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Small Intestinal Bacterial Overgrowth and Rosacea: The Gut-Skin Connection by Dr Michael Traub, ND, DHANP, FABNO

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Increasing evidence suggests that the gut-skin axis is implicated in the pathogenesis of rosacea. Sufficient data exists to support the concept that the gut microbiome plays a role in the inflammatory cutaneous response and there appears to be associations with small intestinal bacterial overgrowth and Helicobacter pylori infection. A dysbiotic microbiome and an innate immune system dysregulation contribute to the pathophysiology of rosacea. Greater understanding of this connection between the gut-skin axis could allow for more efficacious and timely treatment.

Learning Objectives

By the end of this lecture, the clinician will be able to:

  • Review the basics of small intestinal bacterial overgrowth: diagnosis, risk factors, testing and integrative management
  • Review the phenotypes of rosacea, define the prevalence of SIBO and Helicobacter pylori in rosacea and examine the pitfalls of treating SIBO and Helicobacter pylori
  • Examine the probable mechanism for association between rosacea and gastrointestinal disorders
  • Define the masqueraders of SIBO and possible co-morbidities

CE Credits

CONO: Category A – 0.75 credit (General), 0.25 credit (Pharmacology)
British Columbia: Category C – 1.0 credit
AANP: 0.75 credit (General), 0.25 credit (Pharmacy)
OANP/OBNM: For Oregon attendees seeking OBNM approved CE credits, please note that this event has not been submitted for approval to the OBNM. CE certificate will be issued upon individual request.

Dr Michael Traub, ND, DHANP, FABNO

Dr Michael Traub obtained his undergraduate degree in biological sciences from the University of California, Irvine in 1976 where he conducted neurobiology research of learning and memory for Professor James L. McGaugh. He graduated from the National College of Naturopathic Medicine in 1981 and completed a residency there in Family Practice and Homeopathy. He became board certified in homeopathic medicine by the Homeopathic Academy of Naturopathic Physicians in 1989.

Dr Traub was recognized for his many years of service to the American Association of Naturopathic Physicians, including President from 2001-2003, when he was honored with the 2006 Physician of the Year Award. His father was a dermatologist, and this inspired Dr Traub to undertake extra study in this subject. He has taught dermatology at five of the seven accredited naturopathic medical schools in North America and is the author of “Essentials of Dermatologic Diagnosis and Integrative Therapeutics.” He is a recognized authority in the naturopathic profession on dermatology. He serves on the scientific advisory boards of several natural product companies, and has been actively engaged in clinical research for most of his career. Dr Traub has been medical director of Lokahi Health Center in Kailua Kona, Hawaii for the past 37 years. He is also board certified in naturopathic oncology by the American Board of Naturopathic Oncology.