diet, supplementation and skin care
Psoriasis is a non-infectious, chronic inflammatory disease that manifests itself with characteristic skin lesions and joint problems. There are periods of exacerbations and remissions in this condition. Treatment requires the use of external and oral preparations, however they have a symptomatic effect and after some time the problem returns.
Genetic, immunological and environmental factors, such as alcohol, smoking, diet, stress, pregnancy, past infections, and some medications play a major role in the development of psoriasis. That is why it is important to consider all these aspects in treatment and support the body holistically.
Symptoms of psoriasis
Psoriasis manifests itself in various forms. Most
skin eruptions are characteristic, most often located on: elbows,
knees, hands, feet, buttocks, sacrum and scalp. changes
They have a red-brown color and are covered with white-gray
scales, which is the result of too rapid keratinization of the epidermis. thickened
the skin often breaks and bleeds, accompanied by itching, pain and burning.
In about 50% of patients, psoriasis also appears on the nails. Are
are small, point-shaped cavities in the nail plate. In addition, nails can
yellowed, brittle, delaminated.
About 1/3 of patients have psoriatic arthritis. It can be located within one or many joints. ŁZS manifests itself in pain, swelling and stiffness in the joints. Sometimes deformation occurs.
for autoimmune diseases, therefore the main purpose of nutrition is to calm down
inflammation in the body. The diet should be based on fresh, low-processed
products. Important ingredients are antioxidants (vitamins A, C, E, polyphenols),
minerals (selenium, zinc), omega-3 fatty acids, B vitamins (B3, folic acid, biotin).
Reducing calories also helps treat psoriasis, especially if you are overweight or obese. Too high body weight is a greater risk of the disease coming back. Periodic fasting can be a good tool.
Sometimes health improvement is achieved by introducing so-called autoimmune protocol (AIP). This is a very restrictive diet, which is why it should be carried out with the help of a dietitian.
Vegetables and fruits
The basic element of the diet should be vegetables, especially
leafy greens (e.g. kale, spinach, parsley) that supply folate.
Yellow and red vegetables (e.g. peppers, tomatoes) provide vitamin C and
lycopene, in turn orange (carrots, pumpkin) beta-carotene. Berry fruits (berries,
(blueberries, strawberries, raspberries, blackberries), dark grapes, and red cabbage
sprouts are a source of valuable polyphenols.
Generally, the more colors of vegetables and fruits, the more we deliver
various ingredients for the body. It is also worth eating silage (e.g. sauerkraut,
cucumbers, beet sourdough), because they help maintain good intestinal microflora.
Good quality fats play a role in the treatment of psoriasis. There are several groups here. First of all, unsaturated omega-3 fatty acids, both derived from animals EPA and DHA (fatty sea fish, seafood), as well as vegetable alpha-linolenic acid (linseed oil, rice oil).
Secondly, gamma-linolenic acid (GLA) deserves special attention, as it has a strong anti-inflammatory effect. Its source is evening primrose oil and borage oil. The next group is omega-9: olive oil and avocado.
All listed fats should appear
in the diet of a psoriasis patient. They should be used cold, e.g. as
addition to salads and salads. Evening primrose and borage oils as well as EPA and DHA are
also available as swallow capsules.
For cooking, stewing and baking, it’s best
use clarified butter, goose lard or coconut oil as they are stable
at high temperatures. Do not use margarines, as they contain
harmful trans fats that exacerbate inflammation. Should be eliminated
deep fried and breaded dishes.
As a protein source, meat (preferably from organic farming: chicken, turkey, pork, pork ham, beef sirloin), venison, wild fish (cod, trout, pollock, hake, herring, mackerel, salmon), seafood (e.g. shrimp, mussels, crabs), as well as chicken eggs.
Eggs are a source of biotin, choline and many
valuable minerals. It is worth choosing from free-range hens. (Note if
you use AIP, eggs are excluded). Highly processed should be avoided
products include long-sausages, sausages, low-quality patties, canned food, etc.
Complex carbohydrates such as cereals and are recommended
whole grains, sweet potatoes, rice. From cereals, it’s worth choosing naturally
gluten-free such as quinoa, amaranth, millet, porridge
buckwheat, basmati rice, oatmeal (with gluten-free certification), flakes
Buckwheat. Definitely avoid wheat products.
Flours are: coconut, chestnut, buckwheat, millet, rice, amaranth flour, with
tapioca, oat (marked as gluten-free), as well as plantain shells
and ground flax.
In some cases, a strict gluten-free diet is needed because psoriasis can go hand-in-hand with celiac disease or uncellular hypersensitivity to gluten.
When it comes to simple carbohydrates, choose fruit (especially berry, citrus) and honey in small amounts. Eliminate sugar, candy store, confectionery.
nuts and stones, eat mainly walnuts and almonds, in
smaller amounts of hazelnuts, macadamia, linseed and chia seeds. Attention, try not to work
heat nuts and seeds, as this leads to damage to valuable fats. Instead
cow’s milk choose plant milk:
almond, coconut, rice and yogurt / kefir with coconut milk.
Spices can also be an ally in the fight against psoriasis. Turmeric, known for its valuable antioxidant properties, should reign in the kitchen. You can also abundantly use ginger, red pepper, cloves, garlic, as well as herbs, among others: lovage, basil, oregano, coriander, thyme, and rosemary. Avoid black pepper, chillies, monosodium glutamate.
What to eliminate
psoriasis should eliminate pro-inflammatory ingredients from the diet, such as:
highly processed products,
thermally treated (e.g. burned in a pan, grill)
If the patient suffers from a very advanced form of psoriasis and the above guidelines do not help, it is worth considering the introduction of an autoimmune protocol (AIP). This is a very restrictive diet, but the effects can also be very satisfactory.
AIP consists in excluding from the menu all cereals, gluten, dairy products, eggs, nightshade plants (peppers, tomatoes, potatoes, eggplant, chili, goji berries), legume seeds (beans, soybeans, peas, broad beans, peanuts), alcohol, coffee, tea, cocoa, chocolate.
After some time, you can gradually try to re-introduce selected products. The protocol should be kept under the care of a dietitian so as not to lead to shortages of important nutrients.
Psoriasis often accompanies
latent food allergies (IgG-type), especially for eggs, gluten, cereals and milk
cow, so it’s worth testing in this direction. Allergen exclusion from
diet for several months helps in achieving remission of the disease.
Before starting a diet, basic tests such as vitamin D3 blood levels, blood counts, glucose, insulin, ESR, lipidogram, liver function tests should be performed.
You also need to check if your psoriasis goes hand in hand with other autoimmune diseases such as celiac disease or Hashimoto’s thyroiditis. It is also very important to study the intestinal microflora, which will help to choose the right probiotic therapy.
A key issue,
when it comes to all autoimmune diseases, there is a barrier seal
intestinal. For this purpose, probiotics with various bacterial strains are used
and prebiotics, which is a breeding ground for good bacteria (inulin, fructooligosaccharides),
in addition butyric acid (e.g. Debutir).
Another issue is vitamin D3. Her deficiency is very much
frequent and hard to do without supplementation. The dose should be determined
individually based on a blood 25 (OH) D3 test.
If your diet lacks omega-3 fatty acids, supplementation is necessary
EPA and DHA at a dose of 1000-2000 mg per day. To this you can attach the aforementioned
previously GLA (evening primrose and borage oil).
Another important one
the ingredient is group B vitamins. If you are going for a supplement, it’s best
choose B-complex in methylated form. You should also consider supplementation
sulfur (MSM), zinc, natural vitamin C (e.g. acerola) and drinking aloe juice,
which has strong moisturizing and soothing properties.
Patients with psoriasis should take care of the skin not only from the inside, but also externally. It is important to moisturize the skin with appropriate preparations as often as possible, especially after a shower. Long baths are not recommended.
Balms and gels for washing should be odorless, dyes and other irritating ingredients. Various dermocosmetics are available in pharmacies dedicated to psoriasis skin, containing natural emollients. When the lesions are not very severe, you can choose creams and ointments containing urea, which will further soften the thickened epidermis.
Clothes also matter. Tight, made of synthetic
materials that prevent the skin from breathing and may exacerbate skin changes. FROM
pure wool may rub and irritate the skin too much.
Moderate sun exposure is recommended, but fresh psoriatic lesions should be protected from radiation.
stress intensifies inflammation in the body. Psoriasis patients often observe
relapse which is a reaction to unpleasant life experiences. Because
it is so important to take care of sleep hygiene, physical activity, use techniques
relax and be in the open air as often as possible.
it is easy to treat, but persistent and consistent
adhering to the above guidelines in most cases gives excellent
effects. A holistic approach, as in all diseases
autoimmune is important.