Hidradenitis Suppurativa
Gabriel treats HS as autoimmune inflammatory condition with strong gut-skin connection, not just skin infection.
10 identified
10 recommended
11 to test
4 modalities
Gabriel's Approach
Gabriel treats HS as autoimmune inflammatory condition with strong gut-skin connection, not just skin infection. He uses comprehensive approach: anti-inflammatory diet (especially dairy and nightshade elimination), gut healing protocols, hormone balancing (especially androgens and insulin), weight optimization if needed, smoking cessation support, zinc and vitamin D optimization, anti-inflammatory supplements, sometimes low-dose naltrexone, and combines with appropriate antibiotics or biologics when needed. HS responds to root cause treatment but requires patience and comprehensive approach.
Root Causes
Why Conventional Fails
Topical and oral antibiotics (clindamycin, doxycycline, rifampin combinations), hormonal therapy (spironolactone, birth control), biologics (adalimumab, infliximab), retinoids, steroids (intralesional or oral), surgical excision for severe scarring, weight loss recommendations.
Antibiotics provide temporary relief but don't address root cause (autoimmune/inflammatory), biologics are expensive with side effects and don't cure, doesn't investigate food triggers or gut health, inadequate focus on insulin resistance and metabolic factors, surgery doesn't prevent new lesions, doesn't optimize vitamin D or zinc (critical for immune function), treatments suppress rather than modulate immune system, high recurrence rates without addressing underlying drivers.
Your Complete Protocol
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
Your Protocol for Hidradenitis Suppurativa
Choose the level that's right for your healing journey
Essential Protocol
What's Included
- Zinc 50-90mg daily
- Vitamin D3 10,000 IU
- Omega-3 4g/day
- Curcumin 2000mg 2x/day
- Zinc — Supports immune function and wound healing in HS
- Turmeric (Jiang Huang) — Reduces inflammation and prevents abscess formation
Available through Fullscript
Practitioner-Grade Protocol
Practitioner-Grade — Not Available on Amazon
What's Included
- Standard Process whole food protocol
- Coptis Decoction to Resolve Toxicity (Huang Lian Jie Du Tang) — Clears heat toxin that causes recurrent skin abscesses
- Gentiana Drain the Liver (Long Dan Xie Gan Tang) — Clears damp heat from skin folds prone to HS
Whole food supplements by Standard Process
Complete Protocol
What's Included
- All Practitioner-Grade supplements & herbs
- BPC-157 (tissue repair + gut healing)
- Thymosin Alpha-1 (immune modulation)
Standard Process + Matter peptides
Recommended Supplements
Key Lab Markers
Dietary Guidance
AIP (Autoimmune Protocol) diet eliminating dairy (major trigger for most HS patients), nightshades (tomatoes, potatoes, peppers, eggplant), gluten, sugar, and processed foods for minimum 30-60 days then reintroduce one at a time, low-glycemic diet to improve insulin sensitivity, eliminate brewer's yeast and nutritional yeast (triggers for some), anti-inflammatory whole foods, adequate protein, healthy fats, colorful vegetables (non-nightshade), berries, wild-caught fish, grass-fed meats, consider low-carb or ketogenic approach for insulin resistance, adequate hydration, eliminate alcohol.
Lifestyle Factors
Weight loss if overweight (reduces mechanical friction and improves insulin sensitivity), quit smoking (major trigger), wear loose breathable clothing (avoid friction), use antibacterial washes (zinc pyrithione, benzoyl peroxide, hibiclens) on affected areas, avoid shaving areas prone to lesions, stress management (stress triggers flares), adequate sleep, regular exercise (improve insulin sensitivity), avoid tight clothing and synthetic fabrics, warm compresses on active lesions, consider laser hair removal in affected areas, turmeric paste topically for active lesions.
Recommended Treatments
Mind, Body & Spirit
Evidence-based practices that complement physical treatment protocols
Mind
Stress Management
moderateStress reduction crucial as stress hormones trigger flares.
Body
Anti-inflammatory Lifestyle
moderateComprehensive approach to reduce systemic inflammation through multiple modalities.
Spirit
Support Groups
moderateHS is isolating and affects intimate areas - connection with others who understand reduces shame.
Body Image Counseling
moderateAddressing trauma and shame from scarring and chronic painful lesions.
Curated for Hidradenitis Suppurativa
Supplements + Chinese herbal medicine
Standard Process + classical TCM
Standard Process + advanced peptide therapy
Find a Practitioner
Connect with specialists who treat Hidradenitis Suppurativa using root-cause approaches.
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