ConditionsSkin / Inflammatory
Skin / Inflammatory

Hidradenitis Suppurativa (severe cases)

Gabriel treats severe HS as systemic inflammatory condition requiring aggressive multimodal approach: anti-inflammatory diet (often autoimmune protocol), zinc supplementation, hormonal balancing, gut healing, weight loss if overweight, topical natural antimicrobials, considers low-dose naltrexone, works with surgeon for drainage or excision if needed.

Root Causes

7 identified

Supplements

8 recommended

Lab Markers

7 to test

Treatments

1 modalities

Gabriel's Approach

Gabriel treats severe HS as systemic inflammatory condition requiring aggressive multimodal approach: anti-inflammatory diet (often autoimmune protocol), zinc supplementation, hormonal balancing, gut healing, weight loss if overweight, topical natural antimicrobials, considers low-dose naltrexone, works with surgeon for drainage or excision if needed. Recognizes severe HS profoundly affects quality of life and requires compassionate comprehensive care.

Root Causes

Follicular occlusion and bacterial overgrowth
Hormonal factors (androgens)
Autoimmune and autoinflammatory components
Metabolic syndrome and obesity
Smoking
Genetic predisposition
Gut dysbiosis and food sensitivities

Why Conventional Fails

Standard Treatment

Antibiotics (clindamycin, rifampin combinations), biologics (adalimumab approved for HS), hormonal therapy (spironolactone, oral contraceptives), intralesional corticosteroids, surgical excision or drainage, laser hair removal.

The Problem

Antibiotics often stop working, biologics expensive with side effects, doesn't address diet and gut health (major factors), inadequate zinc supplementation, doesn't address metabolic syndrome, surgery without addressing inflammation leads to recurrence.

Your Complete Protocol

A comprehensive, tiered approach combining supplements, herbs, and advanced therapies

Functional MedicinePeptide TherapyWhole Food Nutrition

Your Protocol for Hidradenitis Suppurativa (severe cases)

Choose the level that's right for your healing journey

Essential Protocol

Start Here
$75/mo

What's Included

  • Zinc 50-100mg/day
  • Vitamin D3 10,000 IU
  • Turmeric/Curcumin 2000mg 2x/day
  • Omega-3 4g/day
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Available through Fullscript

Practitioner-Grade Protocol

Most Popular

Practitioner-Grade — Not Available on Amazon

$165/mo

What's Included

  • Standard Process whole food protocol
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Whole food supplements by Standard Process

Complete Protocol

Best Value
$245/mo

What's Included

  • All Practitioner-Grade supplements & herbs
  • BPC-157 (tissue repair + gut healing)
  • Thymosin Alpha-1 (immune modulation)
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Standard Process + Matter peptides

Recommended Supplements

Zinc 50-100mg/day
Vitamin D3 10,000 IU
Turmeric/Curcumin 2000mg 2x/day
Omega-3 4g/day
Probiotics high-dose
NAC 1200mg 2x/day
Vitamin A 10,000 IU
Tea tree oil topical

Key Lab Markers

CRP and inflammatory markers
Hormone panel (testosterone, DHEA)
Insulin and glucose (metabolic syndrome)
Vitamin D
Zinc
Comprehensive stool test
Food sensitivity panel

Dietary Guidance

Autoimmune protocol elimination diet (remove dairy, gluten, grains, nightshades, eggs, nuts for 30-90 days), anti-inflammatory whole foods, avoid sugar and processed foods, identify individual triggers (dairy very common), high vegetable intake, adequate protein, avoid yeast and brewer's yeast.

Lifestyle Factors

Weight loss if overweight (reduces friction and inflammation), quit smoking (major trigger), wear loose breathable clothing, gentle cleansing (antibacterial but not harsh), avoid shaving affected areas, stress management, early drainage of lesions, warm compresses, consider surgical excision for severe tunneling, zinc paste topically.

Mind, Body & Spirit

Evidence-based practices that complement physical treatment protocols

Mind

Psychological Support

strong

HS profoundly affects quality of life, self-esteem, relationships.

Body

Dietary Elimination

moderate

Autoimmune protocol or specific trigger elimination dramatically improves many cases.

Weight Loss

moderate

Reduces friction, inflammation, and severity.

Surgical Excision

moderate

Wide excision for severe tunneling and scarring.

Smoking Cessation

strong

Critical - smoking major risk factor and trigger.

Low-Dose Naltrexone

emerging

Immune modulation, many HS patients report improvement.

Spirit

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