Clear Skin Starts in the Gut: What Rashes and Acne Are Really Telling You
- Monique Rey
- 4 days ago
- 3 min read
Updated: 2 days ago

Most women have been taught that acne, eczema, or rashes are just surface problems — something you fix with creams, serums, or the right skincare routine.
But if you’ve tried it all and still struggle with breakouts or sensitive skin, it’s not about the products on your bathroom shelf. It’s about what’s happening deeper: inside your gut and blood chemistry.
Your skin is often the first “red flag” your body uses to tell you that something is off in your internal environment.
🌱 The Gut-Skin Axis: Why the Two Are Linked
The gut and skin may seem like totally separate systems, but they’re connected through what’s called the gut-skin axis — a communication network between your digestive system, immune system, and skin barrier.
Here’s how it works:
Gut microbiome balance → A healthy gut microbiome keeps inflammation down, helps you absorb nutrients, and maintains a strong skin barrier.
Leaky gut (intestinal permeability) → When your gut lining is inflamed or “leaky,” food particles and toxins slip into the bloodstream, triggering immune reactions that often show up as eczema, psoriasis, or acne.
Gut bacteria & hormones → Your gut plays a role in breaking down estrogen and balancing hormones. Imbalances here can worsen cyclical breakouts around your period.
Inflammation → Poor gut health drives systemic inflammation, which can increase redness, swelling, and slow healing in the skin.
So when you see rashes, acne, or unexplained skin irritation — it’s often your gut asking for attention.
💥 The Iron Connection: When Too Much Is a Bad Thing
Most women hear about low iron (anemia), but what doesn’t get talked about enough is iron overload and its role in skin issues.
Iron fuels pathogens → Excess iron in the body acts like fertilizer for bad bacteria, yeast, and pathogens in the gut. This can worsen dysbiosis (gut imbalance), which shows up in the skin.
Oxidative stress → Too much iron leads to free radical damage, creating inflammation that makes acne and rashes more severe.
How your body gets rid of iron → Unlike other minerals, your body can’t just “flush out” excess iron. The main way women naturally reduce iron levels is through menstrual bleeding. For women with light or irregular cycles, or after menopause, iron can easily build up.
This is why I always look at ferritin (iron storage levels) in bloodwork when women are dealing with stubborn skin problems. Too little iron is an issue, but too much can be just as damaging — especially for the gut-skin connection.
✨ 5 Steps to Clearer Skin by Healing the Gut
If you want real, lasting change, the path isn’t another serum — it’s rebalancing your body from the inside out.
Balance the gut microbiome
Add in fermented foods (sauerkraut, kefir, kimchi) and prebiotic fibers (onions, garlic, asparagus).
Sometimes targeted probiotics are helpful — but knowing your unique gut balance is key.
Stabilize blood sugar
Blood sugar spikes fuel inflammation and acne. Anchor meals with protein + fiber to minimize sharp rises.
Support detox pathways
Your liver and gut help process hormones and toxins that affect skin. Adequate protein, cruciferous vegetables, and hydration are non-negotiable.
Check iron levels
If you have skin issues, fatigue, or gut problems, look at your ferritin. Both too low and too high iron can cause issues. A functional bloodwork review is the best way to know.
Prioritize anti-inflammatory habits
Good sleep, stress management, and movement all reduce the inflammatory load your skin has to deal with.
🥑 My Top 5 Gut + Skin-Friendly Foods
These whole foods support gut balance, reduce inflammation, and provide the nutrients your skin needs to heal:
Pumpkin seeds → Rich in zinc, which supports wound healing, hormone balance, and reduces acne.
Wild-caught salmon → Packed with omega-3s to calm inflammation and strengthen the skin barrier.
Fermented vegetables (sauerkraut, kimchi) → Feed the microbiome and improve gut-skin signaling.
Berries → High in antioxidants to protect skin cells from oxidative damage (including excess iron stress).
Leafy greens (spinach, kale, arugula) → Support detoxification, gut motility, and deliver magnesium for stress + hormone balance.
🔍 The Missing Piece: Testing, Not Guessing
Skin issues aren’t just about what’s on the outside. They’re an inside job — involving your gut, hormones, nutrients, and iron metabolism.
The fastest way to stop guessing is to look at your bloodwork and symptoms together. That’s why I created the Symptom Breakthrough Consult.
In just one session, we decode your labs, uncover what your gut and skin are telling you, and create a personalized blueprint that moves you toward clear skin from the inside out.
Because when you heal the gut, balance your nutrients, and support detox — your skin finally reflects it.
👉 Book your Symptom Breakthrough Consult here to start your path to radiant skin, from the inside out.
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