The Psoriasis Puzzle: Dishing Out a Diet-Driven Route to Relief

Imagine walking into a bustling doctor’s office, the air buzzing with the common symphony of coughs, sniffles, and hushed conversations.

Dr. med. Titus Maniera
Health and  Science
5 min readMay 11, 2023

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As a general practitioner, I’ve spent countless hours within these walls, treating patients for the ailments that most often plague them — the nagging back pain that hinders their daily tasks, the unyielding grip of diabetes, or the ceaseless battle with respiratory diseases.

Image by Marijana from Pixabay

Then, there’s the quieter, often overlooked companion that tags along with these conditions — a silent antagonist known as Psoriasis. A common sight in my practice, yet a condition often relegated to the shadows due to its chameleonic nature, acting as a comorbidity to the more ‘prominent’ diseases.

For years, our weapon of choice against this persistent foe was corticoids. They initially seemed like our knight in shining armor, swooping in to alleviate the symptoms with an impressive efficacy. However, as time marched on, it became clear that our hero had a dark side. Instead of helping, it often left our patients in worse shape than before, exacerbating the very disease it was meant to quell.

After 20 years on the frontlines, I saw a pattern emerge — a majority of patients, now seasoned warriors in their battle against Psoriasis, started to avoid corticoids like the plague. And who could blame them? Even the newer arsenal of immunosuppressant medications, though tempting with their promise of relief, carried their own baggage of severe side effects.

Image by Eszter Miller from Pixabay

But then, amidst the shadows of uncertainty, a beam of hope emerged. Through careful observation and patient testimonials, I started to see a pattern. Fasting, in its various forms, or significant weight loss, appeared to be the unexpected heroes in this tale. Their impact was phenomenal, leading to massive improvements in the symptoms of Psoriasis in numerous instances.

So, let’s embark on this exciting journey together, exploring this underappreciated hero and the potential dietary revolution in the world of Psoriasis treatment!

Psoriasis is a chronic, inflammatory skin disorder that affects over 125 million individuals worldwide. It is characterized by red, flaky patches of skin covered with silvery scales. The conventional approach to managing psoriasis often includes topical treatments, systemic medications, and light therapy. However, recent research suggests that dietary changes could also play a significant role in managing this skin disorder. In this article, we delve into how a dietary approach can massively improve psoriasis, backed by scientific evidence.

The Psoriasis-Diet Connection

Psoriasis is an autoimmune disease, which means the body’s immune system mistakenly attacks healthy cells. In psoriasis, this immune response leads to an overproduction of skin cells, resulting in the characteristic patches of the disease.

Given the inflammatory nature of psoriasis, it is not surprising that diet — a factor known to influence inflammation and the immune system — could significantly impact the severity and progression of the disease. In fact, numerous studies have found a correlation between psoriasis and certain dietary habits.

Diet and Inflammation

Many of the foods we consume either fuel inflammation or fight against it. Foods such as refined carbohydrates, fried foods, sugar-sweetened beverages, red meat, and processed meats are known to stimulate inflammatory pathways. On the other hand, foods rich in omega-3 fatty acids, like fatty fish, chia seeds, flax seeds, and walnuts, as well as fruits, vegetables, whole grains, and lean proteins, have anti-inflammatory properties.

A Dietary Approach to Psoriasis Management

Now that we understand the connection between diet, inflammation, and psoriasis, let’s explore how to leverage this knowledge to manage the disease effectively.

Image by Laura Montagnani from Pixabay

1. Adopt a Mediterranean Diet

The Mediterranean diet is rich in fruits, vegetables, whole grains, olive oil, and fish, all of which have anti-inflammatory properties. A 2015 study published in JAMA Dermatology found that adhering to a Mediterranean diet could help reduce psoriasis severity. It is particularly beneficial due to its high content of omega-3 fatty acids, antioxidants, and fiber.

2. Limit Alcohol Consumption

Research has shown a strong link between alcohol consumption and psoriasis, with excessive drinking potentially exacerbating the symptoms. Alcohol is a trigger for many people with psoriasis, so reducing consumption could lead to significant improvements.

3. Cut Down on Processed Foods

Processed foods are often high in refined sugars, unhealthy fats, and artificial additives, which can trigger inflammation. Cutting down on these foods can help manage psoriasis symptoms.

4. Maintain a Healthy Weight

Obesity is a risk factor for psoriasis, and the severity of the disease can also increase with weight. This is because fat cells produce pro-inflammatory cytokines, which can exacerbate psoriasis. Maintaining a healthy weight through a balanced diet and regular exercise can therefore greatly improve psoriasis.

5. Consider Gluten-Free

Some people with psoriasis may also be sensitive to gluten. A study published in the British Journal of Dermatology found that psoriasis patients who followed a gluten-free diet showed significant improvement in their symptoms.

Conclusion

While dietary changes may not cure psoriasis, they can significantly reduce symptoms and improve quality of life for many individuals with this condition. If you have psoriasis and are considering dietary changes, it’s always a good idea to consult with a healthcare provider or a registered dietitian. They can provide guidance tailored to your specific needs and ensure that your diet is balanced and nutritionally adequate.

Remember, psoriasis is a complex disease that can manifest differently in different individuals. What works for one person might not work for another. It’s crucial to listen to your body,

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Dr. med. Titus Maniera
Health and  Science

Med doctor turned Life Explorer. Passionate about sports, yoga, and science, focusing on the intersection of health and joy. Welcome to my written journey.