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Gabriel treats psoriasis as systemic autoimmune-inflammatory condition, not just skin disease.
Gabriel treats psoriasis as systemic autoimmune-inflammatory condition, not just skin disease. Skin is reflection of internal dysfunction—gut, immune, inflammation. Topicals alone inadequate. Protocol: 1) Heal gut (eliminate leaky gut, dysbiosis—reduces immune activation), 2) Identify food triggers (AIP diet—gluten, dairy, nightshades major culprits), 3) Treat infections (strep, Candida, gut pathogens), 4) Reduce inflammation (omega-3, curcumin, vitamin D), 5) Immune modulation (calm overactive T-cells—LDN, vitamin D, omega-3), 6) Optimize nutrients (vitamin D CRITICAL, omega-3, zinc), 7) Stress management (major trigger), 8) Topical support (secondary to internal healing). Goal: achieve remission or significant improvement (many patients clear completely with proper protocol—avoid biologics if possible, $20,000-60,000/year, immunosuppression).
Standard Treatment
Topical treatments: Corticosteroids (most common—various strengths, short-term), Vitamin D analogs (calcipotriene/Dovonex—regulates skin cell growth), Topical retinoids (tazarotene), Calcineurin inhibitors (Protopic, Elidel—for sensitive areas), Coal tar (old treatment—smelly but effective), Anthralin (Dritho-Scalp), Salicylic acid (scale removal), Moisturizers, Phototherapy: Narrowband UVB (effective, requires 3x/week sessions, long-term), PUVA (psoralen + UVA—more side effects), Excimer laser (targeted UVB), Systemic medications (moderate-severe): Methotrexate (immunosuppressant, folic acid antagonist), Cyclosporine (immunosuppressant, kidney toxicity), Acitretin (retinoid, teratogenic), Apremilast (Otezla—PDE4 inhibitor, oral), Biologics (very expensive, injection/infusion): TNF-alpha inhibitors (Humira, Enbrel, Remicade, Cimzia), IL-17 inhibitors (Cosentyx, Taltz), IL-23 inhibitors (Tremfya, Skyrizi, Ilumya), IL-12/23 inhibitor (Stelara)
The Problem
Topical steroids: Short-term improvement but: Thinning skin with prolonged use (atrophy, striae, telangiectasia), Tachyphylaxis (tolerance—stop working), Rebound flare when stopped, Systemic absorption (if large areas), Don't address root cause, Methotrexate/Cyclosporine: Immunosuppression (infection risk), Liver toxicity (methotrexate—requires monitoring), Kidney toxicity (cyclosporine), GI upset, Teratogenic (birth defects—strict contraception), Doesn't cure—must continue indefinitely, Biologics: Very expensive ($20,000-60,000/year), Injection/infusion (not oral), Serious immunosuppression (increased infections including TB, fungal, opportunistic), Increased cancer risk (especially lymphoma, melanoma), Injection site reactions, Loss of efficacy over time (antibodies develop), Doesn't cure—must continue indefinitely, only suppresses, Phototherapy: Time-consuming (3x/week sessions), Premature skin aging, Skin cancer risk with long-term use (especially PUVA), Conventional approach: Focuses on suppressing skin manifestations without: Healing gut (leaky gut drives systemic inflammation and autoimmunity—foundational), Eliminating food triggers (gluten, dairy, nightshades—major culprits, AIP diet often clears psoriasis), Optimizing vitamin D (most psoriasis patients severely deficient—supplementing to 80-100 ng/mL dramatically improves outcomes, rarely recommended), High-dose omega-3 (4-6g/day proven effective—rarely recommended at therapeutic dose), Addressing infections (strep, Candida, gut pathogens—trigger and exacerbate), Stress management (major trigger—needs therapy, meditation, lifestyle changes), Low-Dose Naltrexone (immune modulation—many achieve remission, cheap, minimal side effects, ignored by conventional dermatology), Many psoriasis patients could achieve remission or significant improvement with: AIP diet (eliminate gluten, dairy, nightshades, alcohol, sugar), Gut healing (probiotics, L-glutamine, remove pathogens), Vitamin D optimization (10,000+ IU/day, get levels to 80-100), Omega-3 (4-6g/day), Curcumin (anti-inflammatory), LDN (immune modulation), Sunlight/UVB exposure, Stress management, Quit smoking and alcohol, Avoid biologics if possible (expensive, immunosuppression, long-term effects unknown)—save for severe cases that don't respond to comprehensive natural approach
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What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
Autoimmune Protocol (AIP) diet (CRITICAL—many psoriasis patients clear with diet alone): Eliminate (30-90 days minimum): Gluten (major trigger—molecular mimicry, inflammatory), Dairy (casein sensitivity common), Nightshades (tomatoes, peppers, eggplant, potatoes—alkaloids trigger many psoriasis patients, not all but common), Eggs (for some), Nuts and seeds (for some), Grains, Legumes, Sugar and refined carbs (inflammatory, feed gut pathogens), Alcohol (inflammatory, liver stress, triggers flares), Processed foods, seed oils, Reintroduce systematically after skin clears (one food at a time, 5-7 days apart, watch for flares), Eat: Abundant vegetables (except nightshades initially—anti-inflammatory, nutrients), Quality protein (wild fish 3x/week—omega-3, grass-fed meat, pastured poultry), Healthy fats (olive oil, avocado, coconut oil), Bone broth daily (gut healing, collagen), Fermented vegetables (after gut healing phase—probiotics), Berries (antioxidants), Herbs and spices (turmeric, ginger, garlic—anti-inflammatory), Anti-inflammatory foods: Omega-3 fish (salmon, sardines, mackerel—anti-inflammatory, proven helpful), Turmeric and ginger daily, Green tea, Colorful vegetables, Extra virgin olive oil, Avoid: Sugar (drives inflammation, feeds Candida), Alcohol (major trigger—even moderate amounts worsen psoriasis, must eliminate during healing), Red meat (arachidonic acid—inflammatory, especially grain-fed), Fried foods, Trans fats, Seed oils (corn, soy, canola—inflammatory), Processed foods, Excess omega-6 (shifts omega-6:3 ratio—inflammatory), Hydration (adequate water—skin hydration, detoxification), Organic (pesticides trigger autoimmunity)
Stress management (MAJOR trigger—stress causes flares via cortisol, immune dysregulation): Meditation, yoga, breathwork, therapy, address chronic stressors, support groups, Adequate sleep (7-9 hours—immune regulation, skin repairs during sleep), Sunlight exposure (UVB—vitamin D production, immunosuppressive effect on skin, 15-30 min daily—don't burn, huge benefit for many psoriasis patients, some clear completely with sun exposure), UV phototherapy (if natural sun inadequate—narrowband UVB, PUVA—dermatologist supervised, effective but requires multiple sessions per week), Quit smoking (major trigger—worsens psoriasis, delays healing, increases risk, non-negotiable), Limit alcohol or eliminate (triggers flares, inflammatory, liver stress—many psoriasis patients improve dramatically when quit drinking), Maintain healthy weight (obesity worsens psoriasis—inflammatory, lose weight if overweight), Avoid skin trauma (Koebner phenomenon—psoriasis develops at injury sites, avoid scratching, tight clothing, harsh soaps), Moisturize (keeps skin hydrated, reduces scaling, cracking—thick emollients, Cetaphil, Aquaphor, coconut oil, avoid fragranced products), Lukewarm baths or showers (hot water dries skin, worsens psoriasis—add oatmeal, Dead Sea salts, Epsom salts), Pat dry gently (don't rub), Apply moisturizer immediately after bathing (locks in moisture), Avoid harsh soaps (switch to gentle, fragrance-free cleansers), Humidify environment (especially winter—dry air worsens), Exercise (reduces inflammation, stress, improves insulin sensitivity—but shower promptly after, sweat can irritate), Treat infections promptly (strep throat triggers guttate psoriasis—antibiotics if bacterial), Address gut health (probiotics, prebiotics, heal leaky gut—foundational), Infrared sauna (detox support, circulation, relaxation), Red light therapy (promotes healing, reduces inflammation), Emotional healing (some psoriasis patients have emotional trauma component—therapy, EMDR), Support groups (chronic skin condition is psychologically challenging—connect with others)
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Mind, Body & Spirit
True healing requires addressing all dimensions of health. These evidence-based practices complement physical treatment protocols.
Daily meditation practice to reduce stress, lower inflammation, and support healing.
Developing healthy coping strategies to reduce cortisol and support immune function.
Conscious breathing techniques to regulate nervous system and reduce symptoms.
Time in nature to reduce stress, improve mood, and support physical healing.
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