My guest this week is Dr. Raja Sivamani, a board-certified dermatologist who practices as an integrated dermatologist at Pacific Skin Institute. Dr. Sivamani holds the roles of Adjunct Associate Professor of Clinical Dermatology at the University of California Davis and Director of Clinical Research in the Clinical Trials Unit. He's 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 North State University, College of Medicine. He engages in clinical practice, as well as, both clinical and translational research that integrates bio-engineering, nutrition, cosmetics, and skin biology. With training in both allopathic and Ayurvedic medicine, Dr. Sivamani takes an integrative approach to his patients and in his research. He's published over 100-peer reviewed research manuscripts, 10 textbook chapters, and a textbook entitled Cosmeceuticals and Active Cosmetics, Third Edition with a passion for expanding the evidence and boundaries of integrative medicine for skincare. In this episode, Dr. Sivamani and I discuss ways parents can address finding the root cause of chronic skin issues in their children and teens. Dr. Sivamani explains how nutrition, lifestyle habits, environmental factors, and product use can affect the skin’s microbiome and what types of ingredients and irritants to avoid. Children and teens suffering from severe and chronic skin conditions like eczema and acne may struggle psychologically with issues such as anxiety, stress, and depression. Dr. Sivamani shows how a healthy balanced lifestyle can ease these symptoms while treating skin outbreaks and recurring issues. To learn more about Dr. Raja Sivamani click here.   Episode Highlights Psychological Impact With Skin Issues  Depression, anxiety, social isolation  Sometimes children hold back and hide these feelings Engaging children in the conversation is essential to the treatment process   Health and Environment in Relation To Skin Issues  Eczema for example The more soap you use the more natural oils you strip from the skin that are needed as they are typically deficient in those with eczema Testing foods to eliminate one at a time to see what causes flare-ups Bathing habits count Nutritional choices matter  Avoiding high refined sugars, sodas, sweetened teas, low dairy, processed junk foods Steroids and antibiotics In this way, these treatments are not used as a lifetime bandaid issue to the problem, rather an aid to alleviate symptoms more quickly to begin a  less painful integrative treatment Often resistance is not discussed broadly in order to manage and use these treatments   Lifestyle Relations to Chronic Skin Conditions Mind-body connections High levels of stress impact cortisol levels in the body and stimulate a higher inflammatory response It can affect our mood, anxiety, sleep   Skin Microbiome Every hair follicle is full of microbes We have oxygen-rich environments on the skin  Within the hair follicle, the environment is oxygen-poor known as an anaerobic environment Different bacteria, yeast, and supernatural mites live on symbiotically on the skin We have natural bacteria that are good that we want to remain in balance   What to Avoid Dermveda - free site investing ingredients and the best routines for your skin profile and ideal ingredients to use and to avoid Eczema tends to present super dry symptoms and it is important to keep your skin or your child's skin hydrated Apply moisturizers within 3 minutes of bathing to lock in the moisture Lean towards occlusive, humectant products versus those full of emulsifiers Avoiding fragrances and sometimes even essential oil-based fragrance   Where to learn more about Dr. Raja Sivamani... Dermveda  Jiva Factory Pacific Skin Institute Pacific Skin Institute Facebook Instagram: @pacificskininstitute   Connect with Dr. Nicole Beurkens o