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Naturally Nourished

Episode 441: Demodex, Rosacea, Acne, and Dermatitis

Naturally Nourished

Ali Miller RD

Health & Fitness, Nutrition, Health & Fitness:nutrition

4.8655 Ratings

🗓️ 21 April 2025

⏱️ 45 minutes

🧾️ Download transcript

Summary

In today’s episode of the Naturally Nourished Podcast, we’re getting up close and personal with an 8-legged creature that’s probably living on your face right now (yep, really). We’re diving into all things Demodex—a microscopic parasitic mite that lives in hair follicles and sebaceous glands, especially around the eyes. While most of us cohabitate peacefully with these tiny freeloaders, an overgrowth can trigger all kinds of skin and eye concerns, from blepharitis and ocular eczema to acne-like breakouts and rosacea flare-ups. We’ll unpack the science behind Demodex overgrowth, how it can drive inflammation and contribute to skin conditions that often go misdiagnosed or mistreated, and what to look out for if you’re dealing with stubborn rashes or redness around the eyes, nose, or cheeks. Of course, we’ll also walk you through food-as-medicine strategies and functional tools—from supporting the microbiome to choosing the right topicals—to help get things back in balance. Tune in for the nitty gritty (literally) and leave empowered with new ways to support clear skin and resilient immune function from the inside out. Also in this episode:  What are Demodex mites and what do they do? Symptoms of mite overgrowth Risk factors for overgrowth The skin-gut-immune connection GI Immune Builder Research linking Demodex to rosacea Zhao et al. (2011): Significantly higher mite density in patients with rosacea. Forton & De Maertelaer (2013): Demodicosis may trigger inflammatory and vascular responses seen in rosacea. Zhao YE, et al. (2012): Meta-analysis of case-control studies showing strong association between Demodex and rosacea. Probiotic strains for skin Lactobacillus rhamnosus GG Lactobacillus plantarum Bifidobacterium longum Targeted Strength Probiotic Rebuild Spectrum Probiotic Women’s Flora Probiotic Probiotic Challenge DIY skincare options for mite balance Green tea extract (EGCG) Tea tree oil (at 5-50% concentration for lid scrubs) Raw honey masks Diluted apple cider vinegar toner Bentonite Clay Castor Oil Randomized trial of topical periocular castor oil treatment for blepharitis - PubMed Neem Oil Green Tea Serum Prosacea Medicated Gel Toups & Co Charcoal Bar 1/2 cup yogurt, 1 tsp. honey, and 1/2 tsp. of ground turmeric for inflammatory or oily skin 1/4 cup yogurt, 1 tbsp. honey, and 1 tbsp. aloe vera gel for irritated skin 1 cup yogurt and a few drops of fresh lemon juice for hyperpigmentation Conventional/prescription options Ivermectin cream  Metronidazole Benzyl benzoate Oral ivermectin Caution with steroid creams due to immune suppression Food as Medicine Support Probiotics Omega 3s Leafy Greens Quercetin & Antioxidants Turmeric & Ginger Vitamin C Bone Broth Pure Collagen This episode is sponsored by:  This episode is sponsored by Carnivore Snax, a delicious snack combining just 2 ingredients: meat and Redmond Real Salt! These melt-in-your-mouth meat pastries are like no other dehydrated meat product or jerky on the market. We love that Carnivore Snax are a pro-America brand who sources from US farmers practicing regenerative agriculture and are verified by the Savory Institute confirming their carbon sequestering status. Check out the ribeye, pork loin, brisket and leg of lamb for just a few of our favorites! Use code NNPODCAST to save 15% off your order and get free shipping on $125 or more at carnivoresnax.com.

Transcript

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0:00.0

Welcome to the Naturally Nourished Podcast that delivers cutting-edge food is medicine solutions for optimal health.

0:12.8

Ali Miller is a nutrition expert sought up by the media in America's top medical institutes

0:18.3

for her revolutionary functional medicine interventions.

0:22.6

From disease treatment to prevention, every episode will empower you with ways to put yourself

0:28.3

back in control of your health. Please know, the topics discussed are for educational purposes

0:35.1

only. Now welcome, Integrative Dietitians, Ali Miller, and her co-host, Becky You.

0:42.3

Welcome to the Naturally Nourished Podcast. You were joining us for Demodex, Rosacea, Acne, and More.

0:49.0

In today's episode, we're going to be talking about an eight-legged parasitic mite that lives on all humans,

0:56.8

particularly in our eyelashes, contributing to blipitis, ocular eczema, and even rosacea

1:04.8

like demadicosis and breakouts. Yes, if you haven't started itching yet, today's episode is going to be a little

1:12.9

bit creepy crawly and it comes to light as many do with real life experience. So I had

1:21.7

noticed some changes in my skin that was happening, I guess, sometime in the midfall and was attributing it to

1:29.9

just higher stress threshold, maybe just some androgenic acne. But then this January had a really

1:36.7

pronounced what I thought was outbreak of eczema on my left eye, around my, I guess, left eye,

1:45.0

and started to address it as if it was just eczema.

1:48.9

So I started to use copious amounts of saturated fat products.

1:54.7

Tallow, I was using salves, and I learned that as I kept putting this on,

2:01.8

I was seeing more raised bumps.

2:05.2

The, what I thought was eczema was not repairing scaling.

2:08.7

It was actually getting more inflamed.

2:10.3

And then I came to learn that Demodex might be the problem.

2:17.0

And as you'll learn in today's episode, Demodex feed on skin cells.

...

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