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Athletes, fitness enthusiasts, and those recovering from injury often focus on training, mobility, and strength. However, many people are unaware that gut health plays a crucial role in performance, recovery, and even skin health. Problems such as acne, eczema, slow wound healing, or premature aging often stem from deeper issues within the body, especially when the gut microbiome is out of balance.
This article explains what the gut–skin axis is, how dysbiosis (an imbalanced gut microbiome) causes inflammation, oxidative stress, and a weak skin barrier, and offers integrative strategies—including dietary changes, supplements, lifestyle tweaks, and recovery modalities—to improve both skin health and overall performance and recovery.
The gut–skin axis is the communication link between the digestive system (including its microbiome) and the skin. The microbiome consists of both beneficial and harmful microbes that live in your gut. When these systems are balanced, many functions work well, including immune regulation, inflammation control, nutrient absorption, and barrier protection (both gut and skin barriers).
But when dysbiosis occurs—through poor diet, stress, injury, lack of sleep, or antibiotic use—multiple negative effects can follow:
Research has linked dysbiosis to skin conditions such as acne, eczema, psoriasis, and even signs of premature aging. (For example, probiotic interventions show improvements in skin inflammation and barrier function.)
For people who train hard, recover from injuries, or push their bodies, the following issues are especially relevant:
Here are some research findings that bring scientific weight to these connections:
Here are practical steps and interventions that align well with performance, recovery, and skin health goals.
Here’s a sample 6- to 8-week plan for someone who trains regularly, has had recent injury(s), and is experiencing skin issues (e.g., breakouts, eczema, slow healing):
Week | Focus | Actions |
---|---|---|
1 | Baseline & Assessment | Track diet, gut symptoms (including digestive issues and bloating), skin condition (with photos), sleep, and stress levels; consider measuring nutritional levels and inflammation markers. |
2 | Increase Fiber & Prebiotics | Add prebiotic-rich foods, aim for high fiber meals, and reduce inflammatory foods. |
3 | Probiotic Introduction | Fermented foods or evidence-backed probiotic supplement; monitor for changes. |
4 | Recovery & Sleep Focus | Improve your sleep schedule by incorporating recovery modalities like stretching and rest days, and manage stress effectively. |
5 | Antioxidant & Supplement Support | Introduce vitamin D, zinc, omega-3s, and antioxidants via diet and possibly supplements. |
6 | Skin Care & Barrier Repair | Gentle topical care; protect skin from UV, environment; support hydration. |
7–8 | Integration & Adjustments | Observe changes in skin, digestion, and recovery from workouts/injuries; adjust diet, supplements, and rest as needed; repeat or vary as necessary. |
From integrative clinicians treating injury, performance, and skin health, several patterns emerge:
For athletes, trainers, and fitness-oriented people, caring for gut health isn’t just about digestion—it’s central to performance, injury recovery, and skin wellness. Dysbiosis can lead to inflammation, oxidative stress, and a weakened skin barrier, which, in turn, affects recovery, appearance, and overall health.
Integrative strategies, combining a good diet, targeted supplementation, lifestyle support, and recovery modalities, provide a strong foundation for both internal and external health. When gut health improves, the skin tends to follow—enjoying faster healing, fewer flare-ups, and increased resilience to stress.
Gao, T., Wang, Z., Dong, H., Chen, Y., & Zhao, W. (2023). The gut–skin axis in health and disease. Frontiers in Immunology, 14, 10385652. https://doi.org/10.3389/fimmu.2023.10385652
Gut Microbiota for Health. (2023). The gut–skin axis: Feel it in your gut, wear it on your skin. Gut Microbiota for Health.
López, M. F. S., Camargo, F., Arrieta, M. C., & Belkaid, Y. (2025). Relationship between skin and gut microbiota dysbiosis in skin inflammation. Current Research in Microbial Science, 6, 100110. https://doi.org/10.1016/j.crmicr.2025.100110
Munteanu, C., Olejniczak-Staruch, I., Woźniak, A., & Zdanowska, N. (2025). Unraveling the gut–skin axis: The role of microbiota in dermatological diseases. Cosmetics, 12(4), 167. https://doi.org/10.3390/cosmetics12040167
Nirvana Healthcare. (2024). Gut health and skin conditions connection. Nirvana Healthcare Group.
Olejniczak-Staruch, I., Wójcik, A., & Narbutt, J. (2023). Gut microbiota and dermatology: Clinical insights into inflammation and dysbiosis. International Journal of Molecular Sciences, 24(12), 10329. https://doi.org/10.3390/ijms241210329
Professional Scope of Practice *
The information herein on "Gut Skin Axis Recovery: Improving Your Health" is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
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Welcome to El Paso's Premier Wellness and Injury Care Clinic & wellness blog, where Dr. Alex Jimenez, DC, FNP-C, a board-certified Family Practice Nurse Practitioner (FNP-C) and Chiropractor (DC), presents insights on how our team is dedicated to holistic healing and personalized care. Our practice aligns with evidence-based treatment protocols inspired by integrative medicine principles, similar to those found on dralexjimenez.com, focusing on restoring health naturally for patients of all ages.
Our areas of chiropractic practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Our information scope is limited to chiropractic, musculoskeletal, physical medicine, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somato-visceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
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Our office has made a reasonable effort to provide supportive citations and has identified relevant research studies that support our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please feel free to ask Dr. Alex Jimenez, DC, APRN, FNP-BC, or contact us at 915-850-0900.
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Dr. Alex Jimenez DC, MSACP, APRN, FNP-BC*, CCST, IFMCP, CFMP, ATN
email: coach@elpasofunctionalmedicine.com
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807
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Texas RN License # 1191402
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Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Master's in Family Practice MSN Diploma (Cum Laude)
Dr. Alex Jimenez, DC, APRN, FNP-BC*, CFMP, IFMCP, ATN, CCST
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