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Ep.23: Your Skin Barrier Is LEAKING: The Lipid Science Behind Eczema (& What Actually Helps)
Episode Description
Your skin barrier is made up of specialized fats — and in eczema, those fats are broken. In this episode, Dr. Fong breaks down the "bricks and mortar" model of your skin barrier, explains exactly what goes wrong in eczema skin (shorter chain ceramides, kinked fatty acids, and increased water loss), and shares the evidence-based supplements and dietary strategies that can help rebuild your barrier from the inside out.
Topics covered:
- The brick wall model — what your skin barrier is actually made of
- Ceramides, cholesterol, and fatty acids — the lipid trio that holds your skin together
- What goes wrong in eczema — shorter chain ceramides and "leaky skin"
- The vicious cycle of inflammation and barrier breakdown
- The truth about moisturizers — why no product is proven superior
- Supplements with the strongest evidence: Vitamin D, Vitamin E, and topical B12
- Promising options: L-histidine, oral ceramides, probiotics, and zinc
- The gut-skin connection and why fiber matters
- Q&A: Tacrolimus — short-term benefits vs. long-term concerns
- Q&A: NAC & glutathione — why timing matters for eczema patients
Resources mentioned:
- Free Healing Kickstart Guide: https://www.cleanbody.health/eczema-healing-kickstart-guide
- Free Root Cause Assessment: https://eczemaassessment.scoreapp.com/
- Full blog post: https://www.cleanbody.health/single-post/eczema-your-skin-barrier-the-lipid-connection
- Book an Eczema Clarity Visit ($97): https://www.cleanbody.health/eczemaclarityvisit
- Supplement recommendations: https://us.fullscript.com/plans/cleanbody-eczema-recommendations-all
🧴 Get CleanSKIN Calm (Hypochlorous Acid) — the non-steroid topical I recommend most: https://www.cleanbody.health/product-page/cleanskin-calm
🔍 Not sure what's causing YOUR eczema? Take the free 3-minute Eczema Root Cause Assessment: https://eczemaassessment.scoreapp.com
📞 Ready for a personalized plan? Book an Eczema Clarity Visit with me ($97 — credited toward any care program + 100% money-back guarantee): https://www.cleanbody.health/eczemaclarityvisit
🎙️ Join me LIVE on YouTube (@cleanbodyhealth) and Instagram (@drfong.nd) to ask your questions in real time.
⚠️ Disclaimer: This episode is for educational purposes only and is not medical advice. Always consult with your healthcare provider.