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Gabriel treats rosacea as gut-skin condition with immune-vascular component, not just "sensitive skin.
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 treated), 2) Treat H. pylori if present, 3) Address Demodex overgrowth (topical treatment, oral ivermectin if severe), 4) Identify food triggers (histamine-rich foods, alcohol, spicy—individual variation), 5) Reduce inflammation (omega-3, curcumin, quercetin—mast cell stabilization), 6) Gentle skincare (avoid harsh products, irritants), 7) Support gut healing, 8) Avoid triggers (sun, heat, stress, alcohol). Goal: clear skin, prevent flares, address root cause (gut, not just skin).
Standard Treatment
Topical treatments: Metronidazole gel (MetroGel, MetroCream—antimicrobial, anti-inflammatory), Azelaic Acid (Finacea—antimicrobial, anti-inflammatory), Ivermectin (Soolantra—kills Demodex, anti-inflammatory), Brimonidine (Mirvaso—vasoconstrictor, reduces redness temporarily but rebound redness can occur), Oxymetazoline (Rhofade—vasoconstrictor, similar to Mirvaso), Oral medications: Doxycycline low-dose (Oracea 40mg—anti-inflammatory, not antimicrobial dose), Isotretinoin (Accutane—for severe papulopustular, last resort), Procedures: Laser/IPL (intense pulsed light—reduces visible blood vessels, redness), Electrocautery (for visible blood vessels), Gentle skincare advice, Avoid triggers (often inadequate identification)
The Problem
Topical metronidazole/azelaic acid: Modest improvement (not curative), Irritation in some, Doesn't address root cause (gut, systemic inflammation), Ivermectin (Soolantra): Effective for Demodex-driven rosacea (papulopustular type), Expensive ($500+/tube without insurance), Doesn't address gut component, Brimonidine/Oxymetazoline: Temporary redness reduction (vasoconstrictors—hours only), Rebound redness common (worse after wears off), Doesn't improve long-term, Expensive, Doxycycline: Low-dose anti-inflammatory (not antibiotic effect), Some benefit but: Doesn't address root cause, GI side effects, Photosensitivity, Long-term use concerns (gut microbiome effects even at low dose), Isotretinoin (Accutane): Effective for severe resistant cases BUT: Severe side effects (dry skin/lips/eyes, birth defects, depression risk, liver toxicity, requires monitoring), Last resort only, Lasers/IPL: Reduces visible vessels, redness (cosmetic improvement), Expensive ($300-500 per session, multiple needed), Doesn't prevent new vessels (recurrence common unless root cause addressed), Painful, Downtime, Conventional approach: Focuses on topical suppression and cosmetic procedures without: Testing for SIBO (50%+ of rosacea patients have SIBO—treating SIBO often CURES rosacea, breath test should be routine but rarely done), H. pylori testing (common in rosacea, eradicating improves outcomes), Assessing Demodex burden (overgrowth common, treatable), Comprehensive food trigger identification (alcohol, histamine-rich foods, spicy—needs detailed elimination), Gut healing (leaky gut, dysbiosis drive systemic inflammation—show up on face), Histamine intolerance evaluation (DAO deficiency, high-histamine diet trigger flushing), Mast cell stabilization (quercetin, vitamin C—reduce flushing/inflammation), Many rosacea patients dramatically improve or clear with: SIBO treatment (if positive—herbal or rifaximin), Eliminating food triggers (alcohol, histamine-rich foods, spicy, individual sensitivities), Treating Demodex (ivermectin, tea tree oil), Gut healing (probiotics, L-glutamine, digestive enzymes), Anti-inflammatory supplements (omega-3, curcumin, quercetin), Gentle skincare (avoid harsh products, irritants), Stress management, Sun protection, Avoid treating just the skin when it's systemic issue (gut-skin axis)
A comprehensive, tiered approach combining supplements, herbs, and advanced therapies
Choose the level that's right for your healing journey
What's Included
Available through Fullscript
Practitioner-Grade — Not Available on Amazon
What's Included
Whole food supplements by Standard Process
What's Included
Standard Process + Matter peptides
In-person therapies that complement your protocol
$25-75 per session
Specific wavelengths of red and near-infrared light penetrate tissue to boost cellular energy, reduce inflammation, and accelerate healing.
West Hollywood • Sunset Strip
First session free with any package
West Hollywood • Robertson
10% off all services with Gabriel
West Hollywood • Melrose
$15 off infrared sauna session
Identify and avoid food triggers (individual variation, keep food diary): Common triggers: Alcohol (vasodilator—major trigger, even small amounts, red wine especially), Spicy foods (capsaicin—triggers flushing), Hot beverages (temperature triggers flushing—let cool before drinking), Histamine-rich foods (if histamine intolerance): aged cheese, fermented foods, alcohol, leftovers, cured meats, tomatoes, eggplant, spinach, avocado, citrus, strawberries, shellfish, Cinnamaldehyde-containing foods (cinnamon, tomatoes, citrus, chocolate), Eliminate gluten and dairy trial (inflammatory for some), Anti-inflammatory diet: Omega-3 foods (wild fish 3x/week—anti-inflammatory), Colorful vegetables (antioxidants—berries, leafy greens, cruciferous), Green tea (anti-inflammatory, antioxidant), Turmeric and ginger (anti-inflammatory), Bone broth (gut healing), Probiotic foods (after SIBO treated—yogurt if tolerated, kefir, sauerkraut), Avoid: Sugar (inflammatory, feeds gut pathogens), Processed foods, Trans fats, Seed oils (inflammatory), Temperature considerations: Let hot foods/beverages cool (temperature triggers flushing), Cold/room temp foods better, Hydration (adequate water, room temperature), Organic (reduce toxin load)
Identify and avoid environmental triggers: Sun exposure (UV—major trigger, wear SPF 30+ daily, zinc oxide physical sunscreen better than chemical, wide-brim hat, seek shade), Heat (triggers flushing—avoid hot environments, overheating, saunas initially, use fans, cool environment), Cold wind (protective scarf in winter), Stress (major trigger—meditation, yoga, breathwork, therapy), Exercise (beneficial but overheating triggers flushing—exercise in cool environment, use fan, stay hydrated, low-intensity initially), Hot showers/baths (lukewarm only), Skincare: GENTLE routine (harsh products worsen rosacea): Gentle cleanser (fragrance-free, sulfate-free—Cetaphil, CeraVe, Vanicream), Avoid: alcohol-based products, witch hazel, menthol, peppermint, eucalyptus, fragrance, harsh scrubs, AHA/BHA (too harsh for many), retinoids (irritating initially—introduce slowly if at all), Moisturize (barrier repair—ceramide-based, fragrance-free, hyaluronic acid), Sunscreen daily (physical/mineral—zinc oxide, titanium dioxide less irritating than chemical), Makeup (if worn—mineral makeup, green-tinted primer neutralizes redness), Avoid touching face (irritation, Demodex spread), Wash pillowcases frequently (reduce Demodex), Adequate sleep (7-9 hours—skin repairs, reduces stress), Quit smoking (inflammatory, worsens rosacea), Limit alcohol or eliminate (major trigger), Stress management (meditation, therapy—stress triggers flares), Keep face cool (cold compresses during flares, fan, avoid overheating), Red light therapy (anti-inflammatory, promotes healing—some benefit), Gentle facial massage (improves lymphatic drainage—but avoid if too sensitive), Ocular rosacea (if eye symptoms—dry, irritated eyes): Warm compresses, Lid hygiene, Omega-3, Artificial tears, See ophthalmologist if severe, Treat Demodex if present (tea tree oil, Soolantra)
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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