Psoriasis Healing Protocol

Psoriasis affects about 8 million Americans. It causes red, scaly plaques, often on the elbows, knees and scalp. It is not contagious and not caused by poor hygiene. It is linked to psoriatic arthritis (in about 1 in 3 people with psoriasis), heart and metabolic disease, and depression, so whole-body health matters. The Pagano protocol centers on diet and gut healing. It rests on the idea that a leaky gut lets substances into the bloodstream that the skin then reacts to. Research does show gut microbiome differences and increased gut permeability in psoriasis, but the protocol itself has not been tested in trials, and the evidence here is mostly for individual pieces. Celiac disease is about twice as common in psoriasis, and a gluten-free diet helps those with celiac disease or celiac antibodies. Weight loss improves psoriasis in trials. Omega-3 and vitamin D have some supporting studies. Strep throat can trigger guttate psoriasis, and strep needs prompt antibiotics from a clinician. Alcohol and stress clearly worsen psoriasis, so cutting alcohol and managing stress help. Narrowband UVB clears or nearly clears psoriasis in many people with moderate to severe disease. Biologics clear most or all plaques in many people with severe disease, with infection risk and monitoring. Diet and lifestyle steps help many people with mild to moderate psoriasis and work alongside the medicines that people with severe disease may need. Lowering whole-body inflammation also helps heart and joint health.