Tips for Discussing Nutrition with Patients

Tips for Discussing Nutrition with Patients

Hair, pores and skin, and nails present an actual time snapshot of sufferers’ well being. According to Zoe Diana Draelos, MD, FAAD, adjunct assistant professor of dermatology at Duke University School of Medicine in Durham, North Carolina, and chief medical editor for Dermatology Times®, dermatologists are uniquely certified to watch the dietary state of their sufferers.

Speaking on the American Academy of Dermatology Association 2022 Annual Meeting, held in Boston, Massachusetts, March 24 to 29, 2022, Draelos supplied an summary of present understanding of vitamin and its affect on pores and skin well being and ideas for dermatologists discussing the topic with their sufferers and serving to them eat for optimum pores and skin, hair and nail health1.

“The largest problem in serving to sufferers perceive vitamin’s affect on dermatological well being is the misunderstanding that vitamin and dietary dietary supplements could make up for a poor weight-reduction plan [except for vitamin D, which is a sex hormone and not a true vitamin],” Draelos instructed Dermatology Times®,in a comply with up interview. “I inform individuals good vitamin is easy: eat one thing of shade every single day.” This is a simple technique to set sufferers as much as get the nutritional vitamins and minerals they want, she added.

Draelos instructed Dermatology Times®that the most typical deficiency she observes in her sufferers is vitamin D amongst postmenopausal ladies. She additionally mentioned that as a result of pores and skin is pure protein, an excellent supply of protein is particularly key for sufferers with pores and skin illness.

As outlined under, Draelos prefers to supply her sufferers a rundown of the function of every vitamin and nutrient in pores and skin well being and by which meals to seek out it. She added that it’s troublesome to get vitamin deficiencies to point out up on lab work, aside from vitamin D. So “consuming by shade” is a vital behavior to assist sufferers construct since serum ranges of nutritional vitamins can range on exams, making metrics troublesome to acquire.

How to Help Patients “Eat by Color” for Skin Health

Draelos laid out the connections between nutritional vitamins and meals colours, why they matter for pores and skin well being and the meals she recommends optimizing her sufferers’ pores and skin.

Yellow to Orange: Vitamin A

Vitamin E is critical for imaginative and prescient and pores and skin well being actions of gene transcription and immune operate, retinal is required for night time imaginative and prescient, retinoic acid regulates pores and skin gene transcription by binding to nuclear retinoic acid receptors (RARs) sure to DNA. Retinoic acid promotes T-cell differentiation and proliferation.

  • Best supply: 2/3 cup carrots (100 grams provides 93% of RDA for an grownup male).

Red to Orange: Vitamin C (Ascorbic Acid)

Vitamin C is critical for tissue restore (collagen), enzymatic manufacturing of neurotransmitters, the immune system and as an antioxidant.

  • Best supply: One cup of tomatoes every day or a handful of cherry tomatoes to assist sufferers attain the RDA of 90mg/day for males and 75mg/day for females (tomatoes comprise 14mg per 100 grams).

Green: Vitamin E and Folic Acid (Vitamin B9)

Vitamin E is a fat-soluble antioxidant that protects cell membranes from oxidative injury and accommodates alpha, beta, gamma, and delta tocopherols, of which alpha is essentially the most biologically lively and gamma the most typical in western weight-reduction plan.

  • Best supply: 1/4-1/2 uncooked avocado every day (to assist attain the RDA of 15mg per day for adults). Olive oil additionally, helps enhance absorption.

Folic acid is critical for copy of DNA, RNA, and RBCs and thus related to pores and skin, hair, and nail well being. It additionally converts homocysteine to methionine—excessive homocysteine ranges related to cardiac illness.

  • Best supply: Avocado to assist attain the really helpful 400mcg every day for adults.

Brown: Trace Minerals and Biotin

Trace minerals are crucial for steel containing enzymes (matrix metalloproteinases [MMPs]) to operate within the pores and skin. Selenium is a vital various antioxidant pathway. Electrolytes (potassium, chloride, phosphorus) and metals (copper, magnesium, molybdenum, manganese, iron, chromium) are additionally necessary.

  • Best supply: One Brazil nut. Dermatologists may think about a complement.

Biotin deficiency is uncommon, but when current a person may have poor nail and hair progress. There isn’t any established RDA for biotin.

  • Best supply: A handful of nuts per week. Almonds are a wonderful supply

Pink: Protein (Chicken and Fish)

Skin, hair, and nails are pure protein and people want a supply of protein every single day for amino acids for physique restore. Many vegans expertise issues with hair loss as first signal of dietary points.

  • Best sources: Chicken and fish are full proteins. Patients could use egg or milk proteins.

Blue/Purple: Antioxidants

The blue/purple pores and skin of the blueberry accommodates the antioxidants, that are the anthocyanins (flavonoids of the polyphenol household) malvidin and delphinidin.Blueberries additionally comprise flavonol antioxidants quercetin and myricetin.

  • Best supply: Blueberries.

Vitamin D Supplementation

Vitamin D is a intercourse hormone, not a real vitamin. According to Draelos, it’s not possible to orally eat sufficient quantities in weight-reduction plan, so that is one case the place oral supplementation could also be finest. There isn’t any age adjusted supplementation pointers, however new suggestions are 800-1000IU for adults and 2000IU minimal post-menopausal ladies.

How do you optimize vitamin for wholesome pores and skin, hair & nails?

  • Yellow/orange (Vitamin A): 2/3 cup carrots
  • Red/orange (Vitamin C): one uncooked tomato every day
  • Green (Vitamin E, Folic Acid): 1/2 uncooked avocado
  • Brown (Trace Minerals, Biotin): 1 Brazil nut, almonds
  • Pink (Protein): hen, fish, collagen complement
  • Blue/purple (Antioxidants): 1 cup recent blueberries
  • Vitamin D: 1000-2000 IU every day complement


Draelos has obtained grants/analysis funding from Abbott Laboratories, Actavis, AGI Dermatics, Allergan, Inc., AmDerma Pharmaceuticals, LLC, Amgen, Amneal Pharmaceuticals, LLC, AstraZeneca, Avon Products, Inc., Bayer, Bayer Consumer Healthcare Pharmaceuticals, Beiersdorf, Inc., Boots, Celgene Corporation, Chattem, Inc., Colgate-Palmolive, Dermira, Dial Corporation, Eli Lilly and Company, Elizabeth Arden, Exeltis, Galderma Laboratories, L.P., GlaxoSmithKline, Glenmark Generics Inc., Guthy-Renker, Helix BioMedix, Johnson & Johnson Consumer Products Company, Kao Brands, Kimberly Clark, Kythera, L’Oreal USA Inc., La Roche-Posay Laboratoire Pharmaceutique, Lexington International LLC, Living Proof, Inc, Lumity, MakuCell, Inc., Maruho Co., Ltd, Medicis Pharmaceutical Corporation, Merck & Co., Inc., Merz Pharmaceuticals, LLC, Mimetica Pty. Limited, Neocutis, Neutrogena Corporation, Niadyne, Novartis Pharmaceuticals Corp., Nuskin, Oculus, Onset Therapeutics, Otsuka Pharmaceutical Co., Ltd., Pacific Biosciences, Perrigo Company, Pfizer Inc., Procter & Gamble Company, Promius Pharma, LLC, Quinnova Pharmaceuticals, Inc., Ranbaxy Laboratories Limited, RECKITT BENCKISER (ESPAÑA), S.L., Revance Therapeutics, Inc., Revision Skincare, Signum Biosciences, Inc., SkinMedica, Inc., Sun Products Corporation, Suneva Medical, Inc., Symrise, Syneron, Inc., Taro Pharm, Teva Pharmaceuticals USA, Tolmar, Valeant Pharmaceuticals International, Vichy Laboratoires – I(Grants/Research Funding)


Draelos ZD. Optimizing Nutrition for Skin Health. Presented at: American Academy of Dermatology 2022 Annual Meeting; March 24-29, 2022; Boston, MA.

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