Episode 165

Published August 11, 2026

In this episode, Dr. Mamina Turegano and host Dr. Jaclyn Smeaton examine root causes for skin conditions and discuss how hormone balance, gut health, stress levels, and diet can impact skin health.

This episode also highlights:

• The links between gut dysbiosis and acne, rosacea, and psoriasis
• How the balance of estrogen, progesterone, and testosterone can impact the skin
• Theories on the rise in adult female acne
• The effect of environmental toxins and endocrine disruptors on skin health
• Skin as a systemic signal of gut health, hormone health, stress, and diet

Key Moments

0:47 Episode Introduction

3:48 Dr. Turegano's Start into Holistic Dermatology

7:36 Breaking the Conventional Approach to Skincare

10:30 Gut Health and Diet: Exploring Root Causes of Acne

17:14 Investigating the Gut Microbiome

19:54 Understanding the Role of Hormones in Acne

24:21 DUTCH Direct

24:49 Cyclical Acne and Shifting Hormones

28:09 Coffee and Milk: How the Dairy Industry is Affecting your Skin

34:13 The Challenges of Birth Control, Hormonal Shifts and Controlling Acne

35:50 Genetics in Acne: How Everyone is Different

37:28 Hot To Go: Avoiding Hot Foods and Beverages in Plastic Containers

42:20 Blue Light and the Importance of Reducing Screen Time

44:50 Hormone Therapy: A Path to Clearer Skin

48:51 The DUTCH Test: A Clearer Hormone Picture to Treat Acne

53:36 Dr. Mamina's Heavy Hitters for Better Skin

About our speaker

Mamina Turegano, MD, built her practice in New Orleans around a realization that took shape over years of medical training: skin problems are rarely just skin problems. As a triple board-certified dermatologist, internist, and dermatopathologist, she treats the visible surface and the internal biology driving it, blending conventional dermatology with an integrative, whole-body lens. Her work reaches an audience of over 2 million followers across social media, where she shares dermatologist-backed skincare and wellness insights. She's been published in leading medical journals and regularly contributes her expertise to major press, television, and beauty publications. 

Show Notes

Learn more about Dr. Mamina Turegano and follow her on Instagram @dr.mamina!

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