you. I wonder if we could start on this for a second and I'm gonna see if you can hear me. So just, do you have a different height? The other mic that I have? Let me see. Wait right now. It sounds okay. Hold on. Wait a minute. Now I don't hear buzzing and I can hear you. Hmm. Okay. Perfect. Okay. All right. I'm going to have him in and out. So Marco, fix-all remove all this stuff from us talking about this. Okay. Okay. All right. So our start with, so welcome back to Shayna. Hi, thank you so much for having me Dr. Kyrin. And I'm so excited to join this conversation. Yeah. So I always love to hear why people do the work that they do. And acne is not something that every functional medicine doctor specializes in. A lot of times we specialize in mold illness or autoimmune disease, which I know you do as well.

Dr. Shayna’s Background

Dr. Kyrin: But what drew you to being super interested in skin health for women in midlife?

Dr. Peter: Yeah, so I Have always been interested in skin health from a very young age. I knew that I wanted to go into dermatology. I just had no idea when I was younger to do that functional medicine was going to be the vehicle that I would be able to help people to really address the root causes behind their skin problems. So that was the most surprising and the biggest discovery process for me was finding my way into functional medicine and learning how that was really quite to be the best way that I could help limited admit life. You know, people of all different ages be able to really address the underlying causes of their skin problems. If, you know, just because you're talking about women and things like that is a lot of times when, you know, things start to break down because women are under so much stress in their lives.

Dr. Kyrin: And for a lot of women that is, we had a lot of these, you know common and even of scarcity and conditions can surface and, you know, kind of seemingly come out of nowhere. Yes, absolutely. And so what should a woman be thinking, because I know that's happened to me. I didn't have that acne when I was a teenager or some and then it was pretty much gone. And then it's odd that some are late forties, early fifties. I started having some breakouts along with all the other health problems that I had. And maybe everybody listening can relate to this and you're going, what in the world?

How are adrenal or cortisol issues tied to skin health and acne

Dr. Kyrin: So what, what is going on when we start getting acne problems later in life?

Dr. Peter: Yeah. So What I would always suspect, you know, and definitely want to rule out is adrenal dysfunction and the stress response. So that can be such a huge trigger for women. And what I seen a lot of times in a lot of the women that I've worked with in my, it did like acne might not be the reason that we started working together initially, but it's something that something else that we're dealing with it when we do a functional medicine workup, a lot of times, you know, it's very clear that there's adrenal function, you know, that's a problem for them that hasn't been addressed, you know, and again people develop a lot of serious problems around that type of health problems around that time in their life. And they haven't had the adrenal support needed over time. So help everybody understands. So, you know, if they've been listening to my podcast, most everybody listening knows adrenals. We're talking about cortisol, the stress hormone, I call her queen cortisol. She must be obeyed or she will wreck have it.

Dr. Kyrin: And so how are adrenal or cortisol issues tied to skin health and acne?

Dr. Peter: Yeah. So with the adrenals, they can affect the skin on so many levels. So if we think about something as fundamental as nutritional deficiencies, you know, as a starting point, so during times of stress are the four live nutrients go up and you know, most of us, you know, may not be aware of this over just continuing, you know, to be in fight, fight or flight mode. And you don't end up depleting a lot of our nutrients stress, it disrupts our gut health in so many ways. So a lot of people have heard of leaky gut or people that have it is when that barrier in between that blood stream in our digestive tract is compromised. And that's a segway to inflammation and a lot of chronic illnesses, you know, that have been shown that are being shown in the research more and more so we could get as a huge issue that can be triggered by stress.

Dr. Kyrin: And then the stress can impact that helps on a lot of other levels as well. So it can shift our entire microbiome toward a lot of overgrowth, bad bacteria and yeast. It can disrupt our digestive function. So I'll slow things down and that can really create an environment of inflammation food reactions, all of those different things. It can obviously throw our hormones out of balance. It can disrupt our blood sugar balance. So a lot of times acne is called diabetes of the skin. And then another thing that I mentioned in Its Not Just Acne is it's actually been shown in research that stress can increase. And if we're able to wear a chemical called interleukin one, and that's actually been shown to make this give cells more sticky and more likely to have clogged pores.

Know more about the so-called diabetes in the skin

Dr. Kyrin: Wow. So, so much in there, what you said now, diabetes of the skin. I have never heard acne call that, that I love that. So explain what that would mean to everybody listening. If they're having acne and acne, it's called diabetes of the skin and they're saying, wow, have diabetes, Dr. Shayna help them understand how they should interpret that. What does that mean for me? I don't have diabetes, but I'm having acne it's diabetes of the skin. What does that mean?

Dr. Peter: Yeah. So what I would first start by saying is we've got to think about how we see diabetes. So, you know, with a conventional medicine, a way of thinking about diabetes is very black and white. Either. We have it, we don't, oh, we know a functional medicine is that health is a continuum. And so that diabetes is more of, you know, an end point an end result, but people don't develop diabetes overnight. So they trend in that direction. They develop insulin resistance and over time they lose pancreatic function and develop diabetes. So when we're talking about acne breakouts, it's really important to pay attention to it, if it's a chronic issue, because it could be an early signal that you can catch, you know, before developing diabetes or either something like PCOs this correlating with flusher as well.

Dr. Kyrin: So yeah, I love what you said. It's a continuum and yeah, in mainstream medicine, it's all about either you either have diabetes or you don't, but you know, you were walking down that blood sugar road for years, or maybe decades before you got that diagnosis. So,uyou have that excess sugar glucose in your bloodstream, so it predisposes to infection,uand damages yourself. And then, you know, really what I heard you seen with,uto just help kind of paraphrase for everyone listening. Who's wondering, well, how does my cortisol stress hormone relate to my skin? It really gets into the gut dysfunction, is that what you're getting at?

Dr. Peter: Yeah. So that's one of the major ways and you know, what we're learning and becoming aware of, and you can attest to that as well is how, just how much I've got health in our microbiomes. The effects are far reaching throughout the body. Oh my gosh.

Dr. Peter: Yes. you know, it's just fascinating to me. I remember when I first heard about the microbiome years ago and it was at one of my inference conferences and they were saying, you know, for years, scientists have wondered how to humans have the same DNA amount of DNA as an earthworm, right. That just doesn't make any sense. We're so much more complicated. And then when they discovered the microbiome, they're like, oh, we had our genes in the cloud, in the cloud, in our gut and our microbiome. So it's that important. And if you're listening and you're thinking, I haven't heard of the microbiome, well, that's all the bacteria, the trillions of bacteria that live in your gut, where you house, you, you outsource a lot of your DNA that controls your overall health. So that's something you definitely want to learn about.

SIGNS OF GUT PROBLEMS

Dr. Kyrin: So let's talk a little bit about how, because there's some people listening, saying, well, I'm having an acne problem, but I don't have gut symptoms. Right. I don't have inflammatory bowel disease. I don't have irritable bowel. I don't have reflux, GERD. I don't have anything going on. So what would you say to them if they say that and they have acne?

Dr. Peter: Yeah. Great question. So what I will say and what I've been known to tell people is that you can have a gut issue without any gut symptoms. And what we have to remember in our culture is our standard for digestive health is very low. So we might, right. So, you know, growing having bowel movements every other day, this not normal might be common, beautiful out people, but it's not normal. So not no use that as an indicator, cause that can be a very important indicator, but a chronic issue with something like acne is definitely aside that there's, you know, it could be a gut issue at his fourth with yeah.

Dr. Kyrin: You know, I really think there are very few people who don't have an adrenal issue and a gut issue in this day and age because we're under assault every single day from the chemicals that we encounter and the pesticides and the food we eat and the drugs and our water and just, you know, our adrenals and our gut are getting the maintenance, the solvent. So I love what you said. We have a low standard gut or like desperate health and we say, oh my digestion's great. But you know, just because you're not having symptoms doesn't mean there isn't a problem. We kind of believe that you can't see it or hear it. And it's not sending you a postcard it's not happening.

Dr. Kyrin: So what are kind of the issues that might be going on in the gut? And, and how would we know? That's a great question. How does someone know? Because now everybody's listening and they're thinking, Hmm, I wonder if I have a gut issue, how do they know, How do they know? So symptoms to look out for, is that what you're asking or what are other than they might not have symptoms? What if they did have symptoms, I've gut dis function, what would they be? But if they don't have symptoms and now they're hearing you, Dr. Shane is saying that you might not have any symptoms, then they're wanting to know how would I know if I have a problem, I guess, testing, right? Yeah.

LAb test for acne

Dr. Peter: Yeah. So that's where testing will come into play. So there are a few different ways that, you know, that could be looked at from a testing standpoint. Um so we were talking about nutritional deficiencies a little bit earlier in terms of the stress response. So if we use that as an example there are certain deficiencies in vitamins and minerals that could point to a gut dysfunction. So like for example B vitamins amino acids. So glutamine is an example when people are low in gluteny, a lot of times that is a signal that there is some leaky gut doesn't have vitamin A vitamin D vitamin K. So those can all be indicators that, you know, suggest that there could be some gut dysfunction. So that's one way of looking at that, but people can also do like food sensitivity testing. And for example is a lot of something that a lot of people are doing now. And so we're, there are a number of food sensitivities when it's lit up like a Christmas tree, you know, it's not so much a sign that, you know, you need to eliminate all these different foods. It needs, you know, it's a symptom of an, a deeper problem with your gut health and your immune system that you've got to fix in order to correct those things.

Dr. Kyrin: And,and then could they have functional stool testing also?

Dr. Peter: Yeah. So still testing is a great tool that can provide a lot of different information. So some people could have an issue with their digestive function. Their digestive enzyme production is just not as robust as it should be, and that can create an environment for overgrowth food sensitivities for all of those things to, to be problems. So finding out if they're, if they have a healthy digestive function is gonna be really important because without that, it's going to be difficult for them to repair their gut health.

Dr. Kyrin: So what are some test  when somebody comes to an acne is a big concern of theirs that you say, well, if you've got acne, these are some tests. Absolutely. What would those be?

Dr. Peter: So those would be for me micronutrient testing, so doing a complete vitamin and mineral kind of, I think everyone should do that. That's really essential. I would say hormones, so looking at the hormones of thyroid adrenal sex hormones and I would say stool testing, those would be like the three main ones that I would say you absolutely gotta have.

traditional and natural approaches for acne

Dr. Kyrin: Yes, I would. I, I say amen to that. Definitely. And I know I've seen a few blog articles where you talk about how conventional medicine is really missing the boat on treating ACNE. So what makes you say that? What is a traditional approach to acne and how are they missing the point?

Dr. Peter:Yeah. So the traditional approach to acne a lot of times it's categorized based on the severity. So usually you're starting with topicals. So if we're only doing topical medications, then we're completely ignoring that. There's an internal problem.Yeah. So some other, you know, then S these are more severe things that to, you know, get more internal and look at things like antibiotics birth control pills, spironolactone Accutane. And with all of those, each of those medications, they're targeting gut bacteria, so wiping everything out or modulating hormones, and then with Accutane is more so regulating the serum production in the pore. So they're all targeting something very specific in terms of the physiology of acne, but none of them are taking a holistic approach right. Or really addressing the root cause. Right. Exactly.

Dr. Kyrin: And what kind of harm can that do to somebody?

Dr. Peter: So this is psychologically though, a lot of damage. So let me just start there because it's frustrating for people because a lot of times when they try, especially with the topical medications if, if I start there, they try different things. It does either doesn't work, or they may see some improvement temporarily, and then it comes back. And then even with a lot of the oral medications either it is the same situation, either doesn't work or doesn't work for awhile, and then it comes back with a vengeance. And I think it's tragic, you know, when people are taking some of a more harsh medications, these like acne, when, you know, they go through that process. And then a few years later, it comes back and it comes back worse. A lot of times it's been near back where they started in the, now they have, you know, the side effects to deal with.

Dr. Kyrin: Yeah. I agree with that. And I think psychologically, you know, it's that sense of hopelessness and discouragement that people get when they think a problem is solved only to realize that it's wasn't solved at all. Um they might have had some symptomatic relief for a period of time, and then it comes back, like you said, with a vengeance, I think there is a sense of demoralization. Having experienced that myself with my health journey when I was in mainstream medicine and my health problems, you know, with the various drugs that I would take, you know, pills for every ill or whatever would happen, I would get some relief, but it never really, it never really created vitality for me. And this is what I was finding with my patients too. And it wasn't until I discovered a root cause resolution approach that I really understood that that's because all these health problems come from the same root costs. Right. Yeah. And so we're just throwing band-aids and meanwhile, the root causes were getting worse and worse and worst, and it's like, it's like a volcano just heating up on the inside, getting ready to erupt until all of a sudden we get, oh my gosh, now we have cancer, right. Or, oh my gosh, now we have an autoimmune disease. Or we have something horrible when, if people had paid attention, like we talked about with the diabetes earlier that diabetes was happening on a low level for years. Right. If we paid attention to that and did the smack down and fixed it, right. Am I speaking the truth? You are preaching. You are preaching that they can. I know, like that's all keto. Now I get on my soapbox, you know and it's, or it's like, I've seen it come here to an iceberg that mainstream medicine is at that little 10% of the iceberg that sticks out above the water. Like putting little band-aids on little icicle. Meanwhile, the bottom of the ice, hard, 90% underneath the water is just getting bigger and bigger and bigger and nobody's addressing it. Okay. I'll get off my soap box.

Traditional and natural approach to acne

Dr. Kyrin: All right. So what are some of your favorite natural treatments? So we talked about really, you should have to test it, but maybe there's some things naturally that a woman's listening she could do for herself to help if she's having acne, what would,Yeah. So anything that people could do at home. So before I answer that, I want to clarify, so you're talking more about skincare or everything. Well, let, let's start with direct skin care. Cause there are some things you can do and then let's talk about everything else.

Dr. Peter: Yeah. So skincare wise what's going to be huge is being on a regimen that is suited for your skin type. So that's really important because one of the biggest misconceptions that are out there is that, you know, whenever people have acne it's because they have oily skin. So now they need to make it. And so that's not want to do especially women in their mid life. You know, we want to stay looking young and you don't keep our skin looking young. So we definitely don't want to do that. So that's going to be really important using products that are suited for your skin type that nourish the skin barrier. So they have ingredients that have ingredients that nourish the skin barrier. Then you could incorporate some other treatments into your regimen to target the acne specifically. So there are things you can use as fat treatments. So a lot of this, I go into a lot more detail and it's not just acne, what ingredients people can look for. And skincare products that are national union. So naturally occurring ingredients that fight acne breakouts that are that damaging to the skin. There also these that people can use to exfoliate their skin to help improve the texture, and that's going to help with the anti-aging pieces as well. Um and I also talk about serums and things that people can use to treat, to target the dark marks. So that's a huge concern for a lot of people especially women of color that just treating the acne, the breakouts that are active with dark marks will really make a huge difference to improve the appearance of the skin and the skin tone, But just mentioned, are you talking like retinanays? How your chronic acid vitamin C what kinds of things? Yeah. so for targeting dark marks or for all of it, for all of it. Yeah. self retired in dark mark. So things like our licorice extract are really effective exfoliant. So these that have like cholic acid. So, so again, acid those types of things. 

Supplements to help support the adrenals adaptiveness.

Dr. Kyrin: Does retinae increase the turnover also of yes you did. 

Dr. Peter: Yeah. So, yeah, that was recommended to me recently. I used to use those, but I haven't used them in a while. I have to tell on myself some days I just don't feel like taking off my makeup. And so I don't, and then I regret it every time. And so I did do that and then I got this guy right here, so now I gotta remediate it, you know, so it happens all of us. But I'd say my number one tip would be, why do you make a hall? Definitely. I find from it's amazing. Double cleanse where you take off your makeup. Yeah. Oh yes. I do a scrub every day. And so I really try to get all that my pores clean, and I usually don't have a problem except that when I did want to give off, which happens every now and then, all right.

Dr. Kyrin: So some local things, and then let's say somebody's listening and you know, maybe they're like, oh yeah, I need these tests. Then there, they'll kind of seek that out, but maybe they just can't do it right now for whatever reason. What are some things like we've talked about that everyone's having a gut problem. Everyone's having an adrenal problem. What kinds of things could they start doing to start remediating their gut and adrenals.

Dr. Peter: Yeah so, um, oddly enough stress reduction. So be aware of the stresses in your life and making sure that every day you're incorporating some stress reduction techniques,uinto your routine I know that may not have been, you know, with your audience. I was thinking, I would say, but that's really going to be huge. And, in terms of supplements, you know, a basic multivitamin, but you know, before I get to get into that, I just want to stress that, you know, you could take supplements all day, but if you're still super stressed out, you haven't changed anything, you know, else with your lifestyle and it is not going to do that much.

Dr. Kyrin: It's so true. I want to reiterate what Dr. Shayna Is saying it's so true. And I see, especially a lot of type a people like me who were like, no, I want my life to say exactly the same and doing everything I'm doing. And I'm just going to take some supplements and everything I want it to be okay. And the truth is your body's like, no, it doesn't work like that. Green cortisol says, I will be obeyed. You will reduce your stress. You will not do a million more. I'm not going to get to what you want, which is clear as yen and a lot that was energy, integrate sex drive and right. All the things. So I'm just reiterating what you're saying. You got, you can't just take supplements and then neglect stress management. Right? Exactly. Yeah. You got to address that. Okay. But let's see. So you mentioned stress reduction techniques.What are some of your favorites? 

Dr. Peter: So my favorite is yoga. It's a favorite of mine. Ummm walking, I love to walk and just be in nature. That's one of my favorite things. Aroma therapy, I've been in a castor oil packs lately.

Dr. Kyrin: So you love those. What are, where do you put them? So I put them all over my acne yeah. So we've talked Dr. Marisol, you know, queen of Thrones has been on the show and she's talking about the castor oil packs, but she has a great one with organic castor oil and mostly that you can make if you miss that. Definitely check out her episode and checking on her casserole. So do you like all types of yoga for stress reduction for people or specific types? 

Dr. Peter: That, so that hot yoga, I'm trying to think of what it was called, the type, maybe even vinyasa yoga, it's just relaxing, basic form of yoga. I'm not a yoga expert. I'm like Vinyasa flow or it is.

Dr. Kyrin:  Yeah. Yeah. And you know, and I recently learned something that I did not, I mean, I knew a Vinyasa flow and restorative in yoga were great for stress reduction, but I didn't realize that the, one of the reasons why is because they stimulate the Vegas nerve all along its pathway with the various postures. And apparently that was intentional. Uso that's where I've heard that. I feel like I had a glass of wine at the, udo certain types of yoga that are restorative.And so then what would be some supplements that people might want to take besides a multivitamin mineral to help support your adrenals, to help support the adrenals adaptiveness?

Dr. Peter: So adaptogens are really great things like so they're combination formulas, and then their individual herbs of our show condos are really great. One that a lot of people take that kind of helps to balance things out. Rhodiola Jensing, I mean, there are a lot of different adaptogens out there. I would say it really helps for people to know where they are and if you don't, I like ashwagandha because it really helps it balance me down.

Dr. Kyrin: So what do you mean, know where you are, your levels, your cortisol level, and so how would somebody find that out?

Dr. Peter: So they will find that out through testing. So their their saliva testing, and then there's some companies that do a combination of saliva in your itself. I really like your people to know where they are was that that's like a basic test. That's that very expensive that can give them so much information, like the Dutch test you're talking about Dutch plus. Yeah. So the dutch, but even some of the other ones like PRT that are just measuring saliva is still some good information news, not very expensive.

Dr. Kyrin: Yeah. I agree that the testing not guessing give way better results. So when at all possible tests don't guess, but if you have to guess, cause you just can't do testing right now. Some of the general adaptogens like Dr. Shayna is talking about can be helpful. They usually come in combination products with like Rhodiola [inaudible] licorice, things like that can be very helpful. I know that you also help women with auto-immune diseases. How are auto-immune diseases related to some skin problems?

Dr. Peter: Yeah. So a lot of skin problems are autoimmune. And what I wanted to awaken people to with Is not Just Acne that even acne is being considered on the autism spectrum. So we really want to be really tell me about this. Cause I had not heard that really yet, even a rosacea as well. So these conditions are considered to be on the autoimmune spectrum because the imbalances that are, you know, are found that are correlated with these conditions are a lot of the same Dallas's that trigger auto immune conditions. But the audit view conditions come much later in life. They take a longer time to develop. And so with autoimmune issues. You know, it's a matter of educating people and continuing to remind them that they take decades to develop, you know, but before that people are on the spectrum, they're on the autism spectrum on the inflammation spectrum.

Dr. Kyrin: I love how you say that on the autoimmune spectrum, because you know, we're used to hearing that for various other disorders on the spectrum, but we don't, I've never heard people use it talking about autoimmune disease, but I think it's time we start using that terminology for diabetes on the diabetes, spectrum you on the autoimmune spectrum is really to help people get that these things are diseases are not events that all of a sudden happened one day. Exactly. Right. You were on that spectrum for a long time. So I know some people right now listening or hearing this are driving their car and you're going, I hear what they're saying. This could be a sign or lead to a serious problem.

So what, what are some signs for a woman that her acne is on that auto immune spectrum?

Dr. Peter:  Yeah, so I, I would definitely say if it's chronic and if it's severe, so I would use those two things, is it, you know, an indicator chronicity and severity.

Dr. Kyrin: Okay. Chronicity and severity. I love that. So if you're listening and you never had that phase where you didn't have acne for decades and you've had it really your whole life and it's proven pretty severe like cystic, or maybe you even have back acne then you really need to find someone who can help you get at the root causes of it and fix it because the it's not that that acne leads to autoimmune. I just want to be clear about this for everyone, Dr. Shayna, right. It's not that acne leads to auto-immune it's that it could be an expression of beginning auto immune problems. Is that correct? Yeah. Yeah. So I want everyone to pay attention to that. Let's see. We have talked about so much. We talked about skincare.

What have I not asked you that I should have asked you?

Dr. Peter: I don't know. 

Dr. Kyrin:Is there anything that you think, wow, everybody listening really needs to know now they need to know about your gift that you have for them. So we'll definitely tell all about that. We'll have the link in the show notes and itsnotjustacne.com/gifts. We'll have the link in the show notes. They're going to get the first two chapters of your book. It's not just acne and a cheat sheet on top five bins, the guarantee acne flare ups. Ooh. I want to know what those foods are.

Dr. Peter:  And there's also a new train that just released as well, a webinar changed. So they'll be able to access that as well. Oh, and what's that on? So it's acne going deeper. So some of the same things that we talked about bill corn, a little bit deeper, that webinar training on how people can find answers and afford a lot of the harsh medications.

Dr. Kyrin: Okay. Awesome. Thank you for that. If you're having Acne, you need to go there. Itsnotjustacne.com forward slash gifts and download this and attend the training for sure. So, so much great information. I love your approach, Dr. Shayna. I love the title of your book. It's not just acne. We need to stop saying, oh, it's just acne. No, it's not just acne stop it. It's a sign, serious sign, a serious imbalances in your body that are going to lead you to have other health problems down the line. So you need to pay attention, right? Absolutely. Well said. And any last words for everyone?

Dr. Peter: Um well we always end with what her brilliant health means, right?

Dr. Kyrin: Yeah. What does it mean to you?

Dr. Peter: So it means to me, listening to your body, listening to your body, our body is speaks to us. It tells us when there's a problem, all we have to do is listen and seek the answers.

Dr. Kyrin: So true. So well said, we just need to learn how to decide for them and speak the language of the body. Right. Which you know, which I think is so important, we're born with that ability, but I think it's socialized out of us. So part of my goal is to help all women reconnect to the language of their bodies so they can decipher the messages. And instead of when they see acne reaching for the acne cream or going to the drug store to look in the acne section, they say, Hmm, what's what have I been eating? Have I been eating any acne triggers what's going on with my microbiome? And I pooping every day, you know, all the things that we've been talking about. So thank you so much, Dr. Shayna for joining us and sharing this. Wonderful, incredible, thank you so much for having me. I truly enjoyed it. And thank you guys for joining me for another episode of her brilliant health or revolution. The revolution is on and yes, you are a part of it. I don't want you to just hear the information that we're sharing to you today. I want you to take that information and make it your own to impact your work.