Why Weight Loss Can Lead to Acne: Exploring Traditional Chinese Medicine Solutions

It is common to experience acne breakouts after losing weight?

Hello, doctor.
Over the past few years, I have lost about 50 kilograms (from 108 to 58) through dieting and exercise.
However, in 2008, after my weight loss, my gastrointestinal health deteriorated, leading to frequent constipation.
After consulting a gastroenterologist, I was prescribed laxatives, which I took for six months.
Subsequently, I began to develop acne on my face.
Initially, I was unaware of the cause and consulted several dermatologists without improvement.
Eventually, I suspected the laxatives might be the culprit, and after discontinuing them, the acne became less frequent, but my skin condition worsened.
I would break out whenever I consumed the wrong foods.
Starting in August of this year, the situation has become more severe; even drinking slightly cold water or eating foods at lower temperatures triggers breakouts.
My gastrointestinal condition is also poor, and the acne primarily appears on my chin and neck, manifesting as deep cystic lesions that are painful to the touch.
Since visiting dermatologists has only resulted in a continuous prescription of anti-inflammatory medications, which impose a significant burden on my liver and kidneys over time, my family has suggested I consult a traditional Chinese medicine practitioner.
I would like to ask the doctor if my condition is suitable for treatment through traditional Chinese medicine for constitutional adjustment.

Alan, 20~29 year old female. Ask Date: 2011/09/23

Dr. Zhang Weidong reply Traditional Chinese Medicine

Hello Alan,
First of all, I would like to respond to you that both gastrointestinal dysfunction and acne can be treated with Traditional Chinese Medicine (TCM).
However, this treatment requires time and your cooperation with dietary and lifestyle changes for optimal results.
Regarding the changes in your body, there are some unclear points in your description.
For instance, you mentioned that "after losing weight in 2008, my gastrointestinal health deteriorated, and I became prone to constipation." Did you not experience any physical discomfort before 2008 when you lost weight? Was the weight loss method you used in 2008 more harmful to your body?
Generally, I recommend increasing your intake of fiber-rich fruits and vegetables.
You may also consider consuming probiotics (such as yogurt or enzymes) in moderation.
If constipation does not improve, laxatives should be a last resort.
As for your statement about experiencing discomfort and acne (without cysts) from drinking cold water, this indicates that your body may be relatively weak, and you need a balanced diet.
Drinking warm water and exercising can help improve your condition.
Avoid consuming raw, cold, and fried foods.

I hope this information is helpful to you.
Wishing you good health!

Reply Date: 2011/09/23

More Info

Weight loss can indeed lead to various skin issues, including acne, and this phenomenon can be particularly pronounced in individuals who have undergone significant weight loss through dieting and exercise. In your case, losing 50 kilograms is a remarkable achievement, but it appears to have come with some unintended consequences, such as gastrointestinal issues and acne flare-ups.
From a medical perspective, the relationship between weight loss and acne can be multifaceted. When individuals lose weight rapidly, hormonal changes can occur, particularly involving insulin and androgens, which may lead to increased sebum production and clogged pores, ultimately resulting in acne. Additionally, dietary changes, such as reduced caloric intake or the elimination of certain food groups, can affect the gut microbiome and overall digestive health. This disruption can lead to gastrointestinal issues like constipation, which you have experienced, and may also contribute to skin problems.

In Traditional Chinese Medicine (TCM), the approach to treating acne and other skin conditions often involves a holistic evaluation of the individual's constitution, lifestyle, and dietary habits. TCM practitioners believe that skin issues can be manifestations of internal imbalances, such as heat accumulation, dampness, or blood deficiency. In your case, the use of laxatives for an extended period may have disrupted your digestive system, leading to an imbalance that TCM could help address.

Here are some TCM concepts that may be relevant to your situation:
1. Dampness and Heat: In TCM, acne is often associated with excess dampness and heat in the body. This can be exacerbated by poor dietary choices, such as consuming too many cold or raw foods, which may disrupt the digestive system. A TCM practitioner might recommend herbal formulas that help clear heat and resolve dampness, such as San Ren Tang or Long Dan Cao.

2. Qi and Blood Deficiency: After significant weight loss, the body may experience a deficiency in Qi (vital energy) and blood, which can lead to skin issues. TCM treatments may include acupuncture and herbal remedies to nourish the blood and invigorate Qi, helping to restore balance.

3. Dietary Adjustments: TCM emphasizes the importance of a balanced diet tailored to one's constitution. You may benefit from incorporating warming foods that support digestion, such as cooked vegetables, whole grains, and lean proteins, while avoiding overly cold or raw foods that could exacerbate your symptoms.

4. Stress Management: Stress can also play a significant role in skin health. TCM often incorporates stress-reducing techniques such as Tai Chi, Qi Gong, or meditation, which can help improve overall well-being and potentially reduce acne flare-ups.

5. Acupuncture: This ancient practice can help regulate hormonal balance, improve circulation, and promote healing in the body. Acupuncture points may be selected based on your specific symptoms and overall health.

In summary, your situation is indeed one where TCM could provide valuable insights and treatment options. It is advisable to consult with a qualified TCM practitioner who can assess your unique constitution and symptoms. They can create a personalized treatment plan that may include herbal remedies, dietary recommendations, and acupuncture to help restore balance and improve your skin condition. Additionally, it is essential to continue working with your healthcare providers to monitor your overall health, especially considering the long-term use of medications and their potential side effects.

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