Condition + Location

Rosacea Treatment in Seattle

20 holistic practitioners in Seattle who can help with Rosacea. Gabriel's evidence-based protocols, matched to local practitioners.

20 Practitioners

2 Treatments

1+ Supplements

Gabriel's Approach to Rosacea

Gabriel treats rosacea as gut-skin condition with immune-vascular component, not just "sensitive skin." SIBO extremely common in rosacea patients—treat gut, skin often clears. Protocol: 1) Test and treat SIBO (breath test, herbal antimicrobials or rifaximin—many rosacea patients clear when SIBO trea...

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Recommended Treatments

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Key Supplements

Gut-focused (CRITICAL for rosacea): SIBO treatment if positive: Herbal antimicrobials (Berberine 500mg 3x/day, Oregano oil 500mg 3x/day, Neem, Allicin—rotate), OR Rifaximin (prescription antibiotic for SIBO—very effective, discuss with doctor), Digestive Enzymes with meals, Probiotics (after SIBO treatment—Soil-based or Saccharomyces boulardii initially), H. pylori treatment if positive (see H. pylori protocol), L-Glutamine 5-10g/day (gut healing), Anti-inflammatory/Mast cell stabilization: Quercetin 1000mg 3x/day (mast cell stabilizer, reduces flushing), Omega-3 2-4g/day (anti-inflammatory), Curcumin 1g 2x/day (anti-inflammatory), Vitamin D3 5000 IU (immune modulation), DAO enzyme (if histamine intolerance—take with meals), Vitamin C 1000mg 2x/day (antihistamine effect), Zinc 30mg (skin health, anti-inflammatory), Niacinamide (vitamin B3) 500mg 2x/day (reduces flushing—NOT niacin which causes flushing), Azelaic Acid (topical—kills Demodex, anti-inflammatory), Green tea extract (topical and oral—anti-inflammatory, antioxidant), Chrysanthemum (traditional for rosacea—anti-inflammatory), Licorice Root Extract (topical—anti-inflammatory, but avoid oral if high BP), Demodex treatment (if overgrowth suspected): Tea Tree Oil (topical—diluted 5%, kills Demodex mites), Ivermectin (Soolantra topical or oral if severe—prescription, very effective for papulopustular rosacea), Sulfur-based products (traditional for rosacea—antimicrobial), Topical: Azelaic Acid 15-20% (Finacea—prescription or Melazepam OTC, anti-inflammatory, antimicrobial), Metronidazole gel (prescription—antimicrobial, anti-inflammatory), Niacinamide serum (reduces redness), Aloe vera gel (soothing), Green tea extract, Licorice root extract, Gentle moisturizer (ceramide-based, fragrance-free)

Key Lab Markers

Clinical diagnosis (persistent facial redness, flushing, visible blood vessels, papules/pustules—no comedones differentiates from acne), SIBO breath test (CRITICAL—hydrogen/methane, 50%+ rosacea patients have SIBO, treating SIBO often clears rosacea), H. pylori testing (stool antigen or breath test—common in rosacea), Comprehensive stool test (dysbiosis, other pathogens), Skin scraping (microscopy—assess Demodex mite density, if >5 mites per cm² suggests overgrowth), Food sensitivity panel (IgG—identify triggers, but elimination diet more reliable), Histamine/DAO level (if suspect histamine intolerance), Hormone panel (if peri/menopausal—fluctuations worsen rosacea), Vitamin D, Omega-3 Index, Zinc, CBC, Comprehensive metabolic panel

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